男人获得门诊心理社会癌症咨询:一个集群随机试验
Susanne Singer1, Alexander Wünsch, Andreas Ihrig
1Division of Epidemiology and Health Services Research, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Hospital Mainz; University Cancer Center Mainz (UCT), Johannes Gutenberg University of Mainz; Psycho-Oncological Service, Department of Medical Oncology, Inselspital, University Hospital Bern, University of Bern, Switzerland; Freiburg Cancer Counseling Service, Comprehensive Cancer Center Freiburg (CCCF) in cooperation with the Department of Psychosomatic Medicine and Psychotherapy, University Hospital Freiburg, Medical Faculty, Albert Ludwigs University of Freiburg; North Baden Psychosocial Cancer Counseling Service, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg; Tumor Network Cancer Counseling in the Münster Region, Münster; Cancer Counseling Service of the Hamburg Cancer Society, Hamburg; Cancer Counseling Service of the phönikks Foundation, Hamburg; Munich Psychosocial Cancer Counseling Service of the Bavarian Cancer Society, Munich; Division of Pediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Hospital Mainz.
男人不太可能使用癌症咨询. 多层次干预增加了男性在门诊癌症咨询中的参与,尽管主要终点没有达到统计学意义. 需要进一步的研究,以优化男性参与癌症支持服务.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与女性相比,男性未充分利用门诊癌症咨询服务.
- 这种差异仍然存在,尽管男性可能从这种支持中受益.
研究的目的:
- 评估旨在增加男性参与门诊癌症咨询的多层次干预措施的有效性.
- 评估有针对性的策略对初始和整体患者接触的影响.
主要方法:
- 一个集群随机试验,涉及德国12个地区,持续了12个月.
- 干预包括医生信息,公众宣传活动,结构性变化和针对男性的产品.
- 用通用线性混合模型来分析男性参与率的几率比率.
主要成果:
- 干预组的初次接触男性比例 (30.7%) 与对照组 (25.7%) 相比较高,尽管在统计学上并不显著 (OR=1.2,p=0.08).
- 在所有咨询联系人中,干预组的男性占27.6%,而对照组的男性占22.2%,这是统计学上显著的增加 (OR=1.3,p=0.01).
结论:
- 有针对性的,多层次的干预措施可以适度地增加利用门诊癌症咨询的男性比例.
- 虽然主要的终点没有达到,但次要的终点表明对整体参与度产生了积极影响.
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