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一个随机对照试验,以增加癌症查和减少低收入妇女抑郁症

Jonathan N Tobin¹, Elisa S Weiss², Andrea Cassells¹

¹Clinical Directors Network (CDN), New York, NY, USA.

Journal of prevention and health promotion

|April 3, 2024

概括

这两种干预措施都改善了服务不足的妇女的癌症查和抑郁症. 然而,这两种方法都没有在结直肠,乳腺和宫癌查结果或抑郁症减少方面表现出明显的优势.

科学领域:

公共卫生公共卫生
临床医学临床医学
医疗保健服务研究医疗服务研究

背景情况:

低收入的有色人种妇女在癌症查和更高的抑郁率方面面临差异.
抑郁症可以显著阻碍参与关键的癌症查.

研究的目的:

为了比较两项干预措施在改善癌症查和减少贫困妇女抑郁症的有效性.
评估旨在提高结直肠,乳腺和宫癌查率的干预措施.
评估现有抑郁症的女性对抑郁症水平的影响.

主要方法:

一个比较有效性的随机对照试验 (RCT),涉及757名年龄在50-64岁的女性.
参与者被随机分配到合作抑郁症护理加癌症查干预 (CCI + PCM) 或单独进行初级保健管理 (PCM) 干预.
干预是基于电话,在12个月内进行,并使用电子健康记录和抑郁症PHQ-9进行评估.

主要成果:

两组干预组都显示了对结直肠癌,乳腺癌和宫癌的最新癌症查的统计学上显著增加.
在CCI+PCM和PCM组中,抑郁症症状都有所改善.
两项干预措施之间没有发现关于癌症查率的改善或抑郁症减少的统计学上显著差异.

结论:

协作性抑郁症护理加上癌症查 (CCI + PCM) 和初级保健管理 (PCM) 干预措施都有效地改善了癌症查,并在服务不足的社区减少了抑郁症.
两种干预措施都没有在结果方面表现出优势,这表明实施决策可能取决于实践背景.
在选择这些有效干预措施时,建议进一步考虑实践资源和优先事项.

关键词:

癌症查癌症查协作护理服务提供者抑郁抑郁症抑郁症抑郁症抑郁症联邦合格健康中心 (FQHCs).基于实践的研究网络 (PBRN)初级保健研究初级保健研究服务不足的妇女服务不足的妇女

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