关于将化疗预防纳入护理的明智选择 (MiCHOICE,SWOG 1904):集群随机对照试验的设计和方法
K D Crew1, G L Anderson2, K B Arnold2
1Columbia University Irving Medical Center, New York, NY, USA.
Contemporary clinical trials
|May 4, 2024
概括
决策支持工具可以改善乳腺癌化学预防的选择,高风险的女性与非典型增生 (AH) 或皮层癌 in situ (LCIS). 本研究评估了提高知情决策和治疗利用率的工具.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有非典型增生症 (AH) 或局部叶状癌 (LCIS) 的女性面临乳腺癌风险升高.
- 抗雌激素治疗可以显著降低这种风险,但未得到充分利用.
- 加强对风险和化疗预防的知识对于明智的决策至关重要.
研究的目的:
- 评估患者和提供者决策支持工具的有效性和实施.
- 改善高风险女性乳腺癌化疗预防的知情选择.
- 评估决策支持对知识,决策冲突和使用的影响.
主要方法:
- 在26个美国地点进行集群随机对照试验.
- 涉及415名患者和200名医疗保健提供者.
- 将标准教育与决策支持工具进行比较;在5年内评估结果.
主要成果:
- 主要结果:化疗预防知情选择.
- 二次结果:知识,决策冲突,遗憾和使用.
- 关于实施障碍和促进者的定性数据.
结论:
- 混合有效性实施研究,以评估多层次干预.
- 旨在促进有关化学预防的知情决策.
- 提供了美国临床环境中干预实施的见解.
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