一项研究将CHW领导的干预与医生领导的干预进行比较,用于黑人男性前列腺癌查决策
Natalia Martinez-Lopez1, Danil V Makarov1,2,3, Jerry Thomas1,3
1Department of Population Health, NYU Langone Health, New York, NY.
Ethnicity & disease
|June 7, 2024
概括
社区卫生工作者有效地教育黑人男性进行前列腺癌查. 医疗保健工作人员主导的会议比医生主导的会议提高了更多的知识,与前列腺癌 (PSA) 查相似的决定性冲突减少.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 前列腺癌不成比例地影响黑人男性,他们往往缺乏关键信息来做出明智的查决定.
- 关于前列腺癌风险和益处的早期教育对男性健康至关重要.
研究的目的:
- 为了比较社区卫生工作者 (CHW) 领导的与医生领导的关于黑人男性前列腺特异性抗原 (PSA) 查的教育课程的有效性.
- 评估对知识,决策冲突和关于PSA查的看法的影响.
主要方法:
- 在社区环境中,有118名黑人男性接受了来自CHW或医生的PSA查教育.
- 参与者完成了会议前后的调查,以测量知识,决策冲突和干预感知.
- 两组都使用了决策辅助工具,详细介绍了PSA查的好处,风险和争议,以及决策指导.
主要成果:
- 在CHW领导的 (30.64) 和医生领导的 (24.31) 组之间没有观察到决定性冲突变化的显著差异 (P=.31).
- 由CHW领导的小组在知识方面表现出明显更大的改善 (P<.001).
- 医生主导的会议导致参与者更高的同意与演讲者的专业知识 (P<.001) 和信任 (P<.001).
结论:
- 由CHW领导的干预措施在社区环境中对于黑人男性的复杂健康决策是有效的.
- 这种方法提高了前列腺癌的知识,并减少了与医生主导干预相比的决策冲突.
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