癌症患者在线沟通技巧培训:对沟通技能的行为意图预测框架的测试
Debra L Roter1, Marielle Bugayong1, Chenery Lowe2
1Department of Health, Behavior and Society, Johns Hopkins School of Public Health, Baltimore, USA.
PEC innovation
|June 14, 2024
概括
癌症患者表现出强烈的行为意图使用 LEAPS 沟通技巧. 行为意图预测框架确定了影响这种意图的因素,如过去的行为和患者的健康状况.
科学领域:
- 卫生传播健康传播
- 患者教育 患者教育
- 行为科学 行为科学
背景情况:
- 行为意图是行为的一个关键预测因素,但在患者沟通方面没有得到充分的研究.
- LEAPS (倾听,教育,评估,合作伙伴,支持) 沟通技巧框架旨在改善患者与提供者之间的互动.
- 了解影响患者使用沟通技能的意图的因素对于有效的医疗保健至关重要.
研究的目的:
- 评估行为意图预测框架在解释癌症患者使用LEAPS沟通技能的意图方面的有效性.
- 为了确定强烈行为意图 (SBI) 的预测因素,在癌症患者中使用 LEAPS 技能.
- 探索影响患者过去问题沟通行为的因素.
主要方法:
- 98名癌症患者通过在线平台观看了LEAPS培训视频.
- 参与者填写了关于人口统计,沟通行为的问卷,并报告了他们的SBI使用LEAPS技能.
- 使用统计分析来评估由框架的预测因素解释的差异.
主要成果:
- 平均而言,患者打算使用13个LEAPS技能中的6个,其中46%表示SBI用于个人技能.
- 该框架解释了SBI中27.7%的差异,过去经常使用共享决策,情绪健康不佳,不经常陪同,以及积极的叙事视频评分作为重要的预测因素.
- 不常见的信息行为,另一个成年人的陪伴和积极的叙述得分解释了问题沟通中21.7%的差异.
结论:
- 行为意图预测框架成功解释了癌症患者使用LEAPS沟通技能的意图的变化.
- 诸如先前的沟通行为,情感健康和社会支持等因素影响患者采用新的沟通策略的意图.
- 该研究通过应用预测框架来解决一个研究缺口,为患者的沟通技巧培训提供了预测框架.
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