使用基于网络的决策支持来改善化学预防的知情选择:实施前面试的定性分析 (SWOG S1904)
Alissa M Michel1, Haeseung Yi2, Jacquelyn Amenta2
1Columbia University Irving Medical Center, 177 Fort Washington Ave, Suite 6-435, New York, NY, 10032, USA. Am5314@cumc.columbia.edu.
BMC medical informatics and decision making
|September 28, 2024
概括
医疗保健提供者有兴趣使用决策辅助工具来改善乳腺癌化学预防对高风险病变的妇女. 这些工具可能有助于克服时间限制和患者对副作用的担忧等障碍.
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) 的女性面临患乳腺癌的风险显著增加.
- 尽管有证据支持化疗预防,但其采用仍然不够理想,需要有针对性的干预措施.
研究的目的:
- 评估医疗保健提供者对高风险乳腺病变化学预防的看法.
- 识别化学预防的障碍和促进者,以及决策支持工具的潜在作用.
主要方法:
- 一项定性研究,涉及25名医疗保健提供者 (医生和高级实践提供者) 在获得决策支持工具之前进行半结构化采访.
- 这项研究是MiCHOICE集群随机对照试验 (NCT04496739) 中的实施前分析.
主要成果:
- 提供者对化疗预防表示信心,并承认决策支持工具的有用性.
- 确定的主要障碍包括时间限制,风险沟通方面的挑战,以及患者对副作用和焦虑的担忧.
- 提供者表示需要尽早将决策辅助工具整合到他们的临床工作流程中.
结论:
- 医疗保健提供者愿意将决策辅助工具纳入有关乳腺癌化疗预防的讨论中.
- 决策辅助工具在解决患者担忧和克服临床障碍方面表现有前途,可能改善化疗预防的普及率.
- 包括决策辅助工具在内的全面干预可能是必要的,以加强高风险女性的化疗预防策略.
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