制定和试点测试人口和环境适应决策辅助工具 (PACE) 框架
Hankiz Dolan1, Deborah Bateson2, Mu Li2
1Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
PEC innovation
|October 21, 2024
概括
一个新的框架,人口和背景调整决策辅助工具 (PACE),被开发和试点调整患者的决策辅助工具,为说中文的移民妇女. 调整后的援助是可以接受的,证明了跨文化适应的系统方法.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者决策辅助工具 患者决策辅助工具
- 卫生识字 卫生识字
背景情况:
- 患者决策辅助器 (PtDAs) 需要适应不同人群.
- 现有的适应模式可能无法完全解决文化和背景细微差别.
- 需要一个系统的框架来指导PtDA的适应.
研究的目的:
- 开发和试点测试一种用于适应PtDAs的新框架.
- 为澳大利亚的华语移民妇女适应避孕方法PtDAs.
- 评估适应的PtDAs的可接受性,可用性和可行性.
主要方法:
- 开发了人口和情境适应决策辅助工具 (PACE) 框架,这是一个六个阶段的过程.
- 整合了具有创新元素的现有模型:选择,专家审查,预测,翻译,需求评估和最终用户测试.
- 试行了PACE框架,以适应避孕PtDAs,涉及20名医疗保健提供者和22名中国移民妇女.
主要成果:
- 成功地适应了一套关于避孕方法的PtDA.
- 调整后的PtDA被发现对说中文的移民女性来说是可以接受的.
- 确定了经验教训,包括需要框架灵活性和现实世界的评估.
结论:
- PtDA适应需要一个多阶段的,多学科的,务实的方法.
- 该PACE框架提供了一个创新的和系统性的解决方案,用于适应PTDA新人群和新环境.
- 该研究强调了文化敏感和环境相关的决策支持工具的重要性.
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