使用一种行为改变方法来支持对人口基因组查和乳腺癌或前列腺癌的管理选择的采用
Zoe Fehlberg1,2, Louise Fisher1, Cun Liu1
1Economics of Genomics and Precision Medicine Unit, Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
European journal of human genetics : EJHG
|November 12, 2024
概括
了解基因组查遗传性癌症风险的公共障碍是关键. 通过量身定制的战略来解决各种需求,确保公平地采用查和风险管理选项.
科学领域:
- 基因组医学是基因组医学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 人口基因组查遗传性癌症风险正在扩大.
- 支持个人接受查和风险管理至关重要.
- 了解公众的看法对于有效实施至关重要.
研究的目的:
- 确定对乳腺/前列腺癌风险的基因组查的公共障碍.
- 确定采用风险管理策略后选的障碍.
- 将这些障碍与行为改变理论联系起来,以提供实施支持.
主要方法:
- 使用10个焦点小组与25名澳大利亚公众成员进行定性研究.
- 障碍物使用能力,机会,动机 - 行为 (COM-B) 模型进行分类.
- 确定了影响查和风险管理的障碍.
主要成果:
- 发现了十个查普及的障碍 (能力,机会,动机).
- 例如,意识较低,收集不方便,以及被认为不相关.
- 确定了10个阻碍风险管理的障碍 (动机,机会).
- 例如包括健康问题和个人成本.
结论:
- 为了公平地采用基因组查,需要基于需求的细微方法.
- 不同的个体需求需要不同的实施策略.
- 有效的支持对于查和随后的风险管理至关重要.
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