解决对肺癌查的知识和态度障碍:开发和评估基于网络的决策辅助工具
Wonyoung Jung1, In Young Cho2, Keun Hye Jeon3
1Department of Family Medicine / Obesity and Metabolic Health Center, Kangdong Sacred Heart Hospital, Seoul, Republic of Korea; Department of Medicine, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea.
Lung cancer (Amsterdam, Netherlands)
|November 24, 2024
概括
一个新的决策辅助工具 (DA) 改善了韩国对肺癌查 (LCS) 的知识和态度. 然而,DA并没有显著增加参与者接受LCS的意图.
科学领域:
- 公共卫生 公共卫生
- 医疗决策的制定 医疗决策的制定
- 卫生沟通健康沟通
背景情况:
- 低剂量计算机断层扫描 (LDCT) 查降低了肺癌死亡率,但参与率仍然低于最佳水平.
- 参与肺癌查的障碍包括过多的医疗保健选择和缺乏量身定制的信息.
- 开发有效的决策辅助工具 (DA) 对于改善LCS的知情决策至关重要.
研究的目的:
- 开发和评估用于肺癌查 (LCS) 的决策辅助 (DA).
- 解决障碍,改善40-79岁的韩国成年人参加LCS的机会.
- 评估DA对知识,态度,决策冲突和选意图的影响.
主要方法:
- 根据国际患者决策辅助标准开发了DA.
- 一项试点研究涉及100名参与者 (40-79岁) 在韩国首尔.
- 前后比较评估了知识,态度,决策冲突和LCS意图的变化.
主要成果:
- DA包括风险评估,以及关于LCS风险,收益,成本和个人价值观的信息.
- 关于LCS的知识在DA使用后显著增加 (p < 0.001),态度显示出积极的变化 (p = 0.004).
- 接受LCS的意图保持稳定 (70%对72%,p=0.650);决策冲突低,DA被认为是有用的.
结论:
- 设计好的DA可以有效地提高有关肺癌查的知识和态度.
- 在这个试点研究中,知识和态度的改善并没有显著改变查意图.
- 需要进一步的研究来优化DA,以增加LCS吸收.
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