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将不平等差异信号检测理论与健康信念模型相结合,以优化 tinnitus 患者的共享决策:第 1 部分 模型开发
Alexander E Hoetink1,2, Sarah Kaldenbach3, Arnold Lieftink1,2
1Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Frontiers in neuroscience
|December 19, 2024
概括
tinnitus 治疗的共享决策 (SDM) 得到了新的模型的增强,该模型结合了信号检测理论 (SDT) 和健康信念模型 (HBM). 这种方法评估了患者的决策准确性和对听力学护理和心理咨询的有用性.
科学领域:
- 听力学 听力学是指听力学.
- 心理学 心理学 心理学
- 决策科学 决策科学 决策科学
背景情况:
- 科克兰研究强调了有关声治疗的专业平衡.
- 共享决策 (SDM) 对于将患者需求与干预调整至关重要.
- 评估患者决策的准确性和实用性是改善SDM的关键.
研究的目的:
- 开发和验证一种方法来评估 tinnitus 患者决策的准确性和有用性.
- 分析听力学护理和心理咨询的决策驱动因素.
- 通过了解患者在耳管理中的选择来改善SDM.
主要方法:
- 结合信号检测理论 (SDT) 和健康信念模型 (HBM) 的统计模型被开发出来.
- 听力损失和耳障碍库存 (THI) 评分被用作感知疾病严重程度的代理.
- 使用贝叶斯推理的逻辑回归分析了145名成人耳患者的决策准确度和概率比率.
主要成果:
- 基线THI得分影响了心理咨询决策,而听力损失影响了听力治疗决策.
- 听力学护理 (-0.429) 和心理咨询 (0.255) 的决策准确性都很低.
- 听力损失为37dB (HL) 是听力治疗的公正决策标准;心理咨询决策始终严格.
结论:
- 结合SDT-HBM模型有效评估患者在声护理中的决策的准确性和实用性.
- 了解决策驱动因素和感知成本/收益可以增强SDM.
- 这种方法为优化耳治疗选择提供了宝贵的见解.
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