基于网络的决策对年轻劳动女性宫癌查决策的帮助的影响:试点随机对照试验
Dorothy Ngo Sheung Chan1, Kai Chow Choi2, Winnie Kwok Wei So2
1The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China. dorothycns@cuhk.edu.hk.
International journal of behavioral medicine
|December 31, 2024
概括
一个基于网络的工具有效地减少了决策冲突,并增加了年轻工作女性的宫癌查率. 这项试点研究表明,有望改善这一人口群体的查采用率.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 医疗信息学 医疗信息学
背景情况:
- 由于时间限制,年轻的职业女性在做出宫癌查决定时面临挑战.
- 宫癌查涉及到关于帕帕和HPV测试的复杂决定.
- 这项研究探讨了为这一群体提供可访问的决策支持的需求.
研究的目的:
- 评估基于网络的决策辅助工具对年轻工作女性宫癌查的可接受性和可行性.
- 评估决策辅助对知识,风险感知,决策冲突和选采用的影响.
- 为未来的大规模研究提供初步数据.
主要方法:
- 一项试点随机对照试验,涉及158名25至44岁的职业女性,她们三年来没有接受过查.
- 干预组获得了基于网络的关于Pap和HPV测试的决策辅助工具;对照组获得了一般健康事实表.
- 该研究通过事实表评估了决策冲突,知识,风险感知和查吸收.
主要成果:
- 138名女性完成了这项研究. 干预组显著减少了决策冲突 (效果大小为0.71-0.90).
- 干预组中更高比例的人接受了宫癌查 (31.9%与对照组的6.1%相比).
- 大多数参与者认为基于网络的干预措施是可以接受的,并且对此感到满意.
结论:
- 基于网络的决策辅助是年轻工作女性在宫癌查方面可行的和可接受的工具.
- 初步结果表明,决策援助可以减少决策冲突,并促进查的普及.
- 建议进行进一步的大规模研究,以证实这些有希望的发现.
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