关于沟通策略的建议,以支持对自己或临床医生的知情决策 查宫样本在英国:定性研究
Denitza Williams1, Eleanor Clarke1, Kate J Lifford1
1Division of Population Medicine, School of Medicine, College of Biomedical and Life Sciences, Cardiff University and PRIME Centre Wales, Cardiff, UK.
了解患者对宫检查选择的需求是关键. 在英国,一项新的沟通策略可以支持当HPV自取样在临床医生查的同时提供时做出明智的决策.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 预防癌症 预防癌症
背景情况:
- 在英国,宫部查的普及率仍低于80%的目标,特定人口群体的参与率较低.
- 英国国家卫生服务 (NHS) 宫部查计划正在考虑在临床医生取样和自取样之间为高风险的人类乳头瘤病毒 (HPV) 亚型提供选择.
- 解决查普及率的差异对于有效的公共卫生干预至关重要.
研究的目的:
- 识别不同个体的信息和决策支持需求,这些人有资格接受宫部查,当他们选择查模式时.
- 为沟通战略制定基于证据的建议,以促进有关宫查选项的知情决策.
主要方法:
- 采用了定性联合制作方法,利用与30名符合条件的个人和23名利益相关者的半结构化访谈.
- 对转录的采访进行了主题分析,以行为和决策理论为基础.
- 公众合作伙伴从研究开始到完成是该研究的组成部分,为招聘,参与者材料和分析做出了贡献.
主要成果:
- 出现了四个主要主题:对临床医生查的误解,参与者对选择的态度,对沟通启动策略的偏好以及具体的决策支持需求.
- 开发了逻辑模型,以指导引入宫查模式选择的沟通策略.
- 参与者的反强调了明确,可访问的信息的重要性,以支持明智的选择.
结论:
- 一个精心设计的沟通启动策略对于支持知情决策至关重要.
- 除了传统方法之外,实施HPV自取样还需要战略沟通方法,以确保公平的吸收和知情的选择.
- 这项研究为未来的干预提供了框架,旨在通过提供选择来改善宫查参与率.
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