从纸张到像素:患者决策的数字化转型助力-试点研究
Bettina Mølri Knudsen1,2, Karina Olling1, Lisbeth Høilund Gamst1
1Center for Shared Decision Making, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, Denmark.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
将纸质患者决策辅助工具 (PtDAs) 转换为数字格式是可行的,并且易于使用. 测试显示,患者在癌症治疗的共享决策中获得了有希望的结果.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者赋权是患者赋权的一种方式.
背景情况:
- 数字健康技术在患者护理中的作用越来越大.
- 需要可访问和用户友好的患者决策辅助工具 (PtDAs).
- 在共享决策过程中赋予患者权力.
研究的目的:
- 将一款通用的纸质患者决策辅助工具 (PtDA) 转换为数字格式.
- 通过严格的测试来评估数字PtDA的可用性和可行性.
- 评估数字PtDA在癌症护理中增强共享决策的潜力.
主要方法:
- 系统的PtDA开发 (2020-2022年) 接下来是转换阶段:范围,原型,设计和测试.
- 通过阿尔法 (α) 测试与 PtDA 专家进行内部可用性评估.
- 通过两项贝塔 (β) 测试对乳腺癌和结直肠癌患者进行外部可行性测试 (咨询前和后),使用决策准备尺度.
主要成果:
- 阿尔法测试:七名PtDA专家对数字PtDA的质量提供了积极的反.
- 贝塔测试 (咨询前,n=6):患者报告了高可用性 (平均得分81.3/100) 和易用性.
- 贝塔测试 (咨询后,n=10):患者报告了决策准备的平均得分为72.0/100. 代设计显示出由于便利性和可访问性而具有很高的采用潜力.
结论:
- 将纸质PtDA转换为数字格式是成功的,产生了一个用户友好的解决方案.
- 数字PtDA对接受癌症治疗的患者展示了有希望的可用性和可行性.
- 建议进行进一步的大规模研究,以验证数字PtDA的有效性.
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