改善早期临床试验和息治疗中的共享决策:关于在线价值澄清工具干预影响的前性研究
Liza G G van Lent1,2, Julia C M van Weert2, Maja J A de Jonge1
1Department of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Psycho-oncology
|April 30, 2025
概括
在线价值澄清工具 (OnVaCT) 改善了癌症护理讨论中的共享决策 (SDM). 虽然决策冲突没有改变,但瘤学家对SDM的应用显著增加,支持基于价值的患者护理.
科学领域:
- 在瘤学瘤学.
- 医学伦理 医学伦理
- 卫生沟通健康沟通
背景情况:
- 关于早期临床试验和息治疗的高风险决策对患者和瘤学家来说都是一个挑战.
- 解决患者价值观对于有效的共同决策 (SDM) 至关重要.
- 在线价值澄清工具 (OnVaCT) 是为了帮助澄清价值而开发的.
研究的目的:
- 评估OnVaCT干预与瘤学家沟通培训相结合对SDM的影响.
- 在临床试验和息护理讨论的背景下,评估对患者决策冲突的影响.
- 改善瘤科医生与患者之间的沟通和SDM应用.
主要方法:
- 采用了前性多中心前后临床研究设计.
- 患者完成了调查,咨询是独立编码的.
- 干预组使用了OnVaCT,而瘤学家接受了沟通培训.
主要成果:
- 在干预前和干预后的组之间,决策冲突没有显著的差异.
- 瘤学家表明,干预后的SDM应用显著增加 (p < 0.001).
- 咨询时间和其他次要结果保持稳定.
结论:
- 在OnVaCT干预成功增强SDM和促进基于价值的讨论.
- 干预并没有延长咨询时间.
- 需要进一步的研究来探索减少决策冲突和其他以患者为中心的结果.
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