关于癌症年轻女性患者的生育能力保护的个性化决策辅助器的开发和试点测试:研究协议
Jieun Jang1, Eun Mi Lee1, Youn Kyung Chung2
1Division of Clinical Research, Research Institute, National Cancer Center, Goyang, Republic of Korea.
BMJ open
|August 13, 2025
概括
这项研究开发了一个基于网络的决策辅助工具 (DA),以帮助年轻的癌症患者做出明智的生育保护选择. 该DA旨在提高决策质量和患者对生育保存选择的满意度.
科学领域:
- 在瘤学瘤学.
- 生殖医学 生殖医学
- 医疗信息学 医疗信息学
背景情况:
- 癌症治疗可能导致不孕,影响年轻幸存者的生活质量.
- 有关生育保护的知情决策往往受到临床障碍和复杂选择的阻碍.
- 需要一个支持性的环境来帮助患者选择与他们的价值观相一致的生育保护选项.
研究的目的:
- 开发和评估一个基于网络的决策辅助 (DA) 在年轻的癌症患者的生育保护.
- 评估DA的可接受性,可用性和有效性,以支持患者的决策.
- 将患者的价值观和偏好纳入生育保护决策过程.
主要方法:
- 开发一个基于网络的三模块DA (信息收集,选项建议,价值传播).
- 与患者和提供者进行阿尔法测试,以评估可用性和可接受性.
- 用癌症患者进行β测试 (试点试验) (n=32) 将DA组与常规护理进行比较,测量决策冲突和其他结果.
主要成果:
- 该DA的开发包括收集信息,建议选项和价值调整的模块.
- 阿尔法测试为DA改进提供了反.
- 贝塔测试将评估决策冲突的主要结果和知识和生活质量等次要结果.
结论:
- 一个新的基于网络的决策辅助工具已经开发出来,以支持年轻癌症患者的生育保护决策.
- 该DA旨在通过考虑患者特定的因素和价值观来加强知情决策.
- 通过β测试进行进一步的评估将确定DA的临床实用性和对患者结果的影响.
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