通过试验特定的患者决策辅助来改善2期临床试验中的患者参与:开发和可用性研究
Iva Halilaj1, Relinde Lieverse1,2, Cary Oberije3
1Department of Precision Medicine, Faculty of Health, Medicine and Life Sciences, Maastricht University, Universiteitssingel 40, Maastricht, 6229 ER, The Netherlands, 31 433883549.
Journal of medical Internet research
|September 11, 2025
概括
试验特定的患者决策辅助工具 (tPDA) 提高了患者对复杂的临床试验信息的理解. 这项研究表明tPDAs增强了知情决策和患者参与临床试验.
科学领域:
- 临床试验方法论 临床试验方法论
- 支持患者的决策支持.
- 医疗信息学 医疗信息学
背景情况:
- 临床试验参与涉及复杂的信息,对知情决策构成挑战.
- 患者决策辅助器 (PDAs) 可以简化治疗选择,但试验特定的PDAs (tPDAs) 未得到充分利用.
研究的目的:
- 为ImmunoSABR第二阶段试验开发和评估一个用户友好的,可访问的tPDA.
- 提高患者对临床试验参与的理解和共享决策.
主要方法:
- 根据国际患者决策辅助标准开发了一个tPDA.
- 通过与计算机科学家,临床医生,医学学生和患者进行代评估来验证.
- 通过系统可用性尺度 (SUS) 评估可用性,花费的时间,满意度和自我报告的理解.
主要成果:
- 该tPDA获得了良好的可用性评分 (平均SUS 79.4).
- 患者有效地完成了TPDA,大多在30-60分钟内完成.
- 定性反表明患者对试验细节的理解得到了改善.
结论:
- 针对试验的患者决策辅助工具 (tPDAs) 是可行的,并且在改善患者理解方面有效.
- 在临床试验中,tPDA 增强了患者参与度和知情决策.
- 整合tPDA补充了传统的沟通方法,支持以患者为中心的护理.
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