支持患者参与健康研究的决策的干预措施:系统性审查
Jolyn Hersch1, Lauren O'Hara1, Ilona Juraskova2
1The University of Sydney, Faculty of Science, School of Psychology, Psycho-Oncology Co-operative Research Group (PoCoG), NSW, Australia; The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy Lab, NSW, Australia.
工具可以通过增强患者知识来改善参与健康研究的知情同意. 虽然数字干预有希望,但大多数都专注于癌症试验,需要更广泛的应用.
科学领域:
- 临床研究 临床研究
- 在知情同意的情况下同意.
- 卫生沟通健康沟通
背景情况:
- 获得知情同意是临床研究中的一个关键挑战.
- 有效的沟通和决策支持对于患者参与至关重要.
研究的目的:
- 系统地审查和描述支持参与健康研究的知情同意的干预措施.
- 确定开发有效患者决策工具的原则.
主要方法:
- 对五个数据库 (1990-2025) 进行系统的文献搜索,用于干预开发/评估研究.
- 有资格干预的叙述综合,重点关注决策质量,信息需求和价值观澄清.
- 包括对印刷和数字工具的研究,包括针对不同人群的研究.
主要成果:
- 18项研究符合纳入标准,干预措施针对特定研究或一般临床试验.
- 确定了8种印刷工具和10种数字工具,其中4种涉及文化多样性.
- 有控制的研究 (n=11) 表明干预增加了知识,但对参与率的影响很小.
结论:
- 工具可以提高患者对健康研究参与的理解和决策.
- 目前大多数干预措施都集中在癌症临床试验上;需要扩展到其他环境和研究设计.
- 数字技术为不同的患者群体提供了定制,互动的支持.
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