在初级保健中使用纸质决策辅助工具和自动化文本消息程序预见为共享决策的准备:准实验试点研究.
Mayuko Ito Fukunaga1, Renda Soylemez Wiener2,3,4, Shaun Toomey1
1Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States.
JMIR formative research
|September 17, 2025
概括
一个自动化的短信策略显著改善了肺癌查 (LCS) 的知识,并且在符合条件的患者中完成率几乎增加了三倍. 这种方法增强了初级保健中的共享决策 (SDM).
科学领域:
- 初级保健研究研究初级保健研究
- 卫生沟通健康沟通
- 临床决策支持 临床决策支持
背景情况:
- 共享决策 (SDM) 对于肺癌查至关重要,但在初级保健中具有挑战性.
- 需要创新的方法来为符合LCS条件的患者准备SDM,并提高查率.
研究的目的:
- 在初级保健中试点预测LCS共享决策的准备策略.
- 将纸质决策辅助 (DA) 与包括DA和自动化短信 (DA+TM) 在内的增强策略进行比较.
- 评估可行性和对LCS讨论,SDM和采用的初步影响.
主要方法:
- 在一个学术医疗保健系统中进行了一项连续的准实验试点研究.
- 符合条件的患者在访问前接受纸质DA或DA+TM.
- 探索性分析评估了LCS讨论,SDM,知识,决策冲突和LCS完成.
主要成果:
- 在DA+TM组,LCS知识显著改善 (P=.003).
- 在这两组中,决策冲突显著减少.
- 三个月后LCS完成率为5% (DA) 和31% (DA+TM),P=.07.
结论:
- 使用短信增强策略的预见准备在初级保健中是可行的.
- 这种方法可以改善患者的参与,明智的决策和LCS吸收.
- 自动化短信显示出有可能接触到符合LCS资格的人群.
相关概念视频
Preventive Healthcare Services
1.9K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.9K
Pre-Procedural Guidelines for Assessing Blood Pressure
817
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
817
Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
329
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
329


