对儿童和青少年 (C&A) 队列的决策辅助工具中纳入的适应性进行范围审查
Anizah Ali1, Nao Suzuki2, Yew Kong Lee3
1Paediatrics and Adolescent Gynaecology (PAG) Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia.
Translational pediatrics
|October 27, 2025
概括
适应儿童和青少年 (C&A) 的决策辅助工具 (DA) 对于共享决策 (SDM) 至关重要. 技术,语言和内容的调整提高了C&A的参与度和健康结果.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 卫生沟通健康沟通
- 决策科学 决策科学
背景情况:
- 共享决策 (SDM) 对儿童和青少年 (C&A) 至关重要,促进参与和改善结果.
- 决策辅助工具 (DA) 可以增强SDM,但需要对C&A进行特定的调整.
- 对于以C&A为重点的DA的必要调整存在有限的数据.
研究的目的:
- 识别和分类用于C&A医疗保健决策中的DA的调整.
- 弥合有关儿童群体有效DA适应的知识差距.
- 为C&A提供关于定制DA的见解,以支持SDM.
主要方法:
- 对PubMed和MEDLINE ((Ovid) 数据库的系统文献综述.
- 包括英语出版物,并审查参考清单和手动搜索.
- 专注于三个适应类型:技术,语言/数字/视觉和内容.
主要成果:
- 包括八项研究,包括电子,纸质和基于模型的形式的二次和三次DA.
- 技术调整包括互动性,简化信息,用户版本和参与.
- 语言/数字/视觉调整侧重于健康素养和非文字呈现;内容调整涉及敏感主题和个性化.
结论:
- 在DA中发现了对C&A的各种调整,其中技术调整是最常见的.
- 纳入特定的调整可以增强DA设计和支持C&A决策.
- 需要进一步的研究来评估适应的DA在实现C&A的SDM方面的有效性.
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