在晚期癌症老年人中,在复杂的决策过程中提高对价值观-澄清过程的知识:使用模拟患者-临床医生接触的试点随机试验协议
Amy C Cole1,2, Allison M Deal3, Angela M Stover3,4
1Division of Healthcare Engineering, Department of Radiation Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR research protocols
|October 27, 2025
概括
这项试点研究评估了价值观澄清工具对晚期癌症老年人共享决策 (SDM) 的影响. 这些发现将有助于更好地使癌症治疗决策与患者价值观保持一致.
科学领域:
- 老年瘤学 老年瘤学
- 分享决策的共同决策.
- 澄清患者价值的解释
背景情况:
- 老年人占美国癌症诊断的大多数,面临复杂的治疗决策,平衡生存和生活质量.
- 强调了共享决策 (SDM),但患者报告的指导往往无法与个人价值观保持一致.
- 价值澄清工具显示了适度的改进,但它们对决策过程的影响需要进一步研究.
研究的目的:
- 在模拟高级癌症诊断遭遇中估计价值澄清和SDM流程的质量.
- 将这些过程与接受价值观澄清工具和一般沟通指南的老年成年参与者进行比较.
主要方法:
- 试点随机研究,模拟患者与临床医生的接触,针对60岁以上晚期癌症患者.
- 干预组接受了改善癌症体验的价值和结果 (VOICE) 工具;对照组接受了美国癌症协会 (ACS) 的指南.
- 通过使用VECTORS评级尺度,OPTION-5,CollaboRATE和PrepDM进行评估值的提取,处理和集成,并通过定性访谈进行补充.
主要成果:
- 该研究在2024年9月至12月期间招募了44名参与者.
- 数据收集完成,研究准备进行分析.
结论:
- 这项试点研究将为患有晚期癌症的老年人提供初步见解,了解患者和临床医生互动期间价值澄清的质量.
- 这些发现旨在加强将患者价值观纳入复杂的癌症治疗决策.
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