共享医疗决策辅助对患者关于人乳头瘤病毒疫苗接种的决策冲突的影响:一种混合方法研究
Dragos-Paul Hagiu1,2,3, Marion Saquet1,2,3, Henri Partouche4
1Department of General Practice, Faculté de Médecine Jacques Lisfranc, Université Jean Monnet, Université de Lyon, Saint-Etienne 42100, France.
Family practice
|October 28, 2025
概括
在线决策辅助 (DA) 减少了决策冲突,增加了法国人乳头瘤病毒 (HPV) 疫苗接种意图. 该工具支持知情选择和沟通,可能改善疫苗接受度.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 疫苗学 疫苗学 疫苗学
背景情况:
- 人类乳头瘤病毒 (HPV) 与疫苗可预防的癌症有关,但法国的HPV疫苗接种率很低.
- 决策辅助工具 (DA) 是旨在帮助个人做出明智的健康决策的工具.
- 在线DA提供了一个可扩展的方法来传播健康信息和支持决策.
研究的目的:
- 评估在线DA (SOSHPV) 对决策冲突和HPV疫苗接种意图的影响.
- 在现实环境中探索用户对在线DA的看法和经验.
- 评估DA在支持知情的HPV疫苗接种选择方面的有效性.
主要方法:
- 融合混合方法设计,结合定量 (前后问卷) 和定性 (半结构面试) 数据.
- 网站访问者对知识,决策冲突和疫苗接种意向的定量评估.
- 使用接地理论进行定性分析,以了解用户的体验和感知.
主要成果:
- 干预后,观察到知识的显著改善 (P < 0.001) 和决策冲突的减少 (P < 0.001).
- 接种疫苗的意图发生了显著的转变,支持者增加 (55%-75%) 和未决者减少 (32%-18%) (P < 0.001).
- 定性主题包括社会矛盾,DA作为支持知情选择,以及加强与医疗保健提供者的沟通.
结论:
- 在线DA可以有效地减少决策冲突,并增加针对HPV的疫苗接种意图.
- 这些工具显示出解决疫苗犹和促进价值调整健康选择的潜力.
- 需要进一步的研究来确定DA对疫苗接种的大规模影响.
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