A Low Literacy, Multimedia Health Information Technology Intervention to Enhance Patient-Centered Cancer Care in Safety Net Settings Increased Cancer Knowledge in a Randomized Controlled Trial.
A Low Literacy, Multimedia Health Information Technology Intervention to Enhance Patient-Centered Cancer Care in Safety Net Settings Increased Cancer Knowledge in a Randomized Controlled Trial.
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DOI：
10.1177/10732748211036783
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Hahn EA
中科院分区：
文献类型：
--
作者：
Peipert JD;Lad T;Khosla PG;Garcia SF;Hahn EA
我们测试了在日常临床实践中使用的低识字率友好的多媒体信息和评估系统是否增强了以患者为中心的护理并改善了患者的预后。这是一项前瞻性、平行组、随机对照试验，在安全网环境下接受化疗和/或放疗的I-III期乳腺癌或结直肠癌成人患者中进行，分为2组，CancerHelp-Talking Touchscreen（CancerHelp-TT）与对照组。在4个时间点评估每例患者的结局：开始治疗后（基线）、治疗期间、治疗后即刻和随访评估。主要结果是健康信念，癌症知识，自我效能和对癌症及其治疗的沟通满意度。健康相关生活质量（HRQOL）是次要结局。共有129名患者参与了研究（65名干预患者和64名对照患者），其中约50%完成了研究。与随机分配到对照组的患者相比，随机分配到CancerHelp-TT项目的患者在癌症知识方面有显著的增加（效应量= 0.48，P = 0.05）。虽然随机分组之间在自我效能、健康信念、HRQOL和沟通满意度方面的差异的效应量很小（0.10 - 0.48），但有一个一致的趋势，即与对照组相比，干预组的参与者在所有结果中随时间推移表现出更大的增长。干预参与者对CancerHelp-TT软件的评价很好。癌症帮助-TT计划显示出增加弱势癌症患者的癌症知识和适应性健康信念和态度的希望。然而，脆弱的患者可能需要在癌症诊所以外的环境中提供额外的干预支持。
We tested whether a low-literacy-friendly, multimedia information and assessment system used in daily clinical practice enhanced patient-centered care and improved patient outcomes. This was a prospective, parallel-group, randomized controlled trial with 2 arms, CancerHelp-Talking Touchscreen (CancerHelp-TT) versus control, among adults with Stage I–III breast or colorectal cancer receiving chemotherapy and/or radiation therapy in safety net settings. Each patient was assessed for outcomes at 4 timepoints: after starting treatment (baseline), during treatment, immediately after treatment, and at follow-up assessment. The primary outcomes were health beliefs, cancer knowledge, self-efficacy, and satisfaction with communication about cancer and its treatments. Health-related quality of life (HRQOL) was a secondary outcome. A total of 129 patients participated in the study (65 intervention and 64 control), and approximately 50% of these completed the study. Patients randomized to receive the CancerHelp-TT program had a significantly larger increase in their cancer knowledge in comparison to those randomized to the control arm (effect size = .48, P = .05). While effect sizes for differences between randomized groups in self-efficacy, health beliefs, HRQOL, and satisfaction with communication were small (.10–.48), there was a consistent trend that participants in the intervention group showed larger increases over time in all outcomes compared to the control group. The CancerHelp-TT software was favorably rated by intervention participants. The CancerHelp-TT program showed promise to increase vulnerable cancer patients’ cancer knowledge and adaptive health beliefs and attitudes. However, vulnerable patients may need additional interventional support in settings outside cancer clinics.
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影响因子：
6.2
作者：
Doubeni CA;Laiyemo AO;Major JM;Schootman M;Lian M;Park Y;Graubard BI;Hollenbeck AR;Sinha R
通讯作者：
Sinha R
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
45.3
作者：
Hahn, EA;Glendenning, GA;Cella, D
通讯作者：
Cella, D
影响因子：
12.7
作者：
Han, Hae-Ra;Song, Youngshin;Roter, Debra
通讯作者：
Roter, Debra
影响因子：
7.4
作者：
Kagawa-Singer, M;Kassim-Lakha, S
通讯作者：
Kassim-Lakha, S