Preferences of patients with cancer for psychological counseling: a cross-sectional study using full-profile conjoint analysis in Japan

Preferences of patients with cancer for psychological counseling: a cross-sectional study using full-profile conjoint analysis in Japan
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癌症患者对心理咨询的偏好:日本使用全面联合分析的横断面研究

DOI:
10.1097/or9.0000000000000080
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发表时间:
2022
期刊:
Journal of Psychosocial Oncology Research and Practice
影响因子:
--
通讯作者:
MATSUSHIMA Eisuke
MATSUSHIMA Eisuke
中科院分区:
--
文献类型:
--
作者:
ICHIKURA Kanako;SHIMIZU Sayuri;OSHIMA Noriko;ARIIZUMI Yosuke;FUJIE Toshihide;YAMAUCHI Shin-ichi;ISHIKAWA Toshiaki;NAKAJIMA Yasuaki;FUKASE Yuko;MURAYAMA Norio;MURASE Hanako;TAGAYA Hirokuni;TAKEUCHI Takashi;MIYAKE Satoshi;MATSUSHIMA Eisuke

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背景:心理咨询是对经历心理困扰的癌症患者进行有效的非药物干预。本研究采用联合分析方法评估癌症患者对心理咨询的偏好。方法:采用单中心横断面调查问卷。数据来自一所大学医院2018年3月至2020年3月期间呼吸内科、胃肠外科、女性骨盆外科和头颈外科的门诊和住院患者。这份问卷是通过对10名临床心理学家进行半结构化访谈而制定的。它包括48种情景,根据咨询的类型、时间、成本和频率来确定患者对咨询的偏好。结果:联合分析结果显示,癌症患者认为咨询类型是最重要的因素(相对重要性:37.5%),其次是频率(23.4%)、费用(19.6%)和时间(19.5%)。癌症患者更看重生活回顾,而不是解决问题、情绪控制和情绪表达。然而,女性和年轻患者最看重情绪控制方面的咨询,晚期癌症患者最看重解决问题的咨询。
Background:Psychological counseling is an effective nonpharmacological intervention for patients with cancer experiencing psychological distress. This study used a conjoint analysis approach to assess the preferences of patients with cancer for psychological counseling.Methods:We conducted a single-center, cross-sectional study using a self-report questionnaire. Data were collected from outpatients and inpatients in the departments of respiratory medicine, gastrointestinal surgery, female pelvic surgery, and head and neck surgery at a university hospital between March 2018 and March 2020. The questionnaire was developed using semistructured interviews with 10 clinical psychologists. It included 48 scenarios to determine patients' preferences for counseling based on a combination of the type, length, cost, and frequency of counseling. We performed a conjoint analysis, calculating the relative importance and part-worth utility value of each factor.Results:The results of the conjoint analysis showed that patients with cancer considered counseling type as the most important factor (relative importance: 37.5%), followed by frequency (23.4%), cost (19.6%), and length (19.5%). Patients with cancer valued life reviews more highly than problem-solving, emotional control, and emotional expression. However, women and younger patients valued counseling for emotional control the most, and patients with advanced cancer valued counseling for problem-solving the most.Conclusions:
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