Motivators of Inappropriate Ovarian Cancer Screening: A Survey of Women and Their Clinicians.
Motivators of Inappropriate Ovarian Cancer Screening: A Survey of Women and Their Clinicians.
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DOI：
10.1093/jncics/pkaa110
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发表时间：
2021-03
影响因子：
4.4
通讯作者：
Phillips KA
中科院分区：
文献类型：
--
作者：
Macdonald C;Mazza D;Hickey M;Hunter M;Keogh LA;Investigators K;Jones SC;Saunders C;Nesci S;Milne RL;McLachlan SA;Hopper JL;Friedlander ML;Emery J;Phillips KA
这项研究探讨了为什么妇女和医生筛查卵巢癌（OC）与指南相反。基于理论领域框架的调查被发送给凯瑟琳·坎宁安家族性乳腺癌研究基金会的妇女以及组织筛查的家庭医生和妇科医生。在1264名家族性乳腺癌妇女研究凯瑟琳·坎宁安基金会联盟中，832名（65.8%）做出了回应。在过去2年中，126例（15.1%）进行了筛查。其中大多数（n = 101，80.2%）会继续，即使他们的医生告诉他们是无效的。对于女性来说，关键的OC筛查动机在社会角色和目标（为家庭保持健康，93.9%），情感和强化（内心平静，93.1%）以及对能力的信念（测试很容易，91.9%）领域运作。在531名临床医生中，252名（47.5%）做出了回应;少数（家庭医生45.8%，妇科医生16.7%）认为OC筛查是有用的。对于妇科医生来说，OC筛查的主要动机是环境背景（缺乏其他筛查选择，27.6%）和情感（患者安心，17.2%;难以停止筛查，13.8%）。对于家庭医生来说，最强的激励因素是社会影响（女性要求进行这些测试，20.7%），目标（这些测试有可能早期发现癌症，16.4%），情感（患者安心，13.8%）和环境背景（没有其他OC筛查选项，11.2%）。OC筛查的原因主要是患者驱动的。临床医生的知识和实践不一致。OC筛查的动机包括几个领域，可以在干预措施中针对这些领域，以减少不适当的OC筛查。
This study examined why women and doctors screen for ovarian cancer (OC) contrary to guidelines. Surveys, based on the Theoretical Domains Framework, were sent to women in the Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer and family physicians and gynecologists who organized their screening. Of 1264 Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer women, 832 (65.8%) responded. In the past 2 years, 126 (15.1%) had screened. Most of these (n = 101, 80.2%) would continue even if their doctor told them it is ineffective. For women, key OC screening motivators operated in the domains of social role and goals (staying healthy for family, 93.9%), emotion and reinforcement (peace of mind, 93.1%), and beliefs about capabilities (tests are easy to have, 91.9%). Of 531 clinicians 252 (47.5%) responded; a minority (family physicians 45.8%, gynecologists 16.7%) thought OC screening was useful. For gynecologists, the main motivators of OC screening operated in the domains of environmental context (lack of other screening options, 27.6%), and emotion (patient peace of mind, 17.2%; difficulty discontinuing screening, 13.8%). For family physicians,, the strongest motivators were in the domains of social influence (women ask for these tests, 20.7%), goals (a chance these tests will detect cancer early, 16.4%), emotion (patient peace of mind, 13.8%), and environmental context (no other OC screening options, 11.2%). Reasons for OC screening are mostly patient driven. Clinician knowledge and practice are discordant. Motivators of OC screening encompass several domains, which could be targeted in interventions to reduce inappropriate OC screening.
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DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
DOI：
10.1186/s13012-017-0605-9
发表时间：
2017-06-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Atkins L;Francis J;Islam R;O'Connor D;Patey A;Ivers N;Foy R;Duncan EM;Colquhoun H;Grimshaw JM;Lawton R;Michie S
通讯作者：
Michie S
影响因子：
120.7
作者：
Kuchenbaecker, Karoline B.;Hopper, John L.;Antoniou, Antonis C.
通讯作者：
Antoniou, Antonis C.
影响因子：
1.9
作者：
MacDonald, Deborah J;Sarna, Linda;Weitzel, Jeffrey N
通讯作者：
Weitzel, Jeffrey N
影响因子：
3.5
作者：
Ragland, Margaret;Trivers, Katrina F.;Baldwin, Laura-Mae
通讯作者：
Baldwin, Laura-Mae