Abstract A08: Concordance in patient and provider priorities and preferences to address behavioral risk factors for cancer health disparities interventions
Abstract A08: Concordance in patient and provider priorities and preferences to address behavioral risk factors for cancer health disparities interventions
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摘要 A08：患者和提供者优先事项和偏好的一致性，以解决癌症健康差异干预措施的行为风险因素
DOI：
10.1158/1538-7755.disp15-a08
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
C. H. Halbert
中科院分区：
文献类型：
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作者：
Lashanta Rice;Melanie S. Jefferson;C. Melvin;C. H. Halbert
目的：积极参与干预措施的发展关键利益相关者是必要的，以解决癌症的健康差距。虽然非专业社区居民经常参与这些工作，但往往无法了解患者和初级保健机构提供者的偏好。我们使用焦点小组和关键知情人访谈来确定初级保健患者和提供者的生活方式改变和健康行为改变干预的优先事项和偏好。研究方法：患者（n=35）和供应商（n=18）从3个农村和5个城市的初级保健的做法，是一个基于实践的研究网络的一部分，被招募参加一个60-90分钟的焦点小组或20-30分钟的关键知情人访谈，分别。焦点小组和关键知情人访谈促进使用半结构化的讨论指南，要求患者和供应商，以确定障碍和促进者的生活方式的改变和健康行为的改变患者和实施干预措施的做法，干预措施是首选的患者，和干预措施，可以在实践中实施。使用NVivo 10分析数据以识别紧急主题。结果如下：患者和医疗服务提供者在希望通过饮食和体力活动来管理慢性病的干预措施方面存在一致性。患者和提供者还发现了实施干预措施以解决这些行为的类似障碍：缺乏患者动机和知识，以及提供者提供强化干预措施的能力和知识有限。患者和提供者都表示，量身定制的干预措施最有可能是有效的，但在实践中的资源限制是实施这些类型的计划的潜在障碍。尽管患者和提供者对饮食和身体活动干预的偏好一致，但对于如何监测这些干预措施的效果存在分歧。患者希望对提供者负责，但提供者希望患者对自己负责。结论：我们的研究结果强调了积极参与患者和提供者利益相关者努力制定干预措施以解决癌症健康差异的行为风险因素的重要性。虽然在干预措施的行为重点以及实施的障碍和促进者方面，患者和提供者之间存在一致性，但在如何监测干预措施的效果方面可能存在不一致性。在初级保健中传播和实施循证干预措施的努力应考虑患者和提供者的偏好。引文格式：LaShanta J. Rice，Melanie Jefferson，Cathy L.梅尔文，我是查尼塔·休斯·哈尔伯特.协调患者和提供者的优先事项和偏好，以解决癌症健康差异干预的行为风险因素。[摘要]。于：第八届AACR会议的种族/少数民族和医疗服务不足的健康差异的科学会议记录; 11月13日至16日，2015年;亚特兰大，GA。费城（PA）：AACR;癌症流行病学生物标志物Prev 2016;25（3增刊）：摘要编号A08。
Purpose: Actively engaging key stakeholders in the development of interventions is necessary to address cancer health disparities. While lay community residents are often included in these efforts, the preferences of patients and providers in primary care settings are often not elicited. We used focus groups and key informant interviews to identify priorities and preferences for lifestyle modification and health behavior change interventions among primary care patients and providers. Methods: Patients (n=35) and providers (n=18) from 3 rural and 5 urban primary care practices that were part of a practice-based research network were recruited to participate in a 60-90 minute focus group or 20-30 minute key informant interview, respectively. Focus groups and key informant interviews were facilitated using a semi-structured discussion guide that asked patients and providers to identify barriers and facilitators to lifestyle modification and health behavior change among patients and implementation of interventions in the practice, the interventions that are preferred by patients, and interventions that can be implemented in the practice. Data were analyzed using NVivo 10 to identify emergent themes. Results: There was concordance between patients and providers in terms of wanting interventions that address diet and physical activity to manage chronic conditions. Patients and providers also identified similar barriers to implementing interventions to address these behaviors: lack of patient motivation and knowledge and limited capacity and knowledge among providers to deliver intensive interventions. Both patients and providers indicated that tailored interventions are most likely to be effective, but resource constraints in the practice were potential barriers to implementation of these types of programs. Despite concordance in preferences for diet and physical activity interventions between patients and providers, there was disagreement about how the effects of these interventions should be monitored. Patients wanted to be held accountable to providers, but providers wanted patients to be accountable to themselves. Conclusions: Our findings emphasize the importance of actively engaging patient and provider stakeholders in efforts to develop interventions that address behavioral risk factors for cancer health disparities. While there is concordance between patients and providers in terms of the behavioral focus of interventions and barriers and facilitators to implementation, there may be discordance in terms of how the effects of interventions are monitored. Efforts to disseminate and implement evidence-based interventions into primary care should consider the preferences of both patients and providers. Citation Format: LaShanta J. Rice, Melanie Jefferson, Cathy L. Melvin, Chanita Hughes Halbert. Concordance in patient and provider priorities and preferences to address behavioral risk factors for cancer health disparities interventions. [abstract]. In: Proceedings of the Eighth AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; Nov 13-16, 2015; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2016;25(3 Suppl):Abstract nr A08.