Development and evaluation of a breast cancer prevention decision aid for higher-risk women.
Development and evaluation of a breast cancer prevention decision aid for higher-risk women.
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DOI：
10.1046/j.1369-6513.2003.00195.x
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发表时间：
2003-03-01
期刊：
影响因子：
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通讯作者：
Verma, Shailendra
中科院分区：
文献类型：
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作者：
Stacey, Dawn;O'Connor, Annette M;Verma, Shailendra
目的：设计：前测-后测研究，单独使用决策辅助和结合咨询。地点：乳腺癌风险评估诊所。参与者：27名年龄在50-69岁之间，5年乳腺癌风险为1.66%或更高的女性。干预：自我管理的乳腺癌预防决策援助。主要观察指标：可接受性;决策冲突;知识;现实的期望;选择倾向;改善生活方式的做法的意图;心理困扰;和满意度准备咨询。结果：决策援助单独或与咨询相结合，减少了决策冲突的某些方面，增加了知识，（P < 0.01），并创造更现实的期望（P < 0.01）。心理咨询与心理援助相结合，显著减少了决策冲突（P < 0.01）和心理困扰（P < 0.02），帮助不确定的事情变得确定（P < 0.02），增加了采取健康生活方式的意愿（P < 0.03）。妇女评价援助是可以接受的，和妇女和从业人员都很满意的效果，它对咨询session.CONCLUSION：决策援助显示承诺作为一个有用的决策支持工具。进一步的研究应比较决策援助与咨询相结合的效果，单独咨询。
OBJECTIVE: To develop and evaluate the effectiveness of a breast cancer prevention decision aid for women aged 50 and older at higher risk of breast cancer.DESIGN: Pre-test-post-test study using decision aid alone and in combination with counselling.SETTING: Breast Cancer Risk Assessment Clinic.PARTICIPANTS: Twenty-seven women aged 50-69 with 1.66% or higher 5-year risk of breast cancer.INTERVENTION: Self-administered breast cancer prevention decision aid.MAIN OUTCOME MEASURES: Acceptability; decisional conflict; knowledge; realistic expectations; choice predisposition; intention to improve life-style practices; psychological distress; and satisfaction with preparation for consultation.RESULTS: The decision aid alone, or in combination with counselling, decreased some dimensions of decisional conflict, increased knowledge (P < 0.01), and created more realistic expectations (P < 0.01). The aid in combination with counselling, significantly reduced decisional conflict (P < 0.01) and psychological distress (P < 0.02), helped the uncertain become certain (P < 0.02), and increased intentions to adopt healthier life-style practices (P < 0.03). Women rated the aid as acceptable, and both women and practitioners were satisfied with the effect it had on the counselling session.CONCLUSION: The decision aid shows promise as a useful decision support tool. Further research should compare the effect of the decision aid in combination with counselling to counselling alone.