Affecting African American men's prostate cancer screening decision-making through a mobile tablet-mediated intervention.
Affecting African American men's prostate cancer screening decision-making through a mobile tablet-mediated intervention.
复制标题
DOI：
10.1353/hpu.2014.0148
复制
发表时间：
2014-08
影响因子：
1.4
通讯作者：
Green BL
中科院分区：
文献类型：
--
作者：
Sultan DH;Rivers BM;Osongo BO;Wilson DS;Schenck A;Carvajal R;Rivers D;Roetzheim R;Green BL
非裔美国人患前列腺癌的几率比白人高60%，死于前列腺癌的几率是白人的两倍多。证据不足以得出明确的结论，即前列腺癌筛查可降低发病或死亡的可能性。鼓励患者与医疗保健提供者讨论筛查替代方案，以进行知情决策（IDM）。临床或社区环境中IDM的程度尚不清楚。这项研究使用了基于社区、计算机介导的IDM干预的数据，该干预针对152名年龄在40至70岁之间的非裔美国人。前列腺癌知识、筛查决策冲突和筛查决策自我效能的前测后差异采用双尾t检验。总体而言，干预显著提高了受访者的前列腺癌知识（p< 0.0001），显著提高了决策自我效能（p< 0.0001），显著减少了决策冲突（p< 0.0001）。具体而言，干预显著促进了受教育程度较高、已婚、有经济资源和年龄较小的男性的IDM。
African American men experience a 60% higher incidence of prostate cancer and are more than twice as likely to die from it than White men. Evidence is insufficient to conclude that definitively screening for prostate cancer reduces the likelihood of morbidity or death. Patients are encouraged to discuss screening alternatives with health care providers for informed decision-making (IDM). The extent of IDM in clinical or community setting is not known. This study uses data from a community-based, computer-mediated, IDM intervention that targeted 152 African American aged 40 to 70. Pretest-posttest differences in means for prostate cancer knowledge, screening decisional conflict, and screening decisional self-efficacy were examined by two-tailed t-tests. Overall, the intervention significantly improved respondents’ prostate cancer knowledge (p<.0001), significantly improved decisional self-efficacy (p<.0001) and significantly reduced decisional conflict (p<.0001). Specifically, the intervention significantly promoted IDM among men who reported more education, being married, having financial resources, and younger age.
登录
查看更多内容
影响因子：
39.2
作者：
通讯作者：
--
影响因子：
3
作者：
Legler, J;Potosky, AL;Stanford, JL
通讯作者：
Stanford, JL
DOI：
10.1056/nejmoa0810696
发表时间：
2009-03-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Andriole GL;Crawford ED;Grubb RL 3rd;Buys SS;Chia D;Church TR;Fouad MN;Gelmann EP;Kvale PA;Reding DJ;Weissfeld JL;Yokochi LA;O'Brien B;Clapp JD;Rathmell JM;Riley TL;Hayes RB;Kramer BS;Izmirlian G;Miller AB;Pinsky PF;Prorok PC;Gohagan JK;Berg CD;PLCO Project Team
通讯作者：
PLCO Project Team
影响因子：
3.6
作者：
OCONNOR, AM
通讯作者：
OCONNOR, AM
影响因子：
3.1
作者：
Clarke, VA;Lovegrove, H;Machperson, M
通讯作者：
Machperson, M