Do African American patients with glaucoma ask their eye providers the questions they have?
Do African American patients with glaucoma ask their eye providers the questions they have?
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DOI：
10.1038/s41433-023-02674-x
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发表时间：
2023-07-31
期刊：
影响因子：
3.9
通讯作者：
Sleath，Betsy
中科院分区：
文献类型：
--
作者：
Beznos，Bethany;Sayner，Robyn;Sleath，Betsy
本研究的目的是描述患者在青光眼问题提示表上勾选了哪些问题，以及患者在就诊过程中询问相同的问题的频率。设计采用随机对照试验，测试访问前视频/青光眼问题提示表干预措施在增加非裔美国人患者就诊期间提问的有效性。方法将有青光眼不依从史的成年非裔美国人青光眼患者随机分为干预组和常规护理组。访问被录音、转录和编码，以记录患者在访问期间提出的问题。研究人员从干预组收集了访问前的问题提示列表，并将他们检查的问题与患者在访问期间提出的问题进行了比较。结果93名受试者被随机分为问题提示列表干预组。受试者平均勾选了提示表上的6.77个问题。在至少检查了一个问题的受试者中，54.8%的人向他们的提供者询问了至少一个他们检查的问题。他们检查过的关于青光眼药物最常见的问题是“S，我应该在一天中的什么时候服用眼药水？”(50.0%，9/18)和“我一天使用多少次青光眼药物？”(50.0%，3/6)。结论尽管非裔美国青光眼患者对青光眼及其药物有疑问，但很少有人在就诊过程中询问所有问题。未来的研究应集中在如何改进问题提示列表的提问能力。
PurposeThe objective of this study was to describe what questions patients checked on a glaucoma question prompt list and how often patients asked the same checked questions during medical visits.DesignA randomized controlled trial was conducted to test the effectiveness of a pre-visit video/glaucoma question prompt list intervention to increase African American patient question-asking during medical visits.MethodsAdult African American patients with glaucoma and a history of non-adherence to glaucoma medications were enrolled and randomized into intervention and usual care groups from three glaucoma practices. Visits were audio-recorded, transcribed, and coded for the questions patients asked during their visits. Researchers collected the pre-visit question prompt lists from the intervention group and compared their checked questions to the questions patients asked during their visit.ResultsNinety-three subjects were randomized to the question prompt list intervention group. Subjects checked an average of 6.77 questions on the prompt list. Of the subjects who checked at least one question, 54.8% asked their provider at least one of the questions they checked. The most common questions asked about glaucoma medications that they had checked were “What time(s) of day should I take my drops?” (50.0%, 9 out of 18) and "How many times a day do I use my glaucoma medicines?” (50.0%, 3 out of 6).ConclusionAlthough African American subjects with glaucoma have questions about glaucoma and their medications, few asked all their questions during visits. Future research should focus on how to improve question asking using a question prompt list.