PATI: Patient accessed tailored information: A pilot study to evaluate the effect on preoperative breast cancer patients of information delivered via a mobile application
PATI: Patient accessed tailored information: A pilot study to evaluate the effect on preoperative breast cancer patients of information delivered via a mobile application
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DOI：
10.1016/j.breast.2016.08.012
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发表时间：
2016-12-01
期刊：
影响因子：
3.9
通讯作者：
Corrigan, M. A.
中科院分区：
文献类型：
--
作者：
Foley, N. M.;O'Connell, E. P.;Corrigan, M. A.
目标：癌症患者的信息需求差异很大。文献表明，改善调节个性化压力的能力，增加患者参与决策，对治疗选择的满意度更高，并降低获得信息的癌症患者的焦虑水平。该项目的目的是评估移动的信息应用程序对接受乳腺癌手术的患者的焦虑水平的影响。材料和方法：开发了一个应用程序，用于与苹果iPad一起使用，其中包含有关基本乳腺癌生物学，不同治疗方法和手术技术的信息。进行了内容效度和表面效度研究。采用1：2随机对照试验设计。收集的数据包括基本的人口统计学和手术类型。使用的样本包括：结果：共39名妇女参与了HADS，Mini-MAC，信息技术熟悉度和信息满意度。13名女性可以使用包含额外信息的iPad，26名女性作为对照。平均年龄为54岁，两组之间的技术熟悉程度相似。在未访问移动的应用程序提供的额外信息的对照患者中，第7天的焦虑和抑郁评分显着较低（分别为p = 0.022和0.029）。结论：乳腺癌患者的焦虑和抑郁是多因素且显着的，焦虑水平与生活质量下降直接相关。直觉上，信息应该改善焦虑水平，然而，我们已经证明，手术患者的信息少，焦虑显着降低。我们建议在部署之前对信息计划进行彻底的测试和审计。(C)2016爱思唯尔有限公司版权所有。
Objectives: The information needs of cancer patients are highly variable. Literature suggests an improved ability to modulate personalised stress, increased patient involvement with decision making, greater satisfaction with treatment choices and reduced anxiety levels in cancer patients who have access to information. The aim of this project was to evaluate the effects of a mobile information application on anxiety levels of patients undergoing surgery for breast cancer.Materials and methods: An application was developed for use with Apple iPad containing information on basic breast cancer biology, different treatments used and surgical techniques. Content and face validity studies were performed. A randomized control trial was designed, with a 1:2 allocation. Data collected include basic demographics and type of surgery. Questionnaires used included: the HADS, Mini-MAC, information technology familiarity and information satisfaction.Results: A total of 39 women participated. 13 women had access to an iPad containing additional information and 26 women acted as controls. The mean age was 54 and technology familiarity was similar among both groups. Anxiety and depression scores at seven days were significantly lower in control patients without access to the additional information provided by the mobile application (p = 0.022 and 0.029 respectively).Conclusion: Anxiety and depression in breast cancer patients is both multifactorial and significant, with anxiety levels directly correlating with reduced quality of life. Intuitively, information should improve anxiety levels, however, we have demonstrated that surgical patients with less information reported significantly lower anxiety. We advise the thorough testing and auditing of information initiatives before deployment. (C) 2016 Elsevier Ltd. All rights reserved.