Changing Preferences for a Cervical Cancer Screening Strategy: Moving Away from Annual Testing.
Changing Preferences for a Cervical Cancer Screening Strategy: Moving Away from Annual Testing.
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DOI：
10.1089/whr.2022.0007
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发表时间：
2022
影响因子：
1.3
通讯作者：
Sawaya, George F.
中科院分区：
文献类型：
--
作者：
Schrier, Elizabeth;Holt, Hunter K.;Kuppermann, Miriam;Sawaya, George F.
关键词：
虽然多年来一直不推荐每年进行细胞学检查，但它仍然是许多患者首选的宫颈癌筛查策略。患者教育和提供者的建议已被发现有效地调整专业社会的指导方针与患者的喜好。我们评估了教育视频与价值启发练习（效用评估）是否改变了最初倾向于每年筛查的患者的筛查策略偏好。我们进行了一项干预性研究的英语或西班牙语的妇女21-65岁，从两个妇女的健康诊所在弗朗西斯科，加州（n = 262）招募。参与者被问及他们首选的筛查方法，然后观看7分钟的教育视频，并使用计算机化工具，得出与宫颈癌筛查相关的23种不同健康状态的值。随后，他们再次被问及他们首选的筛查策略。多变量回归分析被用来确定独立的预测因素的变化的喜好。在246名入组者中，62.6%（154/246）最初倾向于每年进行细胞学检查;在观看视频并完成价值观启发练习后，约一半（72/154，47%）倾向于每年筛查以外的策略。最近上过大学并每3到5年进行一次筛查是改变每年筛查偏好的独立预测因素。在敏感性分析中，53.2%的平均风险参与者改变了对年度细胞学检查的偏好（p < 0.01）。观看教育视频和进行一系列的价值启发练习与倾向于年度筛查的可能性大幅下降。这些发现强调了以患者为中心的教育的重要性，以帮助支持知情的患者偏好。
While annual cytology has not been recommended for many years, it remains many patients' preferred screening strategy for cervical cancer. Patient education and provider recommendations have been found effective in aligning professional society guidelines with patient preferences. We assessed whether an educational video with value elicitation exercises (utility assessments) changed screening strategy preferences among patients who had an initial preference for annual screening. We conducted an interventional study of English- or Spanish-speaking women 21–65 years of age, recruited from two women's health clinics in San Francisco, California (n = 262). Participants were asked about their preferred method of screening before viewing a 7-minute educational video and using a computerized tool that elicited values for 23 different health states related to cervical cancer screening. Directly afterward, they were again asked about their preferred screening strategy. Multivariable regression analysis was utilized to identify independent predictors of changing preferences. Of 246 enrollees, 62.6% (154/246) had an initial preference for annual cytology; after viewing the video and completing the values elicitation exercises, about half (72/154, 47%) preferred a strategy other than annual screening. Having attended college and being screened every 3 to 5 years in the recent past were independent predictors of changing preferences away from annual screening. In sensitivity analyses, 53.2% of average-risk participants changed preferences away from annual cytology (p < 0.01). Viewing an educational video and conducting a series of value elicitation exercises were associated with a substantially decreased likelihood of preferring annual screening. These findings underscore the importance of patient-centered education to help support informed patient preferences.
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影响因子：
9.8
作者：
Norrell LL;Kuppermann M;Moghadassi MN;Sawaya GF
通讯作者：
Sawaya GF
影响因子：
2.7
作者：
Pratte MA;Griffin A;Ogazi C;Yurasevecz S;Blanks CA;McCooey L;Kaufman JS
通讯作者：
Kaufman JS
影响因子：
5.1
作者：
Henderson, Jillian T.;Yu, Jean M.;Sawaya, George F.
通讯作者：
Sawaya, George F.
影响因子：
3.5
作者：
Clay, Jayanti M.;Daggy, Joanne K.;Edmonds, Brownsyne Tucker
通讯作者：
Edmonds, Brownsyne Tucker
影响因子：
3.7
作者：
Massad, L. Stewart;Einstein, Mark H.;Lawson, Herschel W.
通讯作者：
Lawson, Herschel W.