The Complementary Medicine Education and Outcomes (CAMEO) program: A foundation for patient and health professional education and decision support programs
The Complementary Medicine Education and Outcomes (CAMEO) program: A foundation for patient and health professional education and decision support programs
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DOI：
10.1016/j.pec.2012.01.005
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发表时间：
2012-12-01
影响因子：
3.5
通讯作者：
Brazier, Alison S.
中科院分区：
文献类型：
--
作者：
Balneaves, Lynda G.;Truant, Tracy L. O.;Brazier, Alison S.
目的：本文描述了针对考虑补充医学（CM）的癌症患者的基于理论的教育和决策支持计划的背景、设计和评估。方法：该计划以共享决策理论、渥太华决策支持框架和支持性护理框架为基础。之前的实证证据和基线研究被用来确定患者和卫生专业人员 (HP) 与 CM 相关的信息和决策支持需求。结果：为了解决 CM 需求的连续性，开发了各种教育和决策支持干预措施，包括针对患者和 HP 的基本 CM 信息和资源、针对患者的团体教育计划和一对一决策支持辅导，以及针对 HP 的在线教育模块。该计划和个人干预措施的评估正在进行中。结论：该教育和决策支持计划解决了护理方面的重大差距，并提供了一个循证框架，可将 CM 证据转化为传统护理环境并促进有关 CM 的沟通。实践意义：需要基于证据的 CM 教育和决策支持干预措施来改变传统护理环境中围绕 CM 的文化，并促进开放式沟通，从而将 CM 疗法安全地融入护理中。 (C) 2012 Elsevier Ireland Ltd. 保留所有权利。
Objective: This paper describes the background, design and evaluation of a theory-informed education and decision support program for cancer patients considering complementary medicine (CM).Methods: The program was informed by the Shared Decision Making theory, the Ottawa Decision Support Framework and the Supportive Care Framework. Previous empirical evidence and baseline research were used to identify patients' and health professionals' (HPs) information and decision support needs related to CM.Results: To address the continuum of CM needs, a variety of education and decision support interventions were developed, including basic CM information and resources for patients and HPs, a group education program and one-on-one decision support coaching for patients, and an on-line education module for HPs. Evaluation of the program and individual interventions is underway.Conclusions: This education and decision support program addresses a significant gap in care and offers an evidence-informed framework in which to translate CM evidence to conventional care settings and promote communication about CM.Practice implications: Evidence-informed CM education and decision support interventions are needed to shift the culture around CM within conventional care settings and promote open communication that will lead to CM therapies being safely integrated into care. (C) 2012 Elsevier Ireland Ltd. All rights reserved.