Is anxiety a suitable measure of decision aid effectiveness: a systematic review?
Is anxiety a suitable measure of decision aid effectiveness: a systematic review?
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DOI：
10.1016/s0738-3991(03)00045-4
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发表时间：
2003-07-01
影响因子：
3.5
通讯作者：
Lemyre, L
中科院分区：
文献类型：
--
作者：
Bekker, HL;Legare, F;Lemyre, L
一些试验采用了焦虑措施来评估决策辅助的有效性。这项研究采用了系统回顾方法来整合他们的研究结果。探讨了决策辅助的情感影响以及焦虑作为决策辅助有效性衡量标准的适当性。从搜索电子数据库和期刊产生的 11,361 条引用中，26 项随机对照试验评估了患者决策辅助工具； 10 包括焦虑测量（HADS；STAI）。数据过于异构，无法进行统计整合。没有研究表明接触决策辅助工具与常规护理相比会增加焦虑。焦虑程度和决策特征之间出现了一些模式。由于焦虑水平的升高与更有效的决策策略和压力较大的健康干预措施相关，因此在评估决策辅助工具时，焦虑是不适当的衡量标准。未来的研究需要调查情感、认知和决策辅助之间的关系，以促进患者有效决策。 (C) 2003 Elsevier Science Ireland Ltd. 保留所有权利。
Several trials have employed anxiety measures to assess decision aid effectiveness. This study employed a systematic review method to integrate their findings. The affective impact of decision aids and the appropriateness of anxiety as a measure of decision aid effectiveness are explored. From 11,361 citations generated from searching electronic databases and journals, 26 randomised controlled trials evaluated patient decision aids; 10 included anxiety measures (HADS; STAI). The data were too heterogeneous to integrate statistically. No studies showed an increase in anxiety from exposure to decision aids versus usual care. Some patterns emerged between level of anxiety and characteristics of the decision. As raised levels of anxiety are associated with both more effective decision strategies and stressful health interventions, anxiety is an inappropriate measure to employ when evaluating decision aids. Future research needs to investigate the relationship between affect, cognition and decision aids in order to facilitate effective patient decision making. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.