Patients' acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial.
Patients' acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial.
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DOI：
10.1136/bmjopen-2021-060621
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发表时间：
2022-06-14
期刊：
影响因子：
2.9
通讯作者：
Inagaki, Masatoshi
中科院分区：
文献类型：
--
作者：
Yamada, Yuto;Fujiwara, Masaki;Shimazu, Taichi;Etoh, Tsuyoshi;Kodama, Masafumi;So, Ryuhei;Matsushita, Takanori;Yoshimura, Yusaku;Horii, Shigeo;Fujimori, Maiko;Takahashi, Hirokazu;Nakaya, Naoki;Miyaji, Tempei;Hinotsu, Shiro;Harada, Keita;Okada, Hiroyuki;Uchitomi, Yosuke;Yamada, Norihito;Inagaki, Masatoshi
我们研究了病例管理（CM）干预措施的有效性，以鼓励精神分裂症患者参与结直肠癌筛查。本研究旨在阐明患者对干预措施的可接受性以及干预措施的有用组成部分。同时，该研究旨在从精神科护理人员的角度确定干预措施的可接受性、适当性和可行性。这项研究是对一项混合方法随机对照试验的二次定性分析，该试验评估了 CM 方法鼓励精神分裂症患者参与癌症筛查的功效。干预措施包括结直肠癌筛查的教育和患者导航。对接受干预的患者和日本两家精神病医院提供干预的工作人员进行了采访。参与试验的 172 名精神分裂症患者中，有 153 名被纳入。此外，还包括六分之三的提供商。通过结构化访谈，案例经理询问参与者患者的可接受性以及干预措施的有用组成部分。对获得的回复进行内容分析，并由两名研究人员将回复数量制成表格。对于与提供者的访谈，从逐字记录中获得的意见被提取和总结。 56 名患者中有 43 名认为干预措施可以接受。对于干预部分，患者最常报告，由精神科护理人员提供的面对面咨询以及对筛查过程的解释是有帮助的（68 名受访者中的 48 名）。精神科护理人员评估该干预措施是可接受的、适当的且易于理解和管理。然而，以目前的人力资源来看，同时向所有患者提供干预被认为是困难的。这项研究表明，CM 干预被患者认为是可以接受的，并且被精神科护理提供者认为是可以接受和适当的。 UMIN000036017。
We examined the efficacy of case management (CM) interventions to encourage participation in colorectal cancer screening for patients with schizophrenia. This study aimed to clarify patients’ acceptability of the intervention and the helpful components of the intervention. Simultaneously, the study aimed to determine the acceptability, appropriateness and feasibility of the intervention from the perspective of psychiatric care providers. This study was a secondary qualitative analysis of a mixed-method randomised controlled trial that evaluated the efficacy of the CM approach to encourage participation in cancer screening for people with schizophrenia. The intervention comprised education and patient navigation for colorectal cancer screening. Interviews were conducted with patients who received the intervention and staff from two psychiatric hospitals in Japan who delivered the intervention. Of the 172 patients with schizophrenia who participated in the trial, 153 were included. In addition, three out of six providers were included. Using a structured interview, the case manager asked participants about patient acceptability and the helpful components of the intervention. Content analysis was conducted for the responses obtained, and the number of responses was tabulated by two researchers. For the interviews with the providers, opinions obtained from verbatim transcripts were extracted and summarised. Forty-three of the 56 patients perceived that the intervention was acceptable. For the intervention component, inperson counselling with an explanation of the screening process by psychiatric care providers was most frequently reported by the patients as helpful (48 of the 68 respondents). Psychiatric care providers evaluated the intervention as acceptable, appropriate and easy to understand and administer. However, providing the intervention to all patients simultaneously was considered difficult with the current human resources. This study showed that the CM intervention was perceived as acceptable by patients and acceptable and appropriate by psychiatric care providers. UMIN000036017.
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影响因子：
4.6
作者：
Shin, Dong Wook;Chang, Dongkyung;Park, Jong Hyock
通讯作者：
Park, Jong Hyock
DOI：
10.3322/caac.21334
发表时间：
2016-03
期刊：
CA: a cancer journal for clinicians
影响因子：
--
作者：
Weinstein LC;Stefancic A;Cunningham AT;Hurley KE;Cabassa LJ;Wender RC
通讯作者：
Wender RC
影响因子：
3.3
作者：
Tarquinio, Cyril;Kivits, Joelle;Alla, Francois
通讯作者：
Alla, Francois
DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
2.6
作者：
Proctor, Enola K.;Landsverk, John;Aarons, Gregory;Chambers, David;Glisson, Charles;Mittman, Brian
通讯作者：
Mittman, Brian
影响因子：
2.8
作者：
Clifton, Abigail;Burgess, Caroline;Barley, Elizabeth A.
通讯作者：
Barley, Elizabeth A.