An empowerment information intervention improved participation in treatment decision making in men with recently diagnosed prostate cancer
An empowerment information intervention improved participation in treatment decision making in men with recently diagnosed prostate cancer
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赋权信息干预改善了最近诊断出前列腺癌的男性对治疗决策的参与
DOI：
10.1136/ebn.1.2.49
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
J. Pasacreta
中科院分区：
文献类型：
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作者：
J. Pasacreta
干预 分配到干预组的男性 (n = 30) 收到 5 份小册子，其中包含疾病过程、治疗方案和诊断测试等信息，并指导如何在小册子中查找信息。审查了与医生讨论的潜在问题列表，添加了患者提出的新问题，并向患者提供了最终列表的副本。患者收到一盘空白录音带来记录咨询情况，并负责要求医生对会议进行录音。鼓励他们参与有关治疗方案的决策，并邀请重要的其他人参加会议。分配到对照组的男性 (n = 30) 收到了同样的 5 份小册子，向他们展示了其中的内容，并被告知如果他们在初次咨询之前或之后查看这些小册子可能会有所帮助。主要结果指标在干预前使用卡片分类技术评估患者在治疗决策中的首选角色。向男性展示了 5 张卡片，每张卡片代表了他们在治疗决策中可以扮演的不同角色，并被要求选择一张最能代表他们偏好的卡片。根据他们的选择，患者被分为主动型、被动型或协作型。干预后 6 周，使用相同的卡片分类任务评估咨询期间扮演的实际角色。使用斯皮尔伯格状态特质焦虑量表测量焦虑，使用流行病学研究中心抑郁量表测量抑郁，在干预前和咨询后 6 周进行评估。
Intervention Men allocated to the intervention (n = 30) received 5 brochures containing information on, for example, the disease process, treatment options, and diagnostic tests, and were instructed on how to find information in the brochures. A list of potential questions for discussion with the physician was reviewed, new questions raised by the patient were added, and a copy of the final list was given to the patient. Patients received a blank audiotape to tape the consultation, and were responsible for asking the physician to tape the meeting. They were encouraged to participate in decisions about treatment options, and to bring their significant others to the meeting. Men allocated to the control group (n = 30) received the same 5 brochures, were shown what they contained, and were told it might be helpful if they reviewed the brochures before or after the initial consultation. Main outcome measures Patients’ preferred roles in treatment decision making were assessed before the intervention, using a card sort technique. Men were presented with 5 cards that each presented different roles that they could assume with respect to their treatment decision making, and were asked to select the 1 card that best represented their preferences. Based on their selection, patients were classified as active, passive, or collaborative. 6 weeks after the intervention, actual roles assumed during the consultation were assessed using the same card sort task. Anxiety, measured using the Spielberger State-Trait Anxiety Inventory, and depression, measured using the Centre for Epidemiologic Studies Depression Scale, were assessed before the intervention and at 6 weeks after the consultation.