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Developing a bone mineral density test result letter to send to patients: a mixed-methods study

机译：编写一份要发送给患者的骨矿物质密度测试结果信：一项混合方法研究

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Purpose: To use a mixed-methods approach to develop a letter that can be used to notify patients of their bone mineral density (BMD) results by mail that may activate patients in their bone-related health care. Patients and methods: A multidisciplinary team developed three versions of a letter for reporting BMD results to patients. Trained interviewers presented these letters in a random order to a convenience sample of adults, aged?50?years and older, at two different health care systems. We conducted structured interviews to examine the respondents’ preferences and comprehension among the various letters. Results: A total of?142?participants completed the interview. A majority of the participants were female (64.1%) and white (76.1%). A plurality of the participants identified a specific version of the three letters as both their preferred version (45.2%; P<0.001) and as the easiest to understand (44.6%; P<0.01). A majority of participants preferred that the letters include specific next steps for improving their bone health. Conclusion: Using a mixed-methods approach, we were able to develop and optimize a printed letter for communicating a complex test result (BMD) to patients. Our results may offer guidance to clinicians, administrators, and researchers who are looking for guidance on how to communicate complex health information to patients in writing.
机译：目的：使用混合方法来开发一封信函，该信函可以通过邮件通知患者其骨矿物质密度（BMD）结果，这可能会激活患者的骨骼相关医疗保健。患者和方法：一个多学科团队开发了三种版本的信函，用于向患者报告BMD结果。受过训练的访调员以随机顺序将这些信件提供给两个不同医疗保健系统的50岁及50岁以上的成年人。我们进行了结构化访谈，以检查受访者对不同信件的偏好和理解。结果：共有142位参与者完成了访谈。大多数参与者为女性（64.1％）和白人（76.1％）。多个参与者将这三个字母的特定版本确定为他们的首选版本（45.2％; P <0.001）和最容易理解的版本（44.6％; P <0.01）。大多数参与者都希望字母包含改善骨骼健康的具体后续步骤。结论：使用混合方法，我们能够开发和优化打印的信函，以向患者传达复杂的测试结果（BMD）。我们的结果可能为正在寻求有关如何以书面形式向患者传达复杂健康信息的指导的临床医生，管理人员和研究人员提供指导。

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