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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A cross-cultural consumer-based decision aid for screening mammography.
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A cross-cultural consumer-based decision aid for screening mammography.

机译：一种基于跨文化消费者的乳腺钼靶筛查决策辅助工具。

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BACKGROUND: "Women should have mammograms" is the usual perspective of educational interventions about screening. The perspective that "women should be informed" about potential risks and benefits so they can make value- and evidence-integrated personal decisions has recently been advocated. However, this perspective has not previously been operationalized. We developed an evidence-based cross-cultural mammography decision aid (MDA), for European American and Mexican American women who are 50-70 years old, at average risk of breast cancer, of varying educational levels, and English- or Spanish-speaking. METHODS: MDA development included: (1) content development by a multidisciplinary team and lay women and (2) testing for validity and reliability. Four parts include: (1) introduction; (2) information about logistics (cost, time, discomfort) and risks (sequelae of false-positive or negative results; (3) probability of developing breast cancer; and (4) benefit of mammography regarding breast cancer outcomes (e.g., death and recurrence). We assessed reliability (stability of decisions with the same information) after 1-2 weeks. We assessed validity (comprehension of information) quantitatively (probabilities were changed to see whether preferences changed predictably) and qualitatively (focus groups, standardized probes for comprehension). Subjects were a convenience sample of 49 European American (50-81 years old) and 54 Mexican American (49-89 years old) women from administrative staff at a medical school, the waiting room of an indigent primary care clinic, and a community center. RESULTS: Reliability was 100%. In quantitative validity testing, 22 of 28 women (89%) changed preference as predicted with changed probabilities. Comprehension was confirmed qualitatively in all phases of testing with both Spanish and English versions. CONCLUSION: The decision aid is valid and reliable in English and Spanish for southwestern Mexican American and European American women at average risk of breast cancer, including those of low educational levels.
机译：背景：“妇女应有乳房X线照片”是有关筛查的教育干预措施的通常观点。最近提倡“应告知妇女”有关潜在风险和收益的观点，以便他们可以做出价值和证据综合的个人决定。但是，此观点以前尚未实现。我们为年龄在50-70岁之间，平均乳腺癌风险，教育水平不同以及英语或西班牙语的美国和墨西哥裔女性开发了基于证据的跨文化​​乳房X线摄影决策辅助工具（MDA） 。方法：MDA的开发包括：（1）由多学科团队和非专业女性进行内容开发，以及（2）测试有效性和可靠性。四个部分包括：（1）引言; （2）有关物流（成本，时间，不适）和风险（假阳性或阴性结果的后遗症）的信息;（3）患乳腺癌的可能性;以及（4）乳腺X线摄影术对乳腺癌结局（例如死亡和死亡）的益处。 1-2周后，我们评估了信度（具有相同信息的决策的稳定性）;我们对效度（对信息的理解）进行了定量（概率发生变化，以查看偏好是否可预测地改变）和定性（针对性小组，标准化调查）受试者来自一所医学院的行政管理人员，一个贫困的初级保健诊所的候诊室，以及49名欧洲裔美国人（50-81岁）和54名墨西哥裔美国人（49-89岁）的便利样本。结果：信度为100％;在定量效度测试中，28位女性中有22位（89％）改变了预期，且概率发生了变化。在西班牙语和英语版本的所有测试阶段。结论：决策辅助工具在英语和西班牙语的英语和西班牙语中对罹患乳腺癌的平均风险（包括低学历者）的西南墨西哥裔美国人和欧洲裔美国人妇女有效且可靠。

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