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首页> 外文期刊>Journal of health communication >Testing the effects of a decision aid for prostate cancer screening.
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Testing the effects of a decision aid for prostate cancer screening.

机译：测试决策辅助剂对前列腺癌筛查的效果。

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摘要

There is an ever-growing trend toward more patient involvement in making health care decisions. This trend has been accompanied by the development of "informed decision-making" interventions to help patients become more engaged and comfortable with making these decisions. We describe the effects of a prostate cancer screening decision aid on knowledge, beliefs about screening, risk perception, control preferences, decisional conflict, and decisional anxiety. Data were collected from 200 males aged 50-70 years in the general population who randomly were assigned to exposure to the decision aid or no exposure as a control condition. A Solomon four-group design was used to test for possible pretest sensitization effects and to assess the effects of exposure to the decision aid. No significant pretest sensitization effects were found. Analysis of the exposure effects found that knowledge increased significantly for those exposed to the decision aid compared with those unexposed. Exposure to the decision aid also had some influence on decreasing both decisional conflict and decisional anxiety. Decision aids can play an important role in increasing patients' knowledge and decreasing anxiety when asked to make health care decisions.
机译：越来越多的患者越来越倾向于参与医疗保健决策。这种趋势伴随着“知情决策”干预措施的发展，以帮助患者更加积极地参与决策。我们描述了前列腺癌筛查决策辅助对知识，筛查信念，风险感知，控制偏好，决策冲突和决策焦虑的影响。数据收集自200例一般人群中年龄在50-70岁之间的男性，这些男性被随机分配为接触决策辅助或不接触作为对照。所罗门四组设计用于测试可能的预测试致敏作用，并评估接触决策辅助剂的影响。未发现明显的预测试致敏作用。对接触影响的分析发现，与未接触接触者相比，决策援助接触者的知识显着增加。接触决策援助也对减少决策冲突和决策焦虑有一定影响。当被要求做出医疗保健决策时，决策辅助工具可以在增加患者知识和减少焦虑方面发挥重要作用。

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