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首页> 外文期刊>Journal of women’s health >Mammography Decision Aid Reduces Decisional Conflict for Women in Their Forties Considering Screening
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Mammography Decision Aid Reduces Decisional Conflict for Women in Their Forties Considering Screening

机译：乳腺X射线摄影术决策援助减少了考虑筛查的四十多岁妇女的决策冲突

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Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study. Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening. Women aged 40-49 years who were patients of rural primary care clinics, had no major risk factors for breast cancer, and no mammography during the previous year were invited to use the decision aid. Twenty women participated in pretesting of the decision aid and 75 additional women completed the before-after study. The primary outcome was decisional conflict measured before and after using Mammopad. Secondary outcomes included decision self-efficacy and intention to begin or continue mammography screening. Differences comparing measures before versus after use were determined using Wilcoxon signed rank tests. Results: After using Mammopad, women reported reduced decisional conflict based on mean Decisional Conflict Scale scores overall (46.33 versus 8.33; Z=-7.225; p<0.001) and on all subscales (p<0.001). Women also reported increased mean Decision Self-Efficacy Scale scores (79.67 versus 95.73; Z=6.816, p<0.001). Although 19% of women changed their screening intentions, this was not statistically significant. Conclusions: Women reported less conflict about their decisions for mammography screening, and felt more confident to make decisions after using Mammopad. This approach may help guide women through the decision making process to determine personalized screening choices that are appropriate for them.
机译：背景：临床指南建议针对40岁以下女性进行乳房X光检查的个性化方法;但是，缺少这样做的方法。基于证据的乳腺钼靶筛查决策辅助工具已开发为一种电子移动应用程序，并在前后研究中进行了评估。方法：决策辅助工具（Mammopad）包括乳腺癌，乳腺摄影，风险评估和筛查优先级设置模块。 40-49岁的妇女是农村基层医疗所的患者，没有乳腺癌的主要危险因素，并且在去年没有进行乳房X线检查的妇女也被邀请使用决策辅助工具。二十名妇女参加了决策援助的预测试，另有75名妇女完成了前后研究。主要结果是在使用Mammopad之前和之后测量的决策冲突。次要结果包括决策者的自我效能感以及开始或继续进行乳房X线筛查的意愿。使用Wilcoxon符号秩和检验确定比较使用前和使用后措施的差异。结果：使用Mammopad后，女性根据总体决策冲突量表评分（46.33比8.33; Z = -7.225; p <0.001）和所有子量表（p <0.001）报告减少了决策冲突。妇女还报告了平均决策自我效能量表得分的增加（79.67比95.73; Z = 6.816，p <0.001）。尽管19％的女性改变了筛查意图，但这在统计学上并不显着。结论：妇女报告的关于他们的乳房X线照片筛查决定的冲突较少，并且在使用Mammopad后做出决定时更有信心。这种方法可以帮助指导妇女完成决策过程，以确定适合她们的个性化检查选择。

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