Flynn D, van Schaik P, van Wersch A, Ahmed T, Chadwick D
1School of Social Sciences and Law, University of Teesside, Middlesbrough TS1 3BA, UK.
Br J Cancer. 2004 Aug 31;91(5):855-60. doi: 10.1038/sj.bjc.6602071.
A multimedia program (MMP) was developed to educate patients with prostate cancer about their disease. A within-subjects design was used to investigate the changes in levels of cancer-related knowledge, psychosocial functioning, treatment decision-making role and information needs immediately after browsing the MMP. The participants were 67 men recently diagnosed with prostate cancer. Psychosocial functioning was assessed with 20 items describing common emotional states and coping strategies employed by cancer patients. Treatment decision-making role was assessed with the Control Preference Scale. A principle component analysis of the 20 psychosocial items yielded three components: distress, positive approach and nonacceptance. After browsing the MMP significant increases in knowledge and reductions in distress were reported. Marital status was significantly associated with knowledge gain. Married men and those attending the study session with their spouse displayed a significant shift towards a more active role in treatment decisions. The majority of information needs were fulfilled by the MMP; however, information related to the likelihood of a cure, treatment side effects, coping strategies and aetiology were not completely satisfied by the MMP. Implications of the findings and suggestions for future work on the design and evaluation of the MMP are discussed.
开发了一个多媒体程序（MMP），用于对前列腺癌患者进行疾病教育。采用受试者内设计，以调查在浏览MMP后，癌症相关知识水平、心理社会功能、治疗决策角色和信息需求的即刻变化。参与者为67名最近被诊断为前列腺癌的男性。通过20个描述癌症患者常见情绪状态和应对策略的项目来评估心理社会功能。使用控制偏好量表评估治疗决策角色。对20个心理社会项目进行主成分分析，得出三个成分：痛苦、积极应对和不接受。浏览MMP后，报告显示知识显著增加，痛苦减少。婚姻状况与知识获取显著相关。已婚男性以及与配偶一同参加研究课程的男性在治疗决策中表现出显著转变，朝着更积极的角色发展。MMP满足了大部分信息需求；然而，MMP并未完全满足与治愈可能性、治疗副作用、应对策略和病因相关的信息需求。文中讨论了研究结果的意义以及对MMP未来设计和评估工作的建议。
