NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
Patient Educ Couns. 2009 Nov;77(2):155-71. doi: 10.1016/j.pec.2009.03.005. Epub 2009 Apr 18.
To study interventions that provide people with information about cancer risk and about screening that is tailored to their personal characteristics. We assess the tailoring characteristics, theory base and effects on risk perception, knowledge and screening behavior of these interventions.
A systematic literature review in this field was performed. PubMed, EMBASE, PsychINFO, CINAHL and Cochrane databases were searched. Forty studies fulfilled all inclusion criteria. Methodological quality was assessed and a best evidence synthesis conducted for the 28 randomized controlled trials without co-intervention or with similar co-intervention in intervention and control group.
Most included studies evaluated an intervention aiming to promote cancer screening. The majority of articles (30) evaluated information that was tailored based on variables related to behavior change, sometimes combined with cancer risk factors. Ten other articles described an intervention that tailored information based on risk factors only.
Information that was tailored based on behavior change variables increased realistic perception of cancer risks and knowledge of cancer compared to generic information. Also, information tailored to individuals' risk factors increased realistic risk perception compared to generic information.
To improve cancer risk perception and knowledge health providers could better give patients information about cancer risk and screening that is tailored to their personal characteristics than generic information.
研究提供有关癌症风险和个性化筛查信息的干预措施。我们评估这些干预措施的个性化特征、理论基础和对风险感知、知识和筛查行为的影响。
在该领域进行了系统的文献回顾。检索了 PubMed、EMBASE、PsychINFO、CINAHL 和 Cochrane 数据库。有 40 项研究符合所有纳入标准。对 28 项无对照或对照和干预组有类似对照的随机对照试验进行了方法学质量评估和最佳证据综合分析。
大多数纳入的研究评估了旨在促进癌症筛查的干预措施。大多数文章（30 篇）评估了基于与行为改变相关的变量定制的信息，有时与癌症风险因素相结合。另外 10 篇文章描述了一种基于风险因素定制信息的干预措施。
与一般信息相比，基于行为改变变量定制的信息提高了对癌症风险的现实感知和对癌症的知识。此外，与一般信息相比，针对个体风险因素的信息定制提高了现实风险感知。
为了提高癌症风险感知和知识，医疗服务提供者可以为患者提供有关癌症风险和筛查的个性化信息，而不是一般性信息，从而更好地改善患者的状况。
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