UBC School of Nursing, Vancouver, Canada.
Patient Educ Couns. 2012 Dec;89(3):461-6. doi: 10.1016/j.pec.2012.01.005. Epub 2012 Feb 10.
This paper describes the background, design and evaluation of a theory-informed education and decision support program for cancer patients considering complementary medicine (CM).
The program was informed by the Shared Decision Making theory, the Ottawa Decision Support Framework and the Supportive Care Framework. Previous empirical evidence and baseline research were used to identify patients' and health professionals' (HPs) information and decision support needs related to CM.
To address the continuum of CM needs, a variety of education and decision support interventions were developed, including basic CM information and resources for patients and HPs, a group education program and one-on-one decision support coaching for patients, and an on-line education module for HPs. Evaluation of the program and individual interventions is underway.
This education and decision support program addresses a significant gap in care and offers an evidence-informed framework in which to translate CM evidence to conventional care settings and promote communication about CM.
Evidence-informed CM education and decision support interventions are needed to shift the culture around CM within conventional care settings and promote open communication that will lead to CM therapies being safely integrated into care.
本文描述了一个以理论为指导的癌症患者补充医学（CM）教育和决策支持计划的背景、设计和评估。
该计划以共享决策理论、渥太华决策支持框架和支持性护理框架为指导。之前的实证证据和基线研究被用来确定患者和卫生专业人员（HPs）与 CM 相关的信息和决策支持需求。
为了满足 CM 需求的连续性，开发了各种教育和决策支持干预措施，包括患者和 HPs 的基本 CM 信息和资源、团体教育计划以及针对患者的一对一决策支持辅导，以及 HPs 的在线教育模块。正在对该计划和个别干预措施进行评估。
该教育和决策支持计划解决了护理方面的一个重大差距，并提供了一个循证框架，以便将 CM 证据转化为常规护理环境，并促进关于 CM 的沟通。
需要循证的 CM 教育和决策支持干预措施来改变常规护理环境中对 CM 的文化，并促进开放的沟通，从而使 CM 疗法安全地融入护理中。
