Grispen Janaica E J, Ickenroth Martine H P, de Vries Nanne K, van der Weijden Trudy, Ronda Gaby
Department of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands.
Health Expect. 2014 Oct;17(5):741-52. doi: 10.1111/j.1369-7625.2012.00805.x. Epub 2012 Jul 19.
Diagnostic self-tests (tests on body materials that are initiated by consumers with the aim of diagnosing a disorder or risk factor) are becoming increasingly available. Although the pros and cons of self-testing are currently not clear, it is an existing phenomenon that is likely to gain further popularity.
To examine consumers' use of and needs for information about self-testing, and to assess the quality of consumer information provided with home test kits, as perceived by consumers and as assessed using a checklist of quality criteria.
A cross-sectional Internet survey among 305 self-testers assessed their use of and needs for information and their perception of the quality of consumer information provided with self-test kits. A meta-search engine was used to identify Dutch and English consumer information for home diagnostic tests available online at the time of the study. The quality of this consumer information was evaluated using a checklist of quality criteria.
The consumers' information needs were in line with the most frequently used information, and the information was perceived as being of moderate to good quality. The information was mostly in agreement with clinical practice guidelines, although information on reliability and follow-up behaviour was limited. Approximately half of the instruction leaflets did not include information on the target group of the test.
Although generally of moderate to good quality, some aspects of the information provided were in many cases insufficient. European legislation concerning self-tests and accompanying information needs to be adapted and adhered to more closely.
诊断性自我检测（由消费者发起的、旨在诊断疾病或风险因素的人体材料检测）越来越普及。尽管目前自我检测的利弊尚不明晰，但它是一种现存现象，且可能会更受欢迎。
研究消费者对自我检测信息的使用情况和需求，并根据消费者的认知以及使用质量标准清单进行评估，来评定家用检测试剂盒所提供的消费者信息的质量。
对305名进行自我检测者开展一项横断面网络调查，评估他们对信息的使用情况和需求，以及他们对自我检测试剂盒所提供的消费者信息质量的认知。使用元搜索引擎来识别研究期间在线可得的荷兰语和英语家用诊断检测消费者信息。使用质量标准清单对这些消费者信息的质量进行评估。
消费者的信息需求与最常用的信息相符，且这些信息被认为质量中等至良好。这些信息大多与临床实践指南一致，不过关于可靠性和后续行为的信息有限。约半数的说明书未包含有关检测目标人群的信息。
尽管所提供信息总体质量中等至良好，但在很多情况下，某些方面的信息并不充分。有关自我检测及附带信息的欧洲立法需要加以调整并更严格地予以遵守。
