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增强进行健康筛查的明智选择:一项系统综述

Enhancing informed choice to undergo health screening: a systematic review.

作者信息

Biesecker Barbara Bowles, Schwartz Marc D, Marteau Theresa M

机构信息

Social and Behavioral Research Branch, National Human Genome Research Institute/NIH, Bethesda, MD, USA.

出版信息

Am J Health Behav. 2013 May;37(3):351-9. doi: 10.5993/AJHB.37.3.8.

Abstract

OBJECTIVE

To assess the effectiveness of health screening interventions aimed at enhancing informed choice.

METHODS

Studies were selected if (1) they were randomized controlled trials conducted between January 1, 2000, and March 30, 2010, (2) participants in one arm underwent a prescreening intervention aimed at improving informed choice, and (3) informed choice was the primary outcome.

RESULTS

Eight studies that met the inclusion criteria involved screening for prostate, colorectal and breast cancer, and diabetes. Five of the 8 prescreening interventions led to greater informed choice.

CONCLUSIONS

With researchers mindful of the limited number of studies, findings were encouraging, but conclusions regarding the most effective ways of facilitating informed choice for screening are at best tentative.

摘要

目的

评估旨在增强明智选择的健康筛查干预措施的有效性。

方法

入选的研究需满足以下条件:(1)为2000年1月1日至2010年3月30日期间开展的随机对照试验;(2)一组参与者接受旨在改善明智选择的预筛查干预;(3)明智选择为主要结局。

结果

八项符合纳入标准的研究涉及前列腺癌、结直肠癌、乳腺癌及糖尿病筛查。八项预筛查干预措施中有五项带来了更明智的选择。

结论

鉴于研究数量有限,研究人员虽认为研究结果令人鼓舞,但关于促进筛查明智选择的最有效方法的结论充其量只是初步的。

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