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提高患者对姑息治疗的认知:一项随机对照干预研究。

Improving patient knowledge of palliative care: A randomized controlled intervention study.

作者信息

Kozlov Elissa, Reid M Carrington, Carpenter Brian D

机构信息

Weill Cornell Medical College, Department of Medicine, New York, NY, United States.

Weill Cornell Medical College, Department of Medicine, New York, NY, United States.

出版信息

Patient Educ Couns. 2017 May;100(5):1007-1011. doi: 10.1016/j.pec.2016.12.022. Epub 2016 Dec 21.

Abstract

OBJECTIVES

To determine if laypersons' knowledge about palliative care can improve with a brief education intervention.

METHODS

152 adults were recruited to participate in a web-based randomized intervention trial that followed a 2 (content)×2 (format) between-subjects design. Groups received either a video intervention, an information page intervention, a video control, or an information page control. An ANCOVA with contrast coding of two factors was utilized to assess if knowledge, as measured by the Palliative Care Knowledge Scale (PaCKS), increased post intervention.

RESULTS

There was a significant difference between intervention group means and control group means on PaCKS scores from T1 to T2 F(1, 139)=11.10, p=0.00, η=0.074. There was no significant difference in PaCKS change scores between the video intervention and information page intervention.

CONCLUSIONS

This study demonstrates that an information page and a brief video can improve knowledge of palliative care in laypersons.

PRACTICE IMPLICATIONS

Self-administered educational interventions could be made available in diverse settings in order to reach patients and their families who may benefit from but are unaware of palliative care. Interventions more intensive than the one tested in this study might result in even more significant improvements in knowledge.

摘要

目的

确定外行人对姑息治疗的了解能否通过简短的教育干预得到改善。

方法

招募了152名成年人参与一项基于网络的随机干预试验,该试验采用2(内容)×2(形式)的组间设计。各小组分别接受视频干预、信息页面干预、视频对照或信息页面对照。利用对两个因素进行对比编码的协方差分析来评估干预后由姑息治疗知识量表(PaCKS)测得的知识是否增加。

结果

从T1到T2,干预组和对照组在PaCKS得分上的均值存在显著差异,F(1, 139)=11.10,p = 0.00,η = 0.074。视频干预和信息页面干预在PaCKS变化得分上没有显著差异。

结论

本研究表明,一个信息页面和一段简短的视频可以提高外行人对姑息治疗的了解。

实践意义

可以在不同环境中提供自我管理的教育干预措施,以便接触到那些可能受益于但不了解姑息治疗的患者及其家属。比本研究中测试的干预措施更密集的干预可能会使知识有更显著的提高。

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Development and validation of the Palliative Care Knowledge Scale (PaCKS).姑息治疗知识量表(PaCKS)的编制与验证。
Palliat Support Care. 2017 Oct;15(5):524-534. doi: 10.1017/S1478951516000997. Epub 2016 Dec 27.
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