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转移性乳腺癌女性在整个护理过程中的健康信息需求、信息来源偏好及参与行为:一项范围综述方案

Health information needs, source preferences and engagement behaviours of women with metastatic breast cancer across the care continuum: protocol for a scoping review.

作者信息

Tucker Carol A, Martin M Pilar, Jones Ray B

机构信息

Faculty of Health & Human Sciences, Plymouth University, Plymouth, UK.

Adelphi University College of Nursing and Public Health, Garden City, New York, USA.

出版信息

BMJ Open. 2017 Feb 17;7(2):e013619. doi: 10.1136/bmjopen-2016-013619.

Abstract

INTRODUCTION

The health information needs, information source preferences and engagement behaviours of women with metastatic breast cancer (mBC) depend on personal characteristics such as education level, prior knowledge, clinical complications, comorbidities and where they are in the cancer journey. A thorough understanding of the information behaviours of women living with mBC is essential to the provision of optimal care. A preliminary literature review suggests that there is little research on this topic, but that there may be lessons from a slightly broader literature. This review will identify what is known and what is not known about the health information needs, acquisition and influences of women with mBC across the care continuum. Findings will help to identify research needs and specific areas where in-depth systematic reviews may be feasible, as well as inform evidence-based interventions to address the health information needs of female patients with mBC with different demographics and characteristics and across the mBC journey.

METHODS AND ANALYSIS

A scoping review will be performed using the guidelines of Arksey and O'Malley as updated by subsequent authors to systematically search scientific and grey literature for articles in English that discuss the health information needs, source preferences, engagement styles, and associated personal and medical attributes of women ≥18 years living with mBC at different stages of the disease course. A variety of databases (including Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Excerpta Medica Database (EMBASE), Academic Search Premier, Cochrane Database of Systematic Reviews, PsycINFO, Health Source: Nursing/Academic Edition, and PQDT Open), oncology, patient advocacy and governmental websites will be searched from inception to present day. Research and non-research literature will be included; no study designs will be excluded. The six-stage Arksey and O'Malley scoping review methodological framework involves: (1) identifying the research question; (2) searching for relevant studies; (3) selecting studies; (4) charting the data; (5) collating, summarising and reporting the results; and (6) consulting with stakeholders to inform or validate study findings (optional). Data will be extracted and analysed using a thematic chart and descriptive content analysis.

ETHICS AND DISSEMINATION

Being a secondary analysis, this research will not require ethics approval. Results will be disseminated through patient support organisations and websites and publications targeting healthcare professionals, advocates and patients.

摘要

引言

转移性乳腺癌(mBC)女性的健康信息需求、信息来源偏好和参与行为取决于个人特征,如教育水平、既往知识、临床并发症、合并症以及她们在癌症病程中的阶段。深入了解mBC女性的信息行为对于提供最佳护理至关重要。初步文献综述表明,关于这一主题的研究很少,但可能能从范围稍广的文献中吸取经验教训。本综述将确定关于mBC女性在整个护理过程中的健康信息需求、获取情况及影响因素,已知和未知的内容。研究结果将有助于确定研究需求以及可能进行深入系统综述的具体领域,并为基于证据的干预措施提供信息,以满足不同人口统计学特征和特点的mBC女性患者在整个mBC病程中的健康信息需求。

方法与分析

将按照Arksey和O'Malley指南(后经其他作者更新)进行范围综述,系统检索科学文献和灰色文献,查找以英文撰写的讨论≥18岁处于疾病不同阶段的mBC女性的健康信息需求、信息来源偏好、参与方式以及相关个人和医学属性的文章。将检索各种数据库(包括护理及相关健康文献累积索引(CINAHL)、PubMed、医学文摘数据库(EMBASE)、学术搜索全文数据库、Cochrane系统评价数据库、PsycINFO、健康源:护理/学术版和PQDT Open)、肿瘤学、患者宣传和政府网站,时间范围从创建至今。将纳入研究性和非研究性文献;不排除任何研究设计。Arksey和O'Malley范围综述方法框架的六个阶段包括:(1)确定研究问题;(2)检索相关研究;(3)选择研究;(4)绘制数据图表;(5)整理、总结和报告结果;(6)与利益相关者协商以告知或验证研究结果(可选)。将使用主题图表和描述性内容分析提取和分析数据。

伦理与传播

作为二次分析,本研究无需伦理批准。研究结果将通过患者支持组织、网站以及面向医疗保健专业人员、倡导者和患者的出版物进行传播。

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Scoping reviews: time for clarity in definition, methods, and reporting.范围综述:定义、方法和报告需更加清晰。
J Clin Epidemiol. 2014 Dec;67(12):1291-4. doi: 10.1016/j.jclinepi.2014.03.013. Epub 2014 Jul 14.

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