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探索癌症青少年和青年患者(TYA)及其幸存者对数字技术的偏好:一项横断面服务评估问卷调查

Exploring the digital technology preferences of teenagers and young adults (TYA) with cancer and survivors: a cross-sectional service evaluation questionnaire.

作者信息

Abrol Esha, Groszmann Mike, Pitman Alexandra, Hough Rachael, Taylor Rachel M, Aref-Adib Golnar

机构信息

Highgate Mental Health Centre, Camden and Islington NHS Foundation Trust, Dartmouth Park Hill, N19 5NX, London, UK.

Teenage & Young Adult Psych-Oncology Team, Psychological Medicine Dept. Paediatric & Adolescent Division, University College London Hospital NHS Foundation Trust; UCL Undergraduate Medical School, 6th Floor, 250 Euston Road, UCLH, NW1 2BU, London, UK.

出版信息

J Cancer Surviv. 2017 Dec;11(6):670-682. doi: 10.1007/s11764-017-0618-z. Epub 2017 Jun 20.

Abstract

PURPOSE

Digital technology has the potential to support teenagers and young adults (TYAs) with cancer from the onset of their disease into survivorship. We aimed to establish (1) the current pattern of use of TYA digital technologies within our service-user population, and (2) their preferences regarding digital information and support within the service.

METHODS

A cross-sectional survey was administered as a paper and online self-completed questionnaire to TYAs aged 13-24 accessing outpatient, inpatient, and day care cancer services at a regional specialist centre over a 4-week period.

RESULTS

One hundred two TYAs completed the survey (55.7% male; 39.8% female; 83.3% paper; 16.7% online; mean age 18.5 years [SD = 3.51]). Of the TYAs, 41.6% rated the importance of digital communication as "essential" to their lives. Half (51.0%) kept in contact with other patients they had met during treatment, and 12.0% contacted patients they had not met in person. Respondents wanted to receive clinical information online (66.3%) and use online chat rooms (54.3%). Future online services desired included virtual online groups (54.3%), online counselling or psychological support (43.5%), and receiving (66.3%) and sharing (48.9%) clinical information online.

CONCLUSIONS

Young people with cancer are digital natives. A significant subgroup expressed a desire for digital resources from oncology services, though existing resources are also highly valued. Digital resources have potential to improve patient experience and engagement.

IMPLICATIONS FOR CANCER SURVIVORS

There is considerable scope to develop digital resources with which TYAs can receive information and connect with both professionals and fellow patients, following diagnosis, through treatment and survivorship.

摘要

目的

数字技术有潜力在青少年和青年癌症患者(TYAs)患病之初直至康复期间为其提供支持。我们旨在确定(1)我们服务用户群体中TYAs使用数字技术的当前模式,以及(2)他们对服务中数字信息和支持的偏好。

方法

在为期4周的时间里,对在地区专科中心接受门诊、住院和日间护理癌症服务的13 - 24岁的TYAs进行了一项横断面调查,调查以纸质问卷和在线自填问卷的形式进行。

结果

102名TYAs完成了调查(男性占55.7%;女性占39.8%;83.3%通过纸质问卷;16.7%通过在线问卷;平均年龄18.5岁[标准差 = 3.51])。在TYAs中,41.6%认为数字通信对他们的生活“至关重要”。一半(51.0%)的人与他们在治疗期间遇到的其他患者保持联系,12.0%的人联系了他们未曾亲自见过的患者。受访者希望在线接收临床信息(66.3%)并使用在线聊天室(54.3%)。期望的未来在线服务包括虚拟在线群组(54.3%)、在线咨询或心理支持(43.5%),以及在线接收(66.3%)和分享(48.9%)临床信息。

结论

患癌青年是数字时代的原住民。相当一部分亚群体表示希望从肿瘤服务中获取数字资源,不过现有资源也受到高度重视。数字资源有潜力改善患者体验和参与度。

对癌症幸存者的启示

有很大的空间来开发数字资源,使TYAs在确诊后、治疗期间及康复过程中能够接收信息,并与专业人员和其他患者建立联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/5671543/827c6d66d8d8/11764_2017_618_Fig1_HTML.jpg

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