Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Monash Health, Melbourne, Victoria, Australia.
Fertil Steril. 2018 Aug;110(3):514-522. doi: 10.1016/j.fertnstert.2018.04.028. Epub 2018 Jun 28.
To develop a question prompt list (QPL) for women with polycystic ovary syndrome (PCOS) and explore its acceptability and feasibility.
Nationwide online survey, interviews, and clinical pilot test.
Australia.
PATIENT(S): Two-hundred and forty-nine women online, 18 women in interviews, and 20 women in clinics.
INTERVENTION(S): A QPL for PCOS.
MAIN OUTCOME MEASURE(S): From survey, women's likeliness to use a QPL and priority topics; from interview, QPL user-friendliness and associated feelings; from pilot, women's QPL use, perceived helpfulness, and intended future use.
RESULT(S): Evidence-based guidelines and multidisciplinary experts informed the QPL development. Of 249 survey respondents, 66.7% to 68.7% reported difficulty communicating with health care providers about mood, weight management, and how PCOS affects daily life, and 85.8% indicated they were very likely to use a PCOS QPL. Women were interviewed to explore acceptability; the semistructured interviews (n = 18) revealed that the devised QPL was easy to understand, user-friendly, and encouraged information seeking and targeted question asking. The refined QPL was pilot-tested in a clinic setting to explore feasibility between 2016 and 2017: 60.0% of women asked 1 to 2 questions from the QPL, 20.0% asked several questions, and 10.0% reported the QPL helped them generate their own questions. Women agreed the QPL was helpful (95.0%) and that they would use the QPL again (90.0%).
CONCLUSION(S): The PCOS QPL is acceptable and feasible, and may assist women in information seeking and targeted question asking.
制定多囊卵巢综合征(PCOS)女性的问题清单(QPL)并探讨其可接受性和可行性。
全国性在线调查、访谈和临床试点测试。
澳大利亚。
249 名在线女性、18 名访谈女性和 20 名诊所女性。
PCOS 的 QPL。
从调查中获得女性使用 QPL 的可能性和优先主题;从访谈中获得 QPL 的用户友好性和相关感受;从试点中获得女性使用 QPL、感知的有用性和未来使用意图。
循证指南和多学科专家为 QPL 的制定提供了依据。在 249 名调查受访者中,66.7%至 68.7%报告与医疗保健提供者沟通时在情绪、体重管理和 PCOS 如何影响日常生活方面存在困难,85.8%表示非常愿意使用 PCOS QPL。女性接受了访谈以探讨可接受性;半结构化访谈(n=18)表明,所设计的 QPL 易于理解、用户友好,并鼓励寻求信息和有针对性地提问。经过修订的 QPL 于 2016 年至 2017 年在诊所环境中进行了试点测试,以探讨其可行性:60.0%的女性从 QPL 中询问了 1 到 2 个问题,20.0%的女性询问了多个问题,10.0%的女性报告 QPL 帮助他们提出了自己的问题。女性认为 QPL 很有帮助(95.0%),并表示会再次使用 QPL(90.0%)。
PCOS QPL 是可接受和可行的,可能有助于女性寻求信息和有针对性地提问。