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探讨研究参与者对心血管风险信息的看法——改进和赋权的空间。

Exploring research participants' perceptions of cardiovascular risk information-Room for improvement and empowerment.

机构信息

Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden.

Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden.

出版信息

Patient Educ Couns. 2019 Aug;102(8):1528-1534. doi: 10.1016/j.pec.2019.03.010. Epub 2019 Mar 22.

Abstract

OBJECTIVE

The objective of this study was to explore research participants' (adults, age 50-65) perceptions of receiving cardiovascular risk information.

METHODS

Five focus group interviews (N = 31) were performed with research participants aged 50-65 who participated in the Swedish CArdioPulmonary BioImage Study (SCAPIS). The interviews were analyzed using qualitative content analysis.

RESULTS

The categories; the complexity of cardiovascular risk; insufficient presentation of test result; emotional responses; and health examinations provides confirmation, emerged. The test results were written in medical terms and lacked recommendations for further action which made it difficult for lay people to understand and use, and for some, also caused unnecessary worry.

CONCLUSION

There was inadequate guidance concerning the implications of the test results, especially for participants without clinical findings. In order to allow research participants to obtain better cognitive and behavioral control, improvements are needed with regard to how personal risk information is communicated in research projects connected to health services.

PRACTICAL IMPLICATIONS

The participants largely relied on physical signs when assessing their own cardiovascular risk. Health examinations are crucial for helping to add nuance to individuals' risk perceptions. For personal health information to have any real value for individuals, it must be designed from a user perspective.

摘要

目的

本研究旨在探讨研究参与者(50-65 岁成年人)对心血管风险信息的认知。

方法

对参加瑞典心肺生物影像研究(SCAPIS)的 50-65 岁研究参与者进行了 5 次焦点小组访谈(N=31)。使用定性内容分析法对访谈进行分析。

结果

出现了以下类别:心血管风险的复杂性;测试结果呈现不足;情绪反应;以及健康检查。测试结果以医学术语书写,缺乏进一步行动的建议,这使得非专业人士难以理解和使用,对一些人来说,也引起了不必要的担忧。

结论

对于没有临床发现的参与者,有关测试结果的影响的指导不足。为了使研究参与者更好地获得认知和行为控制,需要改进与健康服务相关的研究项目中个人风险信息的沟通方式。

实际意义

参与者在评估自己的心血管风险时主要依赖身体迹象。健康检查对于帮助个体更准确地感知风险至关重要。为了使个人健康信息对个人真正有价值,必须从用户角度进行设计。

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