Lynch Kathleen A, Omisore Adeleye D, Atkinson Thomas M, Famurewa Olusola C, Vera Jacqueline A, Kingham T Peter, Alatise Olusegun I, Hricak Hedvig, Morris Elizabeth A, Sutton Elizabeth J
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.
Department of Radiology, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
JCO Glob Oncol. 2020 Nov;6:1813-1823. doi: 10.1200/GO.20.00353.
The incidence of breast cancer is rising in Nigeria, and one major barrier to care is the lack of affordable and appropriate breast cancer diagnosis by ultrasound (US)-guided biopsy. The prohibitive cost of US devices limits their availability in low- and middle-income countries. The emergence of mobile health (mHealth) imaging devices may offer an acceptable low-cost alternative. The purpose of this research was to perform a comprehensive needs assessment to understand knowledge, use, training needs, and attitudes as regards image-guided biopsy in Nigeria to inform the development of an mHealth-based US-guided biopsy training program.
A multistakeholder needs assessment was conducted at the Sixth Annual African Research Group for Oncology Symposium. Voluntary anonymous surveys were administered to all attendees. A subset of attendees (ie, surgeons, radiologists, pathologists, and nurses) participated in six focus groups. Survey items and interview guides were developed collaboratively with local and international input.
Surveys focusing on use, training needs, and attitudes regarding US-guided biopsies were completed with a 55% response rate (n = 54 of 98) among participants from 22 hospitals across Nigeria. Respondents expressed dissatisfaction with the way breast biopsies were currently performed at their hospitals and high interest in having their institution participate in a US-guided biopsy training program. Focus group participants (n = 37) identified challenges to performing US-guided procedures, including equipment functionality and cost, staff training, and access to consumables. Groups brainstormed the design of an mHealth US-guided biopsy training program, preferring a train-the-trainer format combining in-person teaching with independent modules.
A multidisciplinary needs assessment of local stakeholders identified a need for and acceptability of an mHealth-based US-guided biopsy training program in Nigeria.
在尼日利亚，乳腺癌的发病率呈上升趋势，而护理的一个主要障碍是缺乏负担得起且合适的超声（US）引导下活检的乳腺癌诊断方法。US设备高昂的成本限制了它们在低收入和中等收入国家的可用性。移动健康（mHealth）成像设备的出现可能提供一种可接受的低成本替代方案。本研究的目的是进行全面的需求评估，以了解尼日利亚在图像引导活检方面的知识、使用情况、培训需求和态度，为基于mHealth的US引导活检培训项目的开发提供信息。
在第六届非洲肿瘤研究小组年度研讨会上进行了多利益相关者需求评估。对所有参会者进行了自愿匿名调查。一部分参会者（即外科医生、放射科医生、病理科医生和护士）参加了六个焦点小组。调查项目和访谈指南是在当地和国际的参与下共同制定的。
来自尼日利亚22家医院的参与者完成了关于US引导活检的使用、培训需求和态度的调查，回复率为55%（98人中54人）。受访者对其医院目前进行乳腺活检的方式表示不满，并对其机构参与US引导活检培训项目表现出浓厚兴趣。焦点小组参与者（37人）确定了进行US引导程序的挑战，包括设备功能和成本、工作人员培训以及耗材获取。各小组集思广益，设计了一个基于mHealth的US引导活检培训项目，倾向于采用培训培训师的形式，将面对面教学与独立模块相结合。
对当地利益相关者的多学科需求评估确定了尼日利亚对基于mHealth的US引导活检培训项目的需求和可接受性。
