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开发一种计算机定制干预措施/决策辅助工具以提高卫生系统中的结直肠癌筛查率

Development of a Computer-Tailored Intervention/Decision Aid To Increase Colorectal Cancer Screening in Health Systems.

作者信息

Fatima Hala, Wajid Maryiam, Krier Connie, Champion Victoria, Carter-Harris Lisa, Shedd-Steele Rivienne, Imperiale Thomas F, Schwartz Peter, Strom Sylvia, Magnarella Mark, Rawl Susan M

机构信息

Gastroenterology, Indiana University Health, Indianapolis, USA.

Internal Medicine, Indiana University School of Medicine, Indianapolis, USA.

出版信息

Cureus. 2022 Mar 21;14(3):e23372. doi: 10.7759/cureus.23372. eCollection 2022 Mar.

DOI:10.7759/cureus.23372
PMID:35475065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9020808/
Abstract

Background Non-compliance with scheduled colonoscopy is common among patients, especially in underserved populations. High no-show and late cancelation rates result in wasted resources, increased costs, and missed opportunities for colorectal cancer (CRC) screening. Among the barriers to colonoscopy is a lack of knowledge about the benefits, fears, and limited time for patient counseling. Methodology We produced a digital video disc and a website program to enhance awareness about CRC screening and address patient barriers in a population with low screening adherence. Results Patients can be educated via an interactive computer-tailored intervention with both DVD and web versions. It details the benefits and need for CRC screening, different methods of screening, and addresses patient-related barriers. Conclusions Patient education is crucial to increase CRC screening among eligible individuals. Because online engagement is affected by attention, interest, and affect, content should be concise but comprehensive.

摘要

背景

患者不按时接受结肠镜检查的情况很常见,尤其是在医疗服务不足的人群中。高爽约率和 late cancelation 率导致资源浪费、成本增加以及错失结直肠癌(CRC)筛查机会。结肠镜检查的障碍之一是患者对其益处缺乏了解、存在恐惧心理以及用于患者咨询的时间有限。方法:我们制作了一张数字视频光盘和一个网站程序,以提高对 CRC 筛查的认识,并解决筛查依从性低的人群中的患者障碍。结果:患者可以通过 DVD 和网络版本的交互式计算机定制干预接受教育。它详细介绍了 CRC 筛查的益处和必要性、不同的筛查方法,并解决了与患者相关的障碍。结论:患者教育对于增加符合条件的个体的 CRC 筛查至关重要。由于在线参与受到注意力、兴趣和情感的影响,内容应简洁但全面。 (注:“late cancelation”此处推测可能是“延迟取消”之类意思,原文表述不太准确规范)

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