Crafoord Marie-Therése, Sundberg Kay, Nilsson Marie I, Fjell Maria, Langius-Eklöf Ann
Author Affiliations : Department of Neurobiology, Care Sciences and Society, Karolinska Institutet (Ms Crafoord, and Drs Sundberg, Fjell, and Langius-Eklöf); Function Area Social Work in Health Care, Karolinska University Hospital, and Karolinska Institutet, Department of Neurobiology, Care Sciences and Society (Dr Nilsson); and Academic Primary Care Center, Stockholm County Council (Dr Nilsson), Stockholm, Sweden.
Comput Inform Nurs. 2023 Sep 1;41(9):706-716. doi: 10.1097/CIN.0000000000001007.
The use of symptom management mobile apps can reduce patients' symptom burden during cancer treatment, but the evidence is lacking about their effect on care. Moreover, if patients' health literacy can be improved, it needs to be more rigorously tested. This study aimed to evaluate patients' perceptions of individualized care and health literacy using an interactive app in two randomized trials. Patients undergoing neoadjuvant chemotherapy for breast cancer (N = 149) and radiotherapy for prostate cancer (N = 150) were consecutively included and randomized into one intervention or control group. Outcome measures were Individualized Care Scale, Swedish Functional Health Literacy Scale, and Swedish Communicative and Critical Health Literacy Scale. In the breast cancer trial, no group differences were observed regarding individualized care or health literacy. Most patients had sufficient health literacy levels. In the prostate cancer trial, intervention group patients rated higher perceived individualized care regarding decision control at follow-up than the control group. Less than half had sufficient health literacy levels and intervention group patients significantly improved their ability to seek, understand, and communicate health information. Education level explained significant variance in health literacy in both trials. Using an interactive app can positively affect individualization in care and health literacy skills among patients treated for prostate cancer, although further research is warranted.
使用症状管理移动应用程序可以减轻癌症治疗期间患者的症状负担，但缺乏关于其对护理效果的证据。此外，如果患者的健康素养能够得到提高，还需要进行更严格的测试。本研究旨在通过两项随机试验，使用一款交互式应用程序评估患者对个性化护理和健康素养的认知。连续纳入接受乳腺癌新辅助化疗的患者（N = 149）和接受前列腺癌放疗的患者（N = 150），并将其随机分为一个干预组或对照组。结局指标为个性化护理量表、瑞典功能性健康素养量表和瑞典沟通与批判性健康素养量表。在乳腺癌试验中，未观察到干预组和对照组在个性化护理或健康素养方面存在组间差异。大多数患者具有足够的健康素养水平。在前列腺癌试验中，干预组患者在随访时对决策控制方面的个性化护理感知评分高于对照组。不到一半的患者具有足够的健康素养水平，且干预组患者寻求、理解和交流健康信息的能力显著提高。在两项试验中，教育水平均解释了健康素养的显著差异。使用交互式应用程序可以对接受前列腺癌治疗患者的护理个性化和健康素养技能产生积极影响，尽管仍需进一步研究。
