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适应性避孕方法就诊决策辅助工具的可接受性和感知可行性:一项针对医疗服务提供者和中国流动妇女的访谈研究

Acceptability and perceived feasibility of adapted encounter decision aids on contraceptive methods: An interview study with healthcare providers and Chinese migrant women.

作者信息

Dolan Hankiz, Bateson Deborah, Li Mu, Thompson Rachel, Tam Chun Wah Michael, Bonner Carissa, Trevena Lyndal

机构信息

Ask, Share, Know: Rapid Evidence for General Practice Decision (ASK-GP), Centre for Research Excellence, The University of Sydney, Sydney, Australia.

Sydney School of Public Health, The University of Sydney, Sydney, Australia.

出版信息

PEC Innov. 2022 Mar 23;1:100031. doi: 10.1016/j.pecinn.2022.100031. eCollection 2022 Dec.

Abstract

OBJECTIVE

This study aimed to explore the perceived acceptability, usefulness, and feasibility of a suite of encounter decision aids (DAs) on contraceptive methods with Chinese migrant women living in Australia and healthcare providers.

METHODS

Semi-structured in-depth interviews with 22 Chinese migrant women and twenty healthcare providers were conducted. Transcribed data were analysed using the qualitative content analysis method.

RESULTS

Women perceived the DAs to be informative and useful. They suggested making the DAs available outside the clinical settings. Healthcare providers perceived the DAs to be comprehensive and valuable in informing women about contraceptive methods. Some providers had concerns as to the information load and the length of the DAs. Such concerns were eased when provided with an explanation of how to use the DAs. Most women and healthcare providers preferred the numerical format for side-effect probability information presentation.

CONCLUSION

Making the encounter DAs available in both the Chinese and English languages can be valuable in assisting Chinese migrant women in making informed decisions about contraceptive methods.

INNOVATION

This study is the first to evaluate the acceptability and perceived feasibility of patient decision aids with members of a migrant community in Australia. The findings highlight the need for disseminating the DAs both within and outside the clinical settings.

摘要

目的

本研究旨在探讨一套避孕方法诊疗决策辅助工具(DAs)对于居住在澳大利亚的中国移民女性及医疗服务提供者而言,其可接受性、有用性和可行性。

方法

对22名中国移民女性和20名医疗服务提供者进行了半结构化深度访谈。对转录数据采用定性内容分析法进行分析。

结果

女性认为这些决策辅助工具信息丰富且有用。她们建议在临床环境之外也能获取这些工具。医疗服务提供者认为这些决策辅助工具全面且在向女性介绍避孕方法方面很有价值。一些提供者担心信息负荷和决策辅助工具的长度。当得到关于如何使用这些工具的解释时,这些担忧得到缓解。大多数女性和医疗服务提供者更喜欢以数字形式呈现副作用概率信息。

结论

提供中英文双语的诊疗决策辅助工具对于帮助中国移民女性就避孕方法做出明智决策可能很有价值。

创新点

本研究首次评估了澳大利亚移民社区成员对患者决策辅助工具的可接受性和感知可行性。研究结果凸显了在临床环境内外传播这些决策辅助工具的必要性。

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本文引用的文献

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Shared decision making in contraceptive counseling.避孕咨询中的共同决策
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