Karavadra Babu, Hapangama Dharani K, Tempest Nicola
University of Liverpool, Department of Primary Care and Mental Health, Liverpool, UK.
Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Member of the Liverpool Health Partnership, Liverpool, UK.
Patient Prefer Adherence. 2025 May 3;19:1245-1254. doi: 10.2147/PPA.S515188. eCollection 2025.
It is increasingly acknowledged that public acceptability should be considered when designing, evaluating, and implementing healthcare interventions; especially for vulnerable groups.
A voluntary, self-reported, anonymous questionnaire with ethical approval and patient and public involvement was distributed online through social media over a 6-month period to explore acceptability of diagnostic tests.
Ninety-three individuals replied to the questionnaire, of which the majority were female (89.2%) heterosexual (92.4%) white (81.6%) and resided in England (94.6%). The most encountered diagnostic test was an X-ray (92.4%) and the least encountered test was a bone marrow biopsy with local anaesthetic (0%). A sputum sample test was the most perfectly acceptable investigation (83.8%). One percent of participants felt that the cervical smear test was perfectly acceptable With reference to hysteroscopy, 44% felt a hysteroscopy was perfectly acceptable under general anaesthesia, compared to no participants with local anaesthetic or sedation. Forty one percent of participants felt a diagnostic laparoscopy was perfectly acceptable.
The findings from this study provide insight into the acceptability of medical tests from a patient perspective and will inform a more explorative qualitative study to ensure researchers are aiming to produce tests that are sensitive, specific and importantly acceptable.
人们越来越认识到，在设计、评估和实施医疗保健干预措施时，应考虑公众的可接受性；尤其是对于弱势群体。
通过社交媒体在6个月的时间内在线发放一份经过伦理批准且有患者和公众参与的自愿、自我报告、匿名问卷，以探讨诊断测试的可接受性。
93人回复了问卷，其中大多数为女性（89.2%）、异性恋（92.4%）、白人（81.6%），居住在英格兰（94.6%）。最常遇到的诊断测试是X射线（92.4%），最少遇到的测试是局部麻醉下的骨髓活检（0%）。痰样本检测是最完全可接受的检查（83.8%）。1%的参与者认为宫颈涂片检查完全可以接受。关于宫腔镜检查，44%的人认为在全身麻醉下宫腔镜检查完全可以接受，相比之下，没有参与者认为局部麻醉或镇静下的宫腔镜检查可以接受。41%的参与者认为诊断性腹腔镜检查完全可以接受。
本研究的结果从患者角度提供了对医学检测可接受性的见解，并将为一项更具探索性的定性研究提供信息，以确保研究人员致力于研发出灵敏、特异且重要的是可接受的检测方法。
