Nardella Nicole, Adams Matt, Oraiqat Adrianna, Gonzalez Brian D, Thomas Corinne, Goodchild Sarah, Adamson Sonia, Sandoval Maria, Frakes Jessica, Palm Russell F, Stricker Carrie, Herman Joe, Hodul Pamela, Krüg Sarah, Hoffe Sarah
Department of Gastrointestinal Cancer, Moffitt Cancer Center, Tampa, FL 33612, USA.
Desert Regional Medical Center, Palm Springs, CA 92262, USA.
Healthcare (Basel). 2025 Aug 7;13(15):1929. doi: 10.3390/healthcare13151929.
Pancreatic cancer (PC) is a diagnosis with a poor prognosis which can be associated with significant distress and may hinder a patient's ability to understand treatment details. Educating patients based on their learning preferences (LPs) and emotions may allow for personalized, enhanced care. This prospective project enrolled patients with non-metastatic PC. Phase 1 utilized the Learning Preference Barometer (LPB) and Emotional Journey Barometer (EJB), which are digital instruments co-designed by CANCER101 (C101) and the Health Collaboratory, to assess patient LPs and emotional states. Phase 2 provided information prescriptions aligned with LPs through C101's Prescription to Learn (P2L) platform. Collected data included demographics, treatment, LPs (auditory, kinesthetic, linguistic, visual), patient engagement with P2L, and patient emotional states with qualitative verbal validation. Descriptive variables were used to report outcomes. Primary LPs in the 47 participating patients were as follows: linguistic 45%, visual 34%, auditory 11%, and kinesthetic 9%, with secondary preferences in the majority (53%). Those patients (66%) who accessed P2L had linguistic and visual preferences; the majority accessed 1- 2 resources out of the 25 provided. Resources accessed aligned to 88% of patient LPs. The majority of patients (60%) initiated treatment prior to initial EJB, and 40% were treatment naive. Common baseline emotions were optimistic (47% vs. 36%, respectively), satisfied (11% vs. 25%), acceptance (11% vs. 11%), and overwhelmed (5% vs. 11%). Assessing LPs and emotional state allows for personalized patient education and clinical encounters for PC patients. Future work includes examining the effects of personalized approaches on patient satisfaction, decision-making, health outcomes, and the overall patient-clinician relationship.
胰腺癌(PC)是一种预后较差的诊断疾病,可能会导致严重的痛苦,并可能妨碍患者理解治疗细节的能力。根据患者的学习偏好(LP)和情绪进行教育,可能会提供个性化的、更好的护理。这个前瞻性项目招募了非转移性胰腺癌患者。第一阶段使用了学习偏好晴雨表(LPB)和情感历程晴雨表(EJB),这是由CANCER101(C101)和健康协作实验室共同设计的数字工具,用于评估患者的LP和情绪状态。第二阶段通过C101的学习处方(P2L)平台提供与LP一致的信息处方。收集的数据包括人口统计学信息、治疗情况、LP(听觉、动觉、语言、视觉)、患者对P2L的参与度,以及通过定性语言验证得出的患者情绪状态。描述性变量用于报告结果。47名参与患者的主要LP如下:语言型45%,视觉型34%,听觉型11%,动觉型9%,大多数(53%)有次要偏好。那些访问P2L的患者(66%)有语言和视觉偏好;大多数人从提供的25种资源中访问了1 - 2种。访问的资源与88%的患者LP一致。大多数患者(60%)在首次进行EJB之前就开始了治疗,40%是初治患者。常见的基线情绪分别是乐观(47%对36%)、满意(11%对25%)、接受(11%对11%)和不知所措(5%对11%)。评估LP和情绪状态有助于为胰腺癌患者提供个性化的患者教育和临床接触。未来的工作包括研究个性化方法对患者满意度、决策、健康结果以及整体医患关系的影响。