The need for personalization when sharing results of amyloid imaging for Alzheimer's disease: Insights from a randomized experimental study.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI:10.1016/j.pec.2024.108587

Agnetha D Fruijtier, Wiesje M van der Flier, Ingrid van Maurik, Jetske van der Schaar, Yolande A L Pijnenburg, Ellen M A Smets, Leonie N C Visser

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引用次数: 0

Abstract

Objective: To study information needs after receiving abnormal amyloid-PET results, and how individual characteristics moderate effects of different communication strategies on information recall.

Methods: In an online video-vignette experiment, seven vignettes each depicted a consultation of a physician sharing abnormal amyloid-PET results with a patient with Mild Cognitive Impairment(MCI), using different communication strategies. Healthy individuals (N = 1017; age 64 ± 8, 808(79 %) female), instructed to imagine themselves as the video-patient, viewed a randomly-assigned vignette and completed questionnaires to assess information needs and test moderation effects of gender, age, care-partner experience, health literacy, and coping.

Results: Sixty-three percent of participants (645/1017) would have liked to receive more information, e.g., on prognosis, additional information sources, lifestyle advice, and/or treatment. Emotional support benefited information recall in women, but not men. Emotional support and visually presenting the PET-scan were less beneficial for individuals with a stronger avoidant coping style, compared to most other strategies.

Conclusion: Most people wanted more information on varying topics, and gender and coping style influenced how communication strategies impacted information recall. PRACTICE IMPLICATIONS The importance of personalized information provision was emphasized, both in terms of what information is provided and how physicians share information, by paying attention to individuals' needs and characteristics.

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分享阿尔茨海默病淀粉样蛋白成像结果时需要个性化：来自随机实验研究的见解。

目的：研究接受异常淀粉样蛋白pet结果后的信息需求，以及个体特征如何调节不同沟通策略对信息回忆的影响。方法：在一个在线视频小插曲实验中，七个小插曲分别描述了医生与轻度认知障碍（MCI）患者分享异常淀粉样蛋白pet结果的咨询，使用不同的沟通策略。健康个体(N = 1017；年龄（64±8,808）（79%）女性)，被要求想象自己是视频患者，观看随机分配的小短片并完成问卷调查，以评估信息需求并测试性别、年龄、护理伙伴经历、健康素养和应对的调节作用。结果：63%的参与者（645/1017）希望获得更多的信息，例如，关于预后，额外的信息来源，生活方式建议和/或治疗。情感支持对女性的信息回忆有帮助，但对男性没有。与大多数其他策略相比，情感支持和视觉上呈现pet扫描对回避应对方式较强的个体的益处较小。结论：大多数人想要更多关于不同话题的信息，性别和应对方式影响沟通策略对信息回忆的影响。实践意义强调了个性化信息提供的重要性，无论是提供什么信息，还是医生如何共享信息，都要关注个人的需求和特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.