Yun Li, Li Wang, Xiao-Yan Dong, Ya-Di Zhang, Shu-Jing Suo, Yan Zhang, La-Mei Liu, Yan-Fei Liu
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引用次数: 0
Abstract
Aims: To undertake a comprehensive systematic review of currently available instruments designed to assess health information-seeking behaviors among cancer patients, appraising their psychometric properties and methodological rigor to identify the most robust instrument for clinical application.
Design: A systematic review based on COSMIN methodology.
Date sources: Nine electronic databases CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, CINAHL, and APA PsycINFO were systematically searched from inception until February 2025.
Review methods: Employing a rigorously validated search methodology developed by Terwee, we systematically interrogated nine multinational databases spanning Chinese and English publications from inception through February 20, 2025, and targeting cancer patient populations. Following independent dual screening by researchers, the psychometric characteristics of identified instruments were systematically assessed using COSMIN quality criteria for measurement tool evaluation.
Results: From the initial 6545 studies, 16 met the eligibility criteria, involving 11 instruments for evaluating health information-seeking behaviors in cancer populations. High-quality evidence revealed insufficient content validity for the BIAS and structural validity deficiencies in the HIOS, PSM, and MBSS, all assigned a class C recommendation, while the remaining seven instruments received class B ratings.
Conclusion: Compared to the other 10 instruments, the MHISBQ measurement attributes are relatively comprehensive and can be provisionally recommended for use. However, there is still a need for large-scale studies involving diverse cancer populations to directly or indirectly compare psychological attributes, such as the stability and responsiveness of the MHISBQ. Additionally, these studies should track changes in HISB and explore its impact on patients, so that they can help guide the delivery of accurate health information and support for cancer patients.
目的：对目前可用的评估癌症患者健康信息寻求行为的工具进行全面系统的回顾，评估其心理测量特性和方法的严谨性，以确定最可靠的临床应用工具。设计：基于COSMIN方法的系统评价。资料来源：系统检索自建库至2025年2月的9个电子数据库：CNKI、万方、VIP、中国医学信息网、PubMed、Embase、Web of Science、CINAHL、APA PsycINFO。采用Terwee开发的经过严格验证的搜索方法，我们系统地查询了9个跨国数据库，涵盖了从成立到2025年2月20日的中文和英文出版物，并针对癌症患者群体。经过研究人员的独立双重筛选，使用COSMIN质量标准对鉴定工具的心理测量特征进行系统评估。结果：在最初的6545项研究中，16项符合资格标准，涉及11种评估癌症人群健康信息寻求行为的工具。高质量的证据显示，HIOS、PSM和MBSS的BIAS内容效度不足，结构效度不足，均被评为C级推荐，而其余7种工具被评为B级。结论：与其他10种仪器相比，MHISBQ测量属性较为全面，可暂时推荐使用。然而，仍需要进行涉及不同癌症人群的大规模研究，以直接或间接比较MHISBQ的稳定性和反应性等心理属性。此外，这些研究应该跟踪HISB的变化并探索其对患者的影响，以便它们可以帮助指导准确的健康信息的传递和对癌症患者的支持。报名：普洛斯彼罗（CRD42024606469）。
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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