基于headsmart的儿科中枢神经系统肿瘤及时诊断初级提供者教育工具的创建和有效性。

IF 1.3 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
William Daley, Daniel Pacheco, Claire F Miller, David Walker, Adam L Green
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引用次数: 0

摘要

在美国,少数族裔和社会经济地位较低的儿童中枢神经系统肿瘤患者的生存率较差。这些差异部分源于诊断时疾病阶段的差异,这表明通过早期诊断有可能得到缓解。英国HeadSmart运动旨在提高初级保健医生(pcp)和公众对儿童中枢神经系统肿瘤症状的认识,导致诊断时间显着减少。我们将HeadSmart改造成一个30分钟的研讨会,内容涉及表现、常见症状、检查和诊断,以调查该干预措施在美国的价值。我们收集了参与者的人口统计数据,并对他们的儿童中枢神经系统肿瘤诊断知识进行了前后多项选择评估。共有57家供应商参与了调查;28人完成了前后评估。车间前平均得分为4.12;工作坊后平均得分为5.64分(未配对t检验p = 0.0002)。平均改善为1.1(配对t检验p = 0.0002)。总之,基于HeadSmart的教育工具可以有效地提高美国pcp对儿科中枢神经系统肿瘤及时诊断的理解。进一步的研究、改进和推广有可能有助于减轻小儿中枢神经系统肿瘤预后的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Creation and Effectiveness of a HeadSmart-Based Primary Provider Education Tool for Timely Pediatric CNS Tumor Diagnosis.

Patients of minority race, ethnicity, and lower socioeconomic status experience poorer survival of pediatric CNS tumors in the US. These disparities arise in part from differences in stage of disease at diagnosis, suggesting potential for mitigation via earlier diagnosis. The UK HeadSmart campaign, designed to increase awareness of pediatric CNS tumor symptoms among primary care practitioners (PCPs) and the public, has led to a significant decrease in time to diagnosis. We adapted HeadSmart into a 30-min workshop on presentation, common symptoms, work-up, and diagnosis to investigate the intervention's value in the US. We collected demographic data on the participants, paired with a pre/post, multiple-choice assessment of their knowledge of pediatric CNS tumor diagnosis. A total of 57 providers participated in the survey; 28 completed both the pre- and post-assessments. The mean pre-workshop score was 4.12; the mean post-workshop score was 5.64 (unpaired t-test p = 0.0002). The mean improvement was 1.1 (paired t-test p = 0.0002). In summary, an educational tool based on HeadSmart is effective at increasing understanding of timely diagnosis of pediatric CNS tumors among US PCPs. Further study, refinement, and dissemination have the potential to help mitigate disparities in pediatric CNS tumor outcomes.

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来源期刊
Journal of Cancer Education
Journal of Cancer Education 医学-医学:信息
CiteScore
3.40
自引率
6.20%
发文量
122
审稿时长
4-8 weeks
期刊介绍: The Journal of Cancer Education, the official journal of the American Association for Cancer Education (AACE) and the European Association for Cancer Education (EACE), is an international, quarterly journal dedicated to the publication of original contributions dealing with the varied aspects of cancer education for physicians, dentists, nurses, students, social workers and other allied health professionals, patients, the general public, and anyone interested in effective education about cancer related issues. Articles featured include reports of original results of educational research, as well as discussions of current problems and techniques in cancer education. Manuscripts are welcome on such subjects as educational methods, instruments, and program evaluation. Suitable topics include teaching of basic science aspects of cancer; the assessment of attitudes toward cancer patient management; the teaching of diagnostic skills relevant to cancer; the evaluation of undergraduate, postgraduate, or continuing education programs; and articles about all aspects of cancer education from prevention to palliative care. We encourage contributions to a special column called Reflections; these articles should relate to the human aspects of dealing with cancer, cancer patients, and their families and finding meaning and support in these efforts. Letters to the Editor (600 words or less) dealing with published articles or matters of current interest are also invited. Also featured are commentary; book and media reviews; and announcements of educational programs, fellowships, and grants. Articles should be limited to no more than ten double-spaced typed pages, and there should be no more than three tables or figures and 25 references. We also encourage brief reports of five typewritten pages or less, with no more than one figure or table and 15 references.
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