Coaching to support men in making informed choices about prostate cancer screening: A qualitative study

被引:4
|
作者
Ilic, Dragan [1 ]
Murphy, Kerry [1 ]
Collins, Veronica [2 ]
Holden, Carol [1 ,2 ]
机构
[1] Monash Univ, Sch Publ Hlth & Prevent Med, Dept Epidemiol & Prevent Med, Clayton, Vic, Australia
[2] Monash Univ, Sch Publ Hlth & Prevent Med, Androl Australia, Clayton, Vic, Australia
关键词
Prostate cancer; Decision support model; Decision making; Primary care; SHARED DECISION-MAKING; HEALTH; AIDS; BARRIERS; KNOWLEDGE; TRIALS;
D O I
10.1016/j.pec.2018.01.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: The objective of this study was to examine the perceptions of men, practice nurses (PNs) and general practitioners (GPs) on patient decision coaching for prostate cancer screening. Methods: Seven focus groups were conducted with 47 participants, representing three stakeholder groups - men, GPs and PNs. All focus group discussions were conducted by the same facilitator and guided by a semi-structured interview schedule. Transcriptions were analysed by thematic analysis. Results: Knowledge about the merits of prostate cancer screening was high amongst GPs, but limited with PNs and men. All groups saw the value in PN-led decision coaching for men considering screening for prostate cancer, but had reservations about its implementation in practice. Barriers to implementing a decision coaching system with PNs included staffing and cost of implementation. Conclusion: GPs, PNs and men identified benefits for the use of a PN-led decision coaching support intervention to assist men with making an informed choice about screening for prostate cancer. Stakeholders had reservations about how a PN-led intervention would effectively work in clinical practice. (C) 2018 Elsevier B.V. All rights reserved.
引用
收藏
页码:872 / 877
页数:6
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