Role of decision aid desgin in single event decision making

决策辅助设计在单事件决策中的作用

基本信息

批准号：
8558452
负责人：
ANGELA FAGERLIN
金额：
$ 18.91万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-26 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8558452
关键词：
Attention Attitude Awareness Benefits and Risks Biopsy Cancer Patient Clinical Communication Communication Research Conflict (Psychology)Data Decision Aid Decision Making Educational process of instructing Effectiveness Equilibrium Event Eye Face Goals Health Health Communication Healthcare High Risk Woman Impotence Incidence Internet Intervention Knowledge Malignant Neoplasms Malignant neoplasm of prostate Mastectomy Medical Methods Michigan Newly Diagnosed Operative Surgical Procedures Outcome Outcome Measure Patient Preferences Patient observation Patients Perception Persons Phase Physicians Play Process Prostate Qualitative Methods Quality of life Radiation Raloxifene Randomized Controlled Trials Recommendation Recruitment Activity Regrets Research Risk Role Sampling Self Efficacy Surveys Tamoxifen Techniques Testing Time University Hospitals Urologist Visit Woman alternative treatment anticancer research breast lumpectomy cancer care cancer chemoprevention cancer therapy design experience improved malignant breast neoplasm man men novel preference prevent psychological outcomes randomized trial research study satisfaction shared decision making standard care therapy design trial comparing willingness

Attention Attitude Awareness Benefits and Risks Biopsy Cancer Patient Clinical Communication Communication Research Conflict (Psychology)Data Decision Aid Decision Making Educational process of instructing Effectiveness Equilibrium Event Eye Face Goals Health Health Communication Healthcare High Risk Woman Impotence Incidence Internet Intervention Knowledge Malignant Neoplasms Malignant neoplasm of prostate Mastectomy Medical Methods Michigan Newly Diagnosed Operative Surgical Procedures Outcome Outcome Measure Patient Preferences Patient observation Patients Perception Persons Phase Physicians Play Process Prostate Qualitative Methods Quality of life Radiation Raloxifene Randomized Controlled Trials Recommendation Recruitment Activity Regrets Research Risk Role Sampling Self Efficacy Surveys Tamoxifen Techniques Testing Time University Hospitals Urologist Visit Woman alternative treatment anticancer research breast lumpectomy cancer care cancer chemoprevention cancer therapy design experience improved malignant breast neoplasm man men novel preference prevent psychological outcomes randomized trial research study satisfaction shared decision making standard care therapy design trial comparing willingness

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项目摘要

Research on tailoring for health-related behaviors and decision-making has increased dramatically since the early 1990's. Results from numerous randomized trials suggest that tailored communications for cancer prevention and control have a greater influence on behavioral and decision making outcomes than one-size-fits-all approaches. Until recently, however, we had little understanding of why tailored communications influenced behavior, or which components of these communications were effective. CECCR1 funding helped us to organize a concerted interdisciplinary effort to open the "black box" of health communications interventions, which led to identifying a broad array of psychosocial and communications components relevant to health behavior change and decision making. We also identified important individual characteristics that moderate the impact of health communications messages. Results from several of these studies have already been published, and are leading to significant new research funding and a new generation of health communications investigators. Moreover, CECCR1 results are also being adopted i health care, employer, pharmaceutical, and government settings of the U.S. and other parts of the world The overarching aims of CECCR2 are to: (1) Extend our tailoring research beyond the prevention area to the broader cancer care continuum, including early detection, treatment, and long-term survival; (2) Extend our tailoring research to new clinical and post-treatment settings; (3) Deepen our understanding of the key psychosocial and communications components identified in CECCR1, including motivation, ethnic identity, risk perception, and cognitive processing; (4) Explore methods of tailoring to patient preferences for shared decision making; (5) Develop new social and cognitive neuroscience strategies for identifying immediat impact and mechanisms of health communications messages; (6) Develop new interdisciplinary collaborations with scientists and research institutions; (7) Train a new generation of health communications scientists and practitioners; and (8) Disseminate both the scientific and practical results of our research efforts. Woven through CECCR2 research are crosscutting interests related to: tailoring and relevant communications channels; reaching underserved populations through more relevant and easier-to-proces content; physiological mechanisms of communication effect; and methodological issues of design, data collection, and measurement CECCR2 involves four primary research sites and networks, and collaborations with 34 research investigators from 13 institutions. Because of the ambitious scope of our proposed studies, we have obtained over $10 million in matched funding from other sources to help us carry out the proposed research.

自1990年代初以来，关于针对健康相关行为和决策制定的裁缝的研究已大大增加。来自众多随机试验的结果表明，量身定制的用于预防癌症和控制的通信对行为和决策结果的影响要比一定大小的方法更大。但是，直到最近，我们对为什么量身定制的通信影响行为或这些沟通的哪些组成部分有效。 CECCR1资金帮助我们组织了一致的跨学科努力，以打开健康通信干预措施的“黑匣子”，从而确定了与健康行为改变和决策有关的广泛的心理社会和通信组件。我们还确定了重要的个人特征，以减轻健康通信信息的影响。其中一些研究的结果已经发表，并导致了大量的新研究资金和新一代的健康传播研究人员。此外，CECCR1的结果还被采用I卫生保健，雇主，药物和政府的美国和世界其他地区的政府环境，CECCR2的总体目的是：（1）将我们的裁缝研究扩展到预防领域，以延伸到更广泛的癌症护理连续体，包括早期的检测，治疗，治疗，长期生存；（2）将我们的剪裁研究扩展到新的临床和治疗后环境；（3）加深我们对CECCR1中确定的关键社会心理和沟通组成部分的理解，包括动机，种族认同，风险感知和认知处理；（4）探索针对患者偏好的裁缝方法，以共享决策；（5）制定新的社会和认知神经科学策略来确定健康通信信息的直接影响和机制；（6）与科学家和研究机构建立新的跨学科合作；（7）培训新一代的健康传播科学家和从业人员；（8）我们研究工作的科学和实际结果传播。通过CECCR2研究编织的是与：裁缝和相关通信渠道相关的跨越兴趣；通过更相关和易于制作的内容来达到服务不足的人群；沟通效应的生理机制；设计，数据收集和测量CECCR2的方法论问题涉及四个主要的研究站点和网络，以及与来自13个机构的34名研究研究人员的合作。由于我们提出的研究的雄心勃勃的范围，我们从其他来源获得了超过1000万美元的匹配资金，以帮助我们进行拟议的研究。