%0期刊文章%@ 2152-7202 %I JMIR出版物%V 9% 卡塔尔世界杯8强波胆分析N 1% P e 15% T指导患者在拜访癌症专家前列出问题的效果:a Belkora,Jeffrey K % a Naguit,Marijoyce % a Stupar,Lauren % a Wiley,James % a Volz,Shelley % a O'Donnell,Sara %+ Helen Diller家庭综合癌症中心，外科和Philip R. Lee卫生政策研究所，加州大学旧金山分校，加州街3333号0936号265套房，美国，CA 94118, 1 (650) 533 6965，jeff.belkora@ucsfmedctr.org %K就诊准备%K自我效能%K焦虑%K问题列表%K患者支持%K社区参与性研究%K心理肿瘤学。背景:一个基于社区的组织实施了一项循证干预，帮助农村癌症患者在肿瘤就诊前列出问题。目的:问题清单干预是否能有效降低焦虑，提高决策自我效能?方法:该组织调查了患者在2006 - 2011年进行问题清单干预前后的决策自我效能(273名受访者，反应率99%)和焦虑(190例，68%)。我们使用5%显著性的双侧配对t检验分析响应，并进行线性回归以确定显著的变化预测因素。我们检查了与患者相关的预测因素(位置、人口统计学、疾病状况和基线决策自我效能和焦虑);干预(包括干预案例量);以及就诊情况(包括看的医生类型)。 Results: Question-listing was associated with higher mean decision self-efficacy (2.70/3.43 pre/post, 1-4 min-max, P<.001) and lower mean anxiety (7.26/5.87, 1-10 min-max, P<.001). Significant predictors of change in decision self-efficacy included: patient location; interventionist case volume; baseline decision self-efficacy and anxiety. Higher baseline anxiety was also associated with reductions in anxiety. Conclusions: In a sustained community-based implementation, the intervention helped patients prepare for oncology visits. Patients reported higher self-efficacy and lower anxiety. %R 10.2196/jopm.8949 %U http://jopm.www.mybigtv.com/2017/1/e15/ %U https://doi.org/10.2196/jopm.8949