%0期刊文章%@ 2369-1999 %I JMIR出版物%V 8% 卡塔尔世界杯8强波胆分析N 4% P e32153% A基于web的前列腺癌特异性整体需求评估(CHAT-P):从概念到临床实践的多方法研究，南顿，维罗妮卡，阿普尔顿，丽贝卡，艾哈迈德，尼萨，勒夫，乔埃尔，罗斯科，茱莉亚，穆图斯瓦米，拉达，帕特尔，普拉桑特，代尔，杰里米，艾哈迈扎，沃里克医学院，英国考文垂吉贝特山路，44 2476 574025，v.nanton@warwick.ac.uk %K整体需求评估%K前列腺癌%K生存率%K癌症随访%K联合制片%K网络沟通%K护理计划%D 2022 %7 19.10.2022 %9原始论文%J JMIR癌症%G英语%X背景:前列腺癌患者经历了疾病及其治疗的直接和长期后果。它们既需要对复发或进展进行长期监测，也需要进行随访，以确定和帮助管理心理和身体方面的影响。整体需求评估旨在确保以患者为中心的持续癌症护理。然而，基于纸张的通用工具在癌症服务中的应用有限，几乎没有证据表明它们的影响。随着远程护理提供方法的扩展和提高通用工具的价值，我们开发了一个基于web的综合整体需求评估自适应工具-前列腺(CHAT-P)，专门用于前列腺癌。目的:本文描述了hat - p开发的背景、概念基础和设计方法，从最初的概念开始，到准备部署。通过这种叙述，我们试图为扩大关于创新数字系统的联合生产过程的知识体系做出贡献，这些系统具有增强癌症护理提供的潜力。方法:在合作生产原则的指导下开发CHAT-P。 Men with prostate cancer and health care professionals contributed to each stage of the process. Testing was conducted iteratively over a 5-year period. An initial rapid review of patient-reported outcome measures identified candidate items for inclusion. These items were categorized and allocated to overarching domains. After the first round of user testing, further items were added, improvements were made to the adaptive branching system, and response categories were refined. A functioning version of CHAT-P was tested with 16 patients recruited from 3 outpatient clinics, with interviewers adopting the think-aloud technique. Interview transcripts were analyzed using a framework approach. Interviews and informal discussions with health care professionals informed the development of a linked care plan and clinician-facing platform, which were incorporated into a separate feasibility study of digitally enhanced integrated cancer care. Results: The findings from the interview study demonstrated the usability, acceptability, and potential value of CHAT-P. Men recognized the benefits of a personalized approach and the importance of a holistic understanding of their needs. Preparation for the consultation by the completion of CHAT-P was also recognized as empowering. The possible limitations identified were related to the importance of care teams responding to the issues selected in the assessment. The subsequent feasibility study highlighted the need for attention to men’s psychological concerns and demonstrated the ability of CHAT-P to capture red flag symptoms requiring urgent investigation. Conclusions: CHAT-P offers an innovative means by which men can communicate their concerns to their health care teams before a physical or remote consultation. There is now a need for a full evaluation of the implementation process and outcomes where CHAT-P is introduced into the clinical pathway. There is also scope for adapting the CHAT-P model to other cancers. %M 36260380 %R 10.2196/32153 %U https://cancer.www.mybigtv.com/2022/4/e32153 %U https://doi.org/10.2196/32153 %U http://www.ncbi.nlm.nih.gov/pubmed/36260380