TY - JOUR AU - Berry, Donna L AU - Halpenny, Barbara AU - Wolpin, Seth AU - Davison, B Joyce AU - Ellis, William J AU - Lober, William B AU - McReynolds, Justin AU - Wulff, Jennifer PY - 2010 DA - 2010/12/17 TI -个人患者资料-前列腺(P3P)的开发和评估，基于web的男性新诊断局限性前列腺癌的决策支持系统JO - J Med Internet Res SP - e67 VL - 12 IS - 4kw -前列腺癌KW -决策KW -计算机辅助KW -试点研究AB -背景:考虑到没有其他高发病率的局限性前列腺癌(LPC)有如此多的治疗方法，而与结果相关的确定性却如此之少，许多男性面临着在临床医生的指导下为治疗决定承担一定的责任。男人强烈地认为他们自己的个人特征和其他个人因素对决定是重要的和有影响的。临床研究人员还没有开发或全面调查干预措施，以促进洞察和优先考虑个人因素和医疗因素，这是一个人在准备治疗决定时所必需的。目的:这项试点研究的目的是开发和评估基于web的决策支持技术的可行性和可用性，个人患者资料-前列腺(P3P)，在新诊断为LPC的男性。方法:先开发用例，再开发基础设施和内容应用。该程序是在一台带有触摸屏显示器的个人台式电脑上提供的。参与者对P3P查询组件的回答决定了多媒体教育和指导干预的内容。根据种族、年龄和影响决定的个人因素进行干预。 Prepilot usability testing was conducted using a “think aloud” interview to identify navigation and content challenges. These issues were addressed prior to deployment in the clinic. A clinical pilot was conducted in an academic medical center where men sought consultation and treatment for LPC. Completion time, missing data, and acceptability were measured. Results: Prepilot testing included 4 men with a past diagnosis of LPC who had completed therapy. Technical navigation issues were documented along with confusing content language. A total of 30 additional men with a recent diagnosis of LPC completed the P3P program in clinic prior to consulting with a urologist regarding treatment options. In a mean time of 46 minutes (SD 13 minutes), participants completed the P3P query and intervention components. Of a possible 4560 items for 30 participants, 22 (0.5%) were missing. Acceptability was reported as high overall. The sections of the intervention reported as most useful were the statistics graphs, priority information topics, and annotated external website links. Conclusions: The P3P intervention is a feasible and usable program to facilitate treatment decision making by men with newly diagnosed LPC. Testing in a multisite randomized trial with a diverse sample is warranted. SN - 1438-8871 UR - //www.mybigtv.com/2010/4/e67/ UR - https://doi.org/10.2196/jmir.1576 UR - http://www.ncbi.nlm.nih.gov/pubmed/21169159 DO - 10.2196/jmir.1576 ID - info:doi/10.2196/jmir.1576 ER -