How does a German audience appraise an American decision aid on early stage breast cancer?

被引：10

作者：

Albrecht, Karoline ^{[1
,6
]}

Simon, Daniela ^{[1
,6
]}

Buchholz, Angela ^{[1
,6
]}

Reuter, Katrin ^{[1
,6
]}

Frosch, Dominick ^{[3
,4
,5
]}

Seebauer, Laura ^{[1
,6
]}

Haerter, Martin ^{[1
,2
,6
]}

机构：

[1] Univ Med Ctr Freiburg, Dept Psychiat & Psychotherapy, Clin Epidemiol Sect, D-79104 Freiburg, Germany

[2] Univ Med Ctr Hamburg Eppendorf, Ctr Psychosocial Med, Inst & Policlin Med Psychol, Hamburg, Germany

[3] Palo Alto Med Fdn Res Inst, Dept Hlth Serv Res, Palo Alto, CA USA

[4] Univ Calif Los Angeles, Dept Med, Div Gen Internal Med, Los Angeles, CA 90024 USA

[5] Univ Calif Los Angeles, Dept Med, Hlth Serv Res, Los Angeles, CA 90024 USA

[6] Univ Med Ctr Freiburg, Dept Psychiat & Psychotherapy, Hlth Serv Res, D-79104 Freiburg, Germany

来源：

PATIENT EDUCATION AND COUNSELING | 2011年 / 83卷 / 01期

关键词：

Decision aid; Cultural adaptation; Focus group study; Early stage breast cancer; PHYSICIAN PERCEPTIONS; CULTURAL SENSITIVITY; PATIENT PREFERENCES; PARTICIPATION; WOMEN; CARE;

D O I：

10.1016/j.pec.2010.04.038

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To investigate how a German audience appraises an American video-based decision aid on early stage breast cancer for potential use in Germany. Methods: A German synchronized voice-over version was produced and subject to different focus groups with patients (n = 9), health care providers (n = 7) and German health care experts (n = 15) using an individual questionnaire-based evaluation and a moderated group discussion. Research questions included a general appraisal of the decision aid and the exploration of adaptation needs for use in Germany. Descriptive statistics were calculated and the qualitative data were analyzed applying an inductive approach to categorize the statements. Results: The general appraisal of the decision aid revealed positive results in all groups, especially with regard to comprehensible presentation of information and integration of patients' testimonials. However, cultural differences between the American decision aid and Germany were debated in all groups. Conclusion: Despite a high general interest and positive appraisal of the decision aid, the results of this study suggest that it cannot just be translated and used in another country. Practice implications: The decision aid needs further cultural adaptation and testing in an implementation study before it can be transferred to Germany. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

引用

页码：58 / 63

页数：6

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