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The Patient in Precision Medicine: A Systematic Review Examining Evaluations of Patient-Facing Materials

机译:精准医学中的患者:对面向患者的材料的系统评价审查

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摘要

Precision medicine (PM) has the potential to tailor healthcare to the individual patient by using their genetic information to guide treatment choices. However, this process is complex and difficult to understand for patients and providers alike. With a recent push in the healthcare community to understand the patient experience and engage patients in their care, it is important to give patients the opportunity to learn about PM. We performed a systematic review to identify previous work assessing the quality of patient-facing PM materials from 2008 to July 2018. Ten studies were identified, which used varying methods and measures. A qualitative assessment was conducted to compare key elements of the studies, including study design, characteristics of the participant population, what measurements were used to assess the PM materials, understandability, preference, psychological reactions, and the type of PM materials being assessed. The studies identified provide important groundwork by highlighting consistent aspects of design that aid in comprehension. Eight of the ten studies focused on the content and organization of genomic test results, while the remaining two assessed educational tools. Two main design elements that appeared across the studies were appropriately designed visual aids and simplified language. The studies identified were limited by the participant populations that were used, which were primarily white and well educated. Only one study attempted to oversample patient populations typically underrepresented in this type of research. Through our systematic review, it is evident that the breadth of knowledge in this field is limited in scope and that more work must be done to ensure that patients can engage in their care when faced with PM.
机译:精准医学(PM)可以利用他们的遗传信息来指导患者的选择,从而为每个患者量身定制医疗保健。但是,此过程非常复杂,患者和医护人员都难以理解。随着医疗保健界最近对了解患者经验并让患者参与治疗的推动,给患者提供学习PM的机会很重要。我们进行了系统的评估,以确定以前评估2008年至2018年7月面向患者的PM材料质量的工作。确定了十项研究,这些研究使用了不同的方法和措施。进行了定性评估,以比较研究的关键要素,包括研究设计,参与者人群的特征,使用哪些度量来评估PM材料,可理解性,偏好,心理反应以及所评估的PM材料类型。通过强调有助于理解的一致设计方面,确定的研究提供了重要的基础。十项研究中的八项专注于基因组测试结果的内容和组织,而其余两项评估了教育工具。研究中出现的两个主要设计元素是适当设计的视觉辅助工具和简化的语言。所确定的研究受到所使用参与者的限制,这些参与者主要是白人并且受过良好教育。只有一项研究试图对这类研究中代表性不足的患者人群进行超采样。通过我们的系统评价,很明显,该领域的知识范围有限,并且必须做更多的工作以确保患者在面对PM时能够进行护理。

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