PDF(Pubmed)
Abstract：
BACKGROUND: Carers often assume key roles in cancer care. However, many carers report feeling disempowered and ill-equipped to support patients. Our group published evidence-based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers.
OBJECTIVE: To facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence-based and interactive web-based education modules for oncology clinicians (e-Triadic Oncology [eTRIO]), patients with cancer, and carers (eTRIO for Patients and Carers [eTRIO-pc]). These were designed to improve carer involvement, communication, and shared decision-making in the cancer management setting.
METHODS: The eTRIO education modules were based on extensive research, including systematic reviews, qualitative interviews, and consultation analyses. Guided by the person-based approach, module content and design were reviewed by an expert advisory group comprising academic and clinical experts (n=13) and consumers (n=5); content and design were continuously and iteratively refined. User experience testing (including \"think-aloud\" interviews and administration of the System Usability Scale [SUS]) of the modules was completed by additional clinicians (n=5), patients (n=3), and carers (n=3).
RESULTS: The final clinician module comprises 14 sections, requires approximately 1.5 to 2 hours to complete, and covers topics such as carer-inclusive communication and practices; supporting carer needs; and managing carer dominance, anger, and conflicting patient-carer wishes. The usability of the module was rated by 5 clinicians, with a mean SUS score of 75 (SD 5.3), which is interpreted as good. Clinicians often desired information in a concise format, divided into small \"snackable\" sections that could be easily recommenced if they were interrupted. The carer module features 11 sections; requires approximately 1.5 hours to complete; and includes topics such as the importance of carers, carer roles during consultations, and advocating for the patient. The patient module is an adaptation of the relevant carer module sections, comprising 7 sections and requiring 1 hour to complete. The average SUS score as rated by 6 patients and carers was 78 (SD 16.2), which is interpreted as good. Interactive activities, clinical vignette videos, and reflective learning exercises are incorporated into all modules. Patient and carer consumer advisers advocated for empathetic content and tone throughout their modules, with an easy-to-read and navigable module interface.
CONCLUSIONS: The eTRIO suite of modules were rigorously developed using a person-based design methodology to meet the unique information needs and learning requirements of clinicians, patients, and carers, with the goal of improving effective and supportive carer involvement in cancer consultations and cancer care.
OBJECTIVE: To facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence-based and interactive web-based education modules for oncology clinicians (e-Triadic Oncology [eTRIO]), patients with cancer, and carers (eTRIO for Patients and Carers [eTRIO-pc]). These were designed to improve carer involvement, communication, and shared decision-making in the cancer management setting.
METHODS: The eTRIO education modules were based on extensive research, including systematic reviews, qualitative interviews, and consultation analyses. Guided by the person-based approach, module content and design were reviewed by an expert advisory group comprising academic and clinical experts (n=13) and consumers (n=5); content and design were continuously and iteratively refined. User experience testing (including \"think-aloud\" interviews and administration of the System Usability Scale [SUS]) of the modules was completed by additional clinicians (n=5), patients (n=3), and carers (n=3).
RESULTS: The final clinician module comprises 14 sections, requires approximately 1.5 to 2 hours to complete, and covers topics such as carer-inclusive communication and practices; supporting carer needs; and managing carer dominance, anger, and conflicting patient-carer wishes. The usability of the module was rated by 5 clinicians, with a mean SUS score of 75 (SD 5.3), which is interpreted as good. Clinicians often desired information in a concise format, divided into small \"snackable\" sections that could be easily recommenced if they were interrupted. The carer module features 11 sections; requires approximately 1.5 hours to complete; and includes topics such as the importance of carers, carer roles during consultations, and advocating for the patient. The patient module is an adaptation of the relevant carer module sections, comprising 7 sections and requiring 1 hour to complete. The average SUS score as rated by 6 patients and carers was 78 (SD 16.2), which is interpreted as good. Interactive activities, clinical vignette videos, and reflective learning exercises are incorporated into all modules. Patient and carer consumer advisers advocated for empathetic content and tone throughout their modules, with an easy-to-read and navigable module interface.
CONCLUSIONS: The eTRIO suite of modules were rigorously developed using a person-based design methodology to meet the unique information needs and learning requirements of clinicians, patients, and carers, with the goal of improving effective and supportive carer involvement in cancer consultations and cancer care.
摘要：
背景：看护者通常在癌症治疗中扮演关键角色。然而,许多护理人员报告说，他们感到没有能力和能力支持病人。我们小组发布了基于证据的指南（TriadicOncology[TRIO]指南），以改善肿瘤学临床医生与护理人员的互动以及对涉及护理人员的挑战性情况的管理。
目的：为了促进TRIO指南在临床实践中的实施，我们的目标是发展，迭代地细化，并为肿瘤临床医生（e-TriadicOncology[eTRIO]）进行一套基于证据和基于网络的交互式教育模块的用户测试，癌症患者,和护理人员（患者和护理人员的ETRIO[ETRIO-pc]）。这些旨在提高护理人员的参与度，通信,和癌症管理环境中的共同决策。
方法：eTRIO教育模块基于广泛的研究，包括系统审查，定性访谈，和咨询分析。在以人为本的指导下，模块内容和设计由一个由学术和临床专家(n=13)和消费者(n=5)组成的专家咨询小组进行审查;内容和设计被不断地和迭代地改进.模块的用户体验测试（包括“大声思考”访谈和系统可用性量表[SUS]的管理）由其他临床医生完成（n=5），患者（n=3），和照顾者（n=3）。
结果：最终的临床医生模块包括14个部分，大约需要1.5到2个小时才能完成，涵盖照顾者包容性沟通和实践等主题；支持照顾者的需求；管理照顾者的主导地位，愤怒,和相互矛盾的病人照顾者的愿望。该模块的可用性由5名临床医生评估，平均SUS得分为75（SD5.3），这被解释为好。临床医生通常希望以简洁的格式提供信息，分成小的“零食”部分，如果被打断，可以很容易地重新开始。护理人员模块包含11个部分；需要大约1.5小时才能完成；包括护理人员的重要性、在协商期间照顾者的角色，为病人辩护。患者模块是相关护理人员模块部分的改编，包括7节，需要1小时才能完成。6名患者和护理人员的平均SUS评分为78（SD16.2），这被解释为好。互动活动,临床小插图视频，和反思性学习练习被纳入所有模块。病人和照顾者的消费者顾问主张在他们的模块中提供同情的内容和语气，具有易于阅读和导航的模块界面。
结论：eTRIO模块套件是使用基于人员的设计方法严格开发的，以满足临床医生的独特信息需求和学习要求。病人,和照顾者，目的是提高护理人员在癌症咨询和癌症护理中的有效和支持性参与。
目的：为了促进TRIO指南在临床实践中的实施，我们的目标是发展，迭代地细化，并为肿瘤临床医生（e-TriadicOncology[eTRIO]）进行一套基于证据和基于网络的交互式教育模块的用户测试，癌症患者,和护理人员（患者和护理人员的ETRIO[ETRIO-pc]）。这些旨在提高护理人员的参与度，通信,和癌症管理环境中的共同决策。
方法：eTRIO教育模块基于广泛的研究，包括系统审查，定性访谈，和咨询分析。在以人为本的指导下，模块内容和设计由一个由学术和临床专家(n=13)和消费者(n=5)组成的专家咨询小组进行审查;内容和设计被不断地和迭代地改进.模块的用户体验测试（包括“大声思考”访谈和系统可用性量表[SUS]的管理）由其他临床医生完成（n=5），患者（n=3），和照顾者（n=3）。
结果：最终的临床医生模块包括14个部分，大约需要1.5到2个小时才能完成，涵盖照顾者包容性沟通和实践等主题；支持照顾者的需求；管理照顾者的主导地位，愤怒,和相互矛盾的病人照顾者的愿望。该模块的可用性由5名临床医生评估，平均SUS得分为75（SD5.3），这被解释为好。临床医生通常希望以简洁的格式提供信息，分成小的“零食”部分，如果被打断，可以很容易地重新开始。护理人员模块包含11个部分；需要大约1.5小时才能完成；包括护理人员的重要性、在协商期间照顾者的角色，为病人辩护。患者模块是相关护理人员模块部分的改编，包括7节，需要1小时才能完成。6名患者和护理人员的平均SUS评分为78（SD16.2），这被解释为好。互动活动,临床小插图视频，和反思性学习练习被纳入所有模块。病人和照顾者的消费者顾问主张在他们的模块中提供同情的内容和语气，具有易于阅读和导航的模块界面。
结论：eTRIO模块套件是使用基于人员的设计方法严格开发的，以满足临床医生的独特信息需求和学习要求。病人,和照顾者，目的是提高护理人员在癌症咨询和癌症护理中的有效和支持性参与。
