@Article{信息:doi/10.2196/11027,作者=“Scherer, Aaron M和Witteman, Holly O和Solomon, Jacob和Exe, Nicole L和Fagerlin, Angela和zikmundd - fisher, Brian J”,标题=“通过替换(不添加)目标范围来提高对测试结果的理解:web - Between-Subjects Experiment”,期刊=“J Med Internet Res”,年=“2018”,月=“Oct”,日=“19”,卷=“20”,号=“10”,页=“e11027”,关键词=“决策、患者教育、电子病历、计算机图形学、临床实验室信息系统”,摘要=“背景:大多数实验室检测结果显示都包含一个标准参考范围”。然而,对于一些患者(例如慢性病患者),在标准范围内获得结果可能是无法实现的,不合适的,甚至是有害的。目的:本研究的目的是检验在标准范围外纳入临床适宜目标范围对实验室检测结果视觉显示的影响。方法:参与者(N=6776)来自一个人口统计学上不同的基于网络的小组,他们将假设的糖化血红蛋白(HbA1c)测试结果(HbA1c为6.2{\%}或8.2{\%})作为2型糖尿病管理方案的一部分。测试结果可视显示包括标准范围(仅为4.5{\%}-5.7{\%})、标准范围中添加的目标范围(6.5{\%}-7.5{\%})或仅为目标范围。结果以以下三种显示格式中的一种显示:(1)表格;(2)简单、双色数轴(简单线);或(3)用彩色块表示诊断类别的数轴(块线)。主要结局指标是对测试结果的理解和负面反应。 Results: While goal range information did not influence the understanding of HbA1c=8.2{\%} results, the goal range only display produced higher levels of comprehension and decreased negative reactions to HbA1c=6.2{\%} test results compared with the no goal range and goal range added conditions. Goal range information was less helpful in the block line condition versus the other formats. Conclusions: Replacing the standard range with a clinically appropriate goal range could help patients better understand how their test results relate to their personal targets. ", issn="1438-8871", doi="10.2196/11027", url="//www.mybigtv.com/2018/10/e11027/", url="https://doi.org/10.2196/11027", url="http://www.ncbi.nlm.nih.gov/pubmed/30341053" }
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