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Incorporating cancer risk information into general practice: a qualitative study using focus groups with health professionals. 将癌症风险信息纳入全科诊疗:利用与卫生专业人员的焦点小组开展的定性研究。
Pub Date : 2017-03-01 Epub Date: 2017-02-13 DOI: 10.3399/bjgp17X689401
Juliet A Usher-Smith, Barbora Silarova, Alison Ward, Jane Youell, Kenneth R Muir, Jackie Campbell, Joanne Warcaba

Background: It is estimated that approximately 40% of all cases of cancer are attributable to lifestyle factors. Providing people with personalised information about their future risk of cancer may help promote behaviour change.

Aim: To explore the views of health professionals on incorporating personalised cancer risk information, based on lifestyle factors, into general practice.

Design and setting: Qualitative study using data from six focus groups with a total of 24 general practice health professionals from the NHS Nene Clinical Commissioning Group in England.

Method: The focus groups were guided by a schedule covering current provision of lifestyle advice relating to cancer and views on incorporating personalised cancer risk information. Data were audiotaped, transcribed verbatim, and then analysed using thematic analysis.

Results: Providing lifestyle advice was viewed as a core activity within general practice but the influence of lifestyle on cancer risk was rarely discussed. The word 'cancer' was seen as a potentially powerful motivator for lifestyle change but the fact that it could generate health anxiety was also recognised. Most focus group participants felt that a numerical risk estimate was more likely to influence behaviour than generic advice. All felt that general practice should provide this information, but there was a clear need for additional resources for it to be offered widely.

Conclusion: Study participants were in support of providing personalised cancer risk information in general practice. The findings highlight a number of potential benefits and challenges that will inform the future development of interventions in general practice to promote behaviour change for cancer prevention.

背景:据估计,约 40% 的癌症病例可归因于生活方式因素。向人们提供有关其未来患癌风险的个性化信息可能有助于促进行为改变。目的:探讨医疗专业人员对将基于生活方式因素的个性化癌症风险信息纳入全科实践的看法:定性研究使用了六个焦点小组的数据,共有 24 名来自英国国家医疗服务系统内内临床委员会小组的全科医疗专业人员参与:方法:焦点小组在一份日程表的指导下进行,该日程表涵盖了目前提供的与癌症有关的生活方式建议,以及对纳入个性化癌症风险信息的看法。对数据进行录音、逐字记录,然后使用主题分析法进行分析:结果:提供生活方式建议被视为全科医生的一项核心工作,但很少有人讨论生活方式对癌症风险的影响。癌症 "一词被视为改变生活方式的潜在强大动力,但它可能引发健康焦虑这一事实也得到了认可。大多数焦点小组参与者认为,数字风险估计比一般建议更有可能影响人们的行为。所有人都认为全科医生应该提供这种信息,但要广泛提供这种信息,显然需要额外的资源:研究参与者支持在全科医生中提供个性化的癌症风险信息。研究结果强调了一些潜在的益处和挑战,这些益处和挑战将为今后在全科医生中制定干预措施提供参考,以促进癌症预防行为的改变。
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引用次数: 0
1,3-Dichloropropene. 1, 3-Dichloropropene。
Pub Date : 1986-01-01 DOI: 10.1007/978-1-4612-4934-4_2
R S Yang
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引用次数: 39
Postharvest fungal decay control chemicals: Treatments and residues in citrus fruits 采后真菌腐烂控制化学品:柑橘类水果的处理和残留
Pub Date : 1986-01-01 DOI: 10.1007/978-1-4612-4934-4_3
D. Dezman, S. Nagy, G. E. Brown
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引用次数: 19
Regulatory aspects of bound residues (chemistry). 结合残基的调控方面(化学)。
Pub Date : 1986-01-01 DOI: 10.1007/978-1-4612-4934-4_1
M F Kovacs
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引用次数: 22
Effects of synthetic pyrethroid insecticides on nontarget organisms. 拟除虫菊酯类杀虫剂对非目标生物的影响。
Pub Date : 1986-01-01 DOI: 10.1007/978-1-4612-4934-4_4
T M Smith, G W Stratton
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引用次数: 259
The toxicology of methyl ethyl ketone. 甲基乙基酮的毒理学。
Pub Date : 1986-01-01 DOI: 10.1007/978-1-4612-4934-4_5
R S Yang
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引用次数: 5
Cadmium in aquatic food webs 水生食物网中的镉
Pub Date : 1985-01-01 DOI: 10.1007/978-1-4612-5140-8_2
S. H. Kay
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引用次数: 46
Protocol guidelines for the investigations of photochemical fate of pesticides in water, air, and soils 农药在水、空气和土壤中的光化学归宿调查的程序指南
Pub Date : 1985-01-01 DOI: 10.1007/978-1-4612-5140-8_4
G. G. Choudhry, G. Webster
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引用次数: 48
Samples used for interlaboratory studies of methods for pesticide residues analysis in foodstuffs. 食品中农药残留分析方法实验室间研究用样品。
Pub Date : 1985-01-01 DOI: 10.1007/978-1-4612-5140-8_1
N A Smart
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引用次数: 5
Compartmentation and reliability of sampling procedures in organochlorine pollution surveys of cetaceans. 鲸类有机氯污染调查中采样程序的划分和可靠性。
Pub Date : 1985-01-01 DOI: 10.1007/978-1-4612-5132-3_3
A Aguilar
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引用次数: 105
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Residue reviews
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