数字工具以支持基于人群的癌症筛查位置的筛查邀请员之间的明智决策：范围审查

处于脆弱位置的个人通常不太倾向于参加基于人群的癌症筛查。数字工具（例如教育视频，叙事或决策辅助工具）通过根据其偏好来量身定制信息需求来触及和告知这些邀请员。这篇评论旨在概述设计功能和报告的数字工具结果，旨在支持易受伤害的筛选邀请人之间的明智决策。审查是根据Scoping Reviews指南的首选报告项目进行的审查。我们搜索了PubMed，Scopus/Medline和Web of Science，并在评估和/或专注于到达和/或告知筛查的邀请员处于乳房，宫颈癌或结直肠癌筛查的位置时，还包括了研究。对于每项研究，研究人群，数字工具的类型，开发过程，报告的设计特征和报告的效果都被提取。我们发现了448篇文章，最后在阅读全文后将13篇文章包括在本综述中。研究设计包括随机对照试验（n = 5），预测试前设计（n = 7）和实验设计（n = 1）。确定了六种不同类型的数字工具：决策辅助工具（n = 6），教育程序（n = 3），叙事视频（n = 1），文本处理干预（n = 1），动画视频（n = 1）和iPad程序（n = 1）。在12/13的干预措施中采用了特定于人群的设计，例如避免行话并使用语音对功能进行语音。有关达到目标人群的报告结果措施是：知识，态度，筛选意图，自我效能，敏感性，感觉知情，价值清晰度和筛选吸收。所有数字工具均报告了至少一项报告的结果指标的重大改进。数字工具的使用似乎有助于在脆弱的癌症筛查位置触及或告知筛查邀请员。但是，发现有关工具的开发过程及其对与达到和告知筛查邀请人有关的结果指标的影响的证据不足。未来的研究可能会将多种数字工具和动画视觉信息与口头文本结合起来，以改善范围并在脆弱的位置告知筛选邀请人。

Individuals in a vulnerable position are generally less inclined to participate in population-based cancer screening. Digital tools, such as educational videos, narratives or decision aids, show promise in reaching and informing these invitees by tailoring information needs based on their preferences. This review aims to provide an overview of design features and reported outcomes of digital tools intended to support informed decision making among screening invitees in a vulnerable position.The review was conducted according to the Preferred Reporting Items for Scoping Reviews guidelines. We searched PubMed, Scopus/MEDLINE and Web of Science and included studies when the effectiveness of the digital tool was assessed and focussed on reaching and/or informing screening invitees in a vulnerable position for breast, cervical or colorectal cancer screening. For each included study, the study population, type of digital tool, the development process, reported design features and reported effects were extracted.We found 448 articles, and finally 13 were included in this review after reading full text. Study designs included randomised controlled trials (n = 5), pre-post-test design (n = 7) and experimental design (n = 1). Six different types of digital tools were identified: decision aids (n = 6), educational programs (n = 3), narrative video (n = 1), text-messaging intervention (n = 1), animation video (n = 1), and iPad program (n = 1). A population specific design was applied in 12/13 interventions, such as avoiding jargon and using a voice over function. Reported outcomes measures regarding reaching and informing the target population were: knowledge, attitude, screening intention, self-efficacy, susceptibility, feeling informed, values clarity, and screening uptake. All digital tools reported a significant improvement on at least one of the reported outcome measures.The use of digital tools seems to contribute to reach or inform screening invitees in a vulnerable position for cancer screening. However, insufficient evidence was found regarding the development process of the tools and their effects on outcome measures related to reaching and informing the screening invitees in a vulnerable position. Future research may look in to combining multiple digital tools and animated visual information in combination with spoken text to improve reaching and informing screening invitees in a vulnerable position.