Details of Cancer Education Programs for Adolescents and Young Adults and Their Effectiveness: A Scoping Review
Details of Cancer Education Programs for Adolescents and Young Adults and Their Effectiveness: A Scoping Review
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青少年和年轻人癌症教育计划的详细信息及其有效性：范围界定审查
DOI：
10.1089/jayao.2021.0160
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发表时间：
2022
影响因子：
2
通讯作者：
Tomari Yuko
中科院分区：
文献类型：
--
作者：
Suzuki Kumi;Yamanaka Masako;Minamiguchi Yoko;Hayashi Naoko;Yamauchi Eiko;Fukawa Akiko;Tsuda Yasuhiro;Fujisaka Yasuhito;Doi Tomoki;Shiino Ikue;Tomari Yuko
本综述的目的是确定针对青少年和年轻人（AYAs）开展了哪些癌症教育计划，以及他们取得了哪些成果。使用的数据库为MEDLINE、CINAHL和Web of Science，检索期设定为2011-2020年。使用乔安娜布里格斯研究所的关键评价工具对提取的文献进行质量评价。分析的主题是29项研究：10项随机对照试验和19项准实验设计。关于数据中发现的癌症种类，按降序排列，10份文件关注宫颈癌，9份关注一般癌症，4份关注乳腺癌。大多数研究都只关注AYA，只有三项研究同时涉及他们的父母。许多研究使用了基于讲座的干预措施，以及使用网站和手机的信息技术干预措施。该计划的主题包括癌症流行病学，癌症风险因素，癌症警告标志和症状，预防方法和筛查方法。干预后，所有研究都显示至少一项结果指标有统计学显著改善，包括对癌症的知识和认识、健康信念和采取预防行动的意图，这表明教育干预的基础。在AYA的生活方式变得更加具体的时候，对他们进行癌症教育，可以预期对成年后的癌症预防行为产生积极影响，提高他们父母对癌症的认识，并对筛查周围的行为产生积极影响。
The purpose of this review was to establish what cancer education programs have been carried out aimed at adolescents and young adults (AYAs) and what outcomes they achieved. The databases used were MEDLINE, CINAHL, and Web of Science, and the search period was set as 2011–2020. The extracted literature was evaluated for quality using the Joanna Briggs Institute's critical appraisal tools. The subjects of the analysis were 29 studies: 10 randomized controlled trials and 19 quasi-experimental designs. Regarding the varieties of cancers found in the data, in descending order, 10 documents looked at cervical cancer, 9 looked at cancer in general, and 4 looked at breast cancer. Most studies focused on AYAs exclusively, with just three studies involving their parents simultaneously. Many studies used lecture-based intervention, with information technology-based interventions using websites and cell phones. Topics included in the program were cancer epidemiology, cancer risk factors, cancer warning signs and symptoms, prevention methods, and screening methods. After the intervention, all studies showed statistically significant improvements in at least one outcome measure, which included knowledge and awareness of cancer, health beliefs, and intent to take preventive action, demonstrating a basis for educational intervention. Educating AYAs about cancer at a time when their ways of life are becoming more concrete can be expected to have a positive impact on cancer preventing behaviors in adulthood, increase their parents' awareness of cancer, and have a positive impact on behavior around screening.