The role of needs assessment in designing a community-based mammography education program for urban women
The role of needs assessment in designing a community-based mammography education program for urban women
复制标题
需求评估在为城市女性设计基于社区的乳房X线摄影教育计划中的作用
DOI：
10.1093/her/4.4.469
复制
发表时间：
1989
影响因子：
2.4
通讯作者：
J. Stein
中科院分区：
文献类型：
--
作者：
D. Morisky;S. Fox;P. Murata;J. Stein
本文描述了为增加筛查性乳房X光检查的使用而开发的社区范围教育计划的概念化、实施和评估框架。来自大洛杉矶地区三个社区的妇女的调查结果被用来确定有关乳房 X 光检查筛查知识、信念和实践的基线信息。这项需求评估表明，乳房 X 光检查筛查率因种族、首选语言、社区、年龄、教育、收入以及倾向态度和看法而存在显着差异。例如，与讲英语的女性相比，讲西班牙语的女性在过去 12 个月内听说过乳腺癌的可能性要低得多。西班牙裔女性做过乳房X光检查的可能性也只有白人女性的一半。该教育计划中实施的干预活动响应了各种调查结果。由两个治疗群体和一个对照群体组成的准实验设计用于评估该计划的效果。还使用形成性评价方法。讨论了社区干预的细节以及对健康教育实践的影响。
This paper describes the conceptualization, implementation and evaluation framework of a community-wide education program developed to increase the use of screening mammography. Survey results from women in three communities in the Greater Los Angeles Area were used to identify baseline information on knowledge, beliefs and practices regarding screening mammography. This needs assessment indicated significant differences in the rate of mammography screening by race, preferred language, community, age, education, income and predisposing attitudes and perceptions. For instance, Spanish-speaking women were much less likely to have heard about breast cancer in the past 12 months compared with their English-speaking counterparts. Hispanic women were also half as likely as White women to ever have a mammo-gram. The intervention activities being implemented in this education program respond to the various findings. A quasi-experimental design consisting of two treatment communities and one control community is used to evaluate the effects of the program. Formative evaluation methods are used as well. The details of the community interventions and the implications for health education practice are discussed.