The Effect of Educational Intervention Based on Health Belief Model and Social Support on the Rate of Participation of Individuals in Performing Fecal Occult Blood Test for Colorectal Cancer Screening
The Effect of Educational Intervention Based on Health Belief Model and Social Support on the Rate of Participation of Individuals in Performing Fecal Occult Blood Test for Colorectal Cancer Screening
复制标题
DOI：
10.22034/apjcp.2018.19.10.2777
复制
发表时间：
2018-10-26
期刊：
影响因子：
--
通讯作者：
Afzali Harsini, Pooyan
中科院分区：
文献类型：
--
作者：
Gholampour, Yousef;Jaderipour, Atefeh;Afzali Harsini, Pooyan
背景与目的：在结直肠癌的筛查试验中，粪便潜血试验(FOBT)因其使用方便、费用低廉而在其他方法中占有重要地位，本研究的目的是调查基于健康信念模式和社会支持的教育干预对伊朗法萨市卫生中心就诊的男性结直肠癌筛查大便潜血试验参与率的影响。材料和方法：本准实验研究于2017年在伊朗法尔斯省法萨市选取男性200人(实验组100人，对照组100人)。采用人口学资料、知识、HBM结构(知觉易感性、严重性、益处、障碍、自我效能感和线索行为)和社会支持问卷，测量干预前和干预后3个月进行大便隐血试验筛查结直肠癌的参与率。数据分析采用SPSS22描述性和推断性统计、配对t检验、Mann-Whitney检验、卡方检验和显著性水平为0.5的独立t检验。结果：试验组男性平均年龄为63.18±8.25岁，对照组为65.11±7.66岁。干预3个月后，实验组FOBT受试者的知识、易感性、严肃性、获得性、自我效能感、行动线索、社会支持和推荐(参与)水平均显著高于对照组。结论：本研究显示了家庭支持结构和社会支持对男性参与程度的影响。因此，这些模型可以作为设计和实施FOBT教育干预措施的框架。
Background and Aim: Among the screening tests for colorectal cancer, fecal occult blood test (FOBT) is important incomparison other methods due to its ease of use and low cost.The aim of this study is to survey the effect of educationalintervention based on health belief model and social support on the rate of participation of individuals in performingfecal occult blood test for colorectal cancer screening among men who referred to the health centers in FasaCity, Farsprovince, Iran. Materials and Methods: In this quasi-experimental study, 200 men (100 in experimental group and100 in control group) in FasaCity, Fars province, Iranwere selected in 2017. A questionnaire consisting of demographicinformation, knowledge, HBM constructs (perceived susceptibility, severity, benefits, barriers, self- efficacy and cuesto action) and social support was used to measure the rate of participation of individuals in performing Fecal OccultBlood Test for colorectal cancer screening before and three months after the intervention. Data were analyzed usingSPSS22 viadescriptive and inferential statistics, paired t-test, Mann-Whitney, Chi-square, and independent t-test ata significance level of 0.5. Results: The mean age of the men was 63.18 ± 8.25 years in the experimental group and65.11 ± 7.66 years in the control group. Three months after the intervention, the experimental group showed a significantincrease in the knowledge, perceived susceptibility, perceived severity, perceived benefits, Self-efficacy, cues to action,social support and the level of referrals (participation) of subjects for FOBTcompared to the control group. Conclusion:This study showed the effectiveness of HBM constructs and social support in adoption of the level of participation ofsubjects for FOBTin men. Hence, these models can act as a framework for designing and implementing educationalinterventions for undergoing FOBT.