Interactive, culturally sensitive education on colorectal cancer screening.
Interactive, culturally sensitive education on colorectal cancer screening.
复制标题
DOI：
10.1097/mlr.0b013e31818105a0
复制
发表时间：
2008-09
期刊：
影响因子：
3
通讯作者：
Kinney AY
中科院分区：
文献类型：
--
作者：
Menon U;Szalacha LA;Belue R;Rugen K;Martin KR;Kinney AY
增加结直肠癌筛查（CRCS）可以对发病率和死亡率产生实质性的积极影响。本报告的目的是描述一个以计算机为基础的，理论指导的教育计划，旨在提高CRCS的发展和可行性测试。这项混合方法研究使用焦点小组和随后的随机对照试验设计。参与者（N = 199）被随机分配到干预组或对照组; 75%为非洲裔美国人;平均年龄为57.36岁（SD = 6.8）; 71%为男性。先前验证的措施，知识，信念和筛选测试的坚持被用来建立干预前和干预后的看法。可行性是通过响应率和完成率以及参与者对该计划的看法来衡量的。在可行性测试之前，该计划被提交给2个焦点小组。根据讨论对程序进行了修改，从而形成了一个视觉上吸引人、易于理解和导航、自定进度的程序。在随后的RCT试点测试中，干预组的参与者中，80%的人说教育帮助他们决定接受CRCS; 49%的人同意它帮助他们克服障碍; 91%的人同意它是有用的，68%的人认为它引起了对癌症的新关注，但只有30%的人说它让他们担心CRC; 95%的人同意他们的医生办公室应该继续提供这样的教育，99%的人说他们会告诉家人这个项目。83%的应答率证明了在初级保健环境中进行结直肠癌教育的可行性;总体而言，该计划受到好评;参与者平均23分钟完成它。参与者没有寻求参加数据收集器的帮助，轻松地浏览了修订后的触摸屏计划。基于计算机的教育在初级保健诊所是可行的。
Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. This mixed-methods study used focus groups and subsequent randomized controlled trial design. Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants’ perceptions of the program. Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.