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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,Papanicolaou Test,Protection motivation theory,Uterine Cervical Neoplasms
- چکیده:
- چکیده انگلیسی: Objective: This study aimed to determine the effectiveness of an educational intervention to prevent cervical cancer
among marginalized Iranianwomen based on the Protection Motivation Theory (PMT) as a theoretical framework.
Methods: This quasi-experimental study was carried out on 143 women of Kermanshah City in western Iran during
2017. Participants were recruited through cluster and simple random sampling and randomly divided into experimental
(n=72) and control groups (n=71). All completed a self-administered questionnaire including PMT constructs and
demographic variables. An intervention over six sessions was then applied to the experimental group. Reassessment
was conducted three months after the intervention, with data was analyzed with SPSS-16 using chi-square, McNemar,
paired T- and independent T-tests. Results: The mean scores for the constructs of PMT, and cervical cancer screening
behavior showed no significant differences between the two groups before the intervention (P>0.05). The educational
manipulation had significant effects on the experimental groups’ average response for perceived vulnerability, perceived
severity, perceived reward, self-efficacy, response efficacy, response cost and protection motivation (all p < 0.001).
Also, the prevalence of regular Pap smear testing and referral to health centers were significantly increased after 3
months in the experimental (P=0.048), but notthe control group (P>0.05). Conclusions: The results show that applying
an educational intervention based on PMT might help prevent cervical cancer and improve regular Pap smear testing.- انتشار مقاله: 30-06-1396
- نویسندگان: Shabnam Malmir,Majid Barati,Ali Khani Jeihooni,Saeed Bashirian,Seyed Mohammad Mehdi Hazavehei
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Colorectal neoplasms,Intervention mapping
- چکیده:
- چکیده انگلیسی:
Background: While the incidence rate of the colorectal cancer (CRC) has been increasing over the last three decades in Iran, very limited interventions to increase CRC screening have been developed for Iranian population. The purpose of this study was to describe the use of Intervention Mapping (IM) for applying theory and evidence and considering local contexts to develop a CRC screening program among adults in Iran. Materials and Methods: From April 2014 to July 2016 following the IM process, six steps were formulated and implemented. First a need assessment was conducted involving relevant stakeholders and using focus groups discussions (n=10), individual interviews (n=20), and a household survey (n= 480). Then a matrix of change objectives was developed for each behavioral outcome and theoretical methods and their practical applications were identified to guide intervention development and implementation. A multi-component intervention was developed and piloted. Decision on suitable parts of intervention was made based on feedback of pilot study. Finally, evaluation plan including process and outcome evaluation was generated and conducted to inform future scale up. Results: The needs assessment highlighted factors affecting CRC screening including knowledge, self efficacy, social support and perceived benefit and barriers (financial problems, fear of detection of cancer and etc). Results of needs assessment were used to develop next steps IM. The program utilized methods like information delivery, modeling, and persuasion. Practical applications included video presentation, group discussion, role playing and postcards.This program was assessed through a cluster-randomized controlled trial. Results showed that there were significant differences in CRC screening uptake between intervention groups and control (P<0.001). Conclusions: IM is a useful process in the design of a theory-based intervention addressing CRC screening among Iranian population.- انتشار مقاله: 12-02-1396
- نویسندگان: Fereshteh Besharati,Akram Karimi-Shahanjarini,Seyed Mohammad Mehdi Hazavehei,Saeid Bashirian,Fahimeh Bagheri,Javad Faradmal
- مشاهده