Powe B D, Weinrich S
College of Nursing, Medical University of South Carolina, Charleston, USA.
Oncol Nurs Forum. 1999 Apr;26(3):583-8.
PURPOSE/OBJECTIVES: To evaluate the effectiveness of a video intervention in decreasing cancer fatalism, increasing knowledge of colorectal cancer, and increasing participation in fecal-occult blood testing (FOBT).
Repeated measures, pretest/post-test.
Senior citizen centers in a rural southern state.
Individuals were selected and assigned to the study group based on the center they attended. Centers were selected and assigned randomly to an intervention (n = 42) or control (n = 28) group. The age of the participants ranged from 52-92 years (X = 75).
Pretest measures included the Powe Fatalism inventory, the Colorectal Cancer Knowledge Questionnaire, and the Demographic Data Questionnaire. The intervention group viewed the Medical University of South Carolina's video Telling the Story ... To Live is God's Will, and the control group viewed the American Cancer Society (ACS) video Colorectal Cancer: The Cancer No One Talks About. Hemoccult II kits were distributed to both groups at no cost. Post-test data were collected using the Powe Fatalism Inventory and the Colorectal Cancer Knowledge Questionnaire.
Cancer fatalism, knowledge of colorectal cancer, and participation in FOBT.
People who viewed the intervention video had a greater decrease in cancer fatalism scores and a greater increase in knowledge of colorectal cancer scores than the control group. Both groups had greater than 60% participation in FOBT.
Telling the Story ... To Live is God's Will is an effective, self-contained, cost-effective intervention to decrease cancer fatalism and increase knowledge of colorectal cancer. The video was as effective as the ACS video on colorectal cancer in increasing participation in FOBT among rural elders. But, because Telling the Story ... To Live is God's Will also decreases cancer fatalism and increases knowledge, the potential exists for the increased screening behaviors to be maintained over time.
Showing the video in waiting areas of community health centers to facilitate the discussion of colorectal cancer and cancer screening with the healthcare professional is a possibility. Nursing students may benefit from using the video as a model for the integration of beliefs and attitudes in developing culturally appropriate, community-based interventions. More research is needed to determine if the positive outcomes of the intervention (i.e., decreased cancer fatalism, increased knowledge, increased participation in colorectal cancer screening) can be maintained over time.
目的/目标：评估视频干预在降低癌症宿命论、增加结直肠癌知识以及提高粪便潜血试验（FOBT）参与率方面的效果。
重复测量，前后测。
美国南部农村地区的老年中心。
根据参与者所在的中心进行选择并分配到研究组。中心被随机分配到干预组（n = 42）或对照组（n = 28）。参与者年龄在52 - 92岁之间（X = 75）。
前测包括鲍尔宿命论量表、结直肠癌知识问卷和人口统计学数据问卷。干预组观看南卡罗来纳医科大学的视频《讲述故事……活着是上帝的旨意》，对照组观看美国癌症协会（ACS）的视频《结直肠癌：无人谈论的癌症》。两组均免费发放便潜血Ⅱ试剂盒。后测数据通过鲍尔宿命论量表和结直肠癌知识问卷收集。
癌症宿命论、结直肠癌知识以及FOBT参与率。
观看干预视频的人群在癌症宿命论得分上的降幅大于对照组，在结直肠癌知识得分上的增幅也大于对照组。两组的FOBT参与率均超过60%。
《讲述故事……活着是上帝的旨意》是一种有效、独立且具有成本效益的干预措施，可降低癌症宿命论并增加结直肠癌知识。该视频在提高农村老年人FOBT参与率方面与ACS关于结直肠癌的视频效果相当。但是，由于《讲述故事……活着是上帝的旨意》还能降低癌症宿命论并增加知识，随着时间推移，存在维持筛查行为增加的可能性。
在社区健康中心的候诊区播放该视频，以便促进与医护人员就结直肠癌和癌症筛查进行讨论是可行的。护理专业学生可能会受益于将该视频作为在开发文化适宜的社区干预措施时整合信念和态度的范例。需要更多研究来确定干预的积极效果（即降低癌症宿命论、增加知识、提高结直肠癌筛查参与率）能否随着时间推移得以维持。
