Hou Su-I, Fernandez Maria E, Baumler Elizabeth, Parcel Guy S
Department of Health Promotion and Behavior, School of Health and Human Performance, College of Education at the University of Georgia, Athens 30602-6522, USA.
J Community Health. 2002 Aug;27(4):277-90. doi: 10.1023/a:1016382327769.
This study assessed the effectiveness of a theory-based direct mail campaign in encouraging non-compliant women, aged 30 and older or younger if married, to obtain a Pap test. Participants were female family members of inpatients admitted to one of the major teaching hospitals in Taiwan during August-September 1999. A total of 424 women were recruited in the randomized intervention trial. Three months following implementation of the intervention, women in the intervention group reported a higher rate of Pap test screening than women in the comparison group (50% versus 32%) (p = 0.002). Women in the intervention group also showed higher perceived pros of a Pap test at follow-up (p = 0.031). Although women in both groups showed an increased knowledge and intention to obtain a Pap, only the intervention group had significantly higher follow-up scores on perceived pros and susceptibility. The results shows that the intervention was effective in increasing Pap test screening among Chinese women within three months. The results also support the use of Intervention Mapping, a systematic program development framework for planning effective interventions.
本研究评估了一项基于理论的直邮活动在鼓励30岁及以上或已婚的较年轻非依从性女性进行巴氏试验方面的有效性。参与者为1999年8月至9月期间入住台湾一家主要教学医院的住院患者的女性家庭成员。共有424名女性被纳入随机干预试验。干预实施三个月后，干预组女性报告的巴氏试验筛查率高于对照组（50%对32%）（p = 0.002）。干预组女性在随访时对巴氏试验的感知益处也更高（p = 0.031）。尽管两组女性在获取巴氏试验的知识和意愿方面均有所增加，但只有干预组在感知益处和易感性方面的随访得分显著更高。结果表明，该干预在三个月内有效提高了中国女性的巴氏试验筛查率。结果还支持使用干预映射法，这是一种用于规划有效干预措施的系统项目开发框架。
