Holubar Stefan D, Hassinger J Peyton, Dozois Eric J, Wolff Bruce G, Kehoe Michael, Cima Robert R
Department of Colon and Rectal Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
J Surg Res. 2009 Oct;156(2):305-11. doi: 10.1016/j.jss.2009.03.099. Epub 2009 May 13.
We aimed to determine if an e-learning module could improve colon cancer literacy in a community-based cohort, while obtaining variability estimates for subsequent study.
A convenience sample of subjects attending a health-education fair was surveyed to determine colon cancer literacy before-and-after viewing a colon cancer e-learning module. The difference in cancer literacy scores was assessed for significance using univariate analysis.
Twenty-two eligible subjects completed the survey: mean age 77.2+/-7.5 y, 55% women; 67% had at least some graduate-level education. Baseline colon cancer literacy was 72.6% +/- 11.6%; after the e-learning module, the mean colon cancer literacy score was 75.5% +/- 12.2%, representing a 3% improvement (P=0.33). After excluding a single problematic item identified by item analysis, the adjusted improvement was 7% (P=0.04). Invasiveness, malignant, and metastatic remained poorly understood concepts, while a large improvement (45%) was seen regarding the role of routine lymphadenectomy. Subject satisfaction with the module was universally (100%) high or very high.
Use of an e-learning module is associated with high patient satisfaction, and has potential to improve colon cancer literacy in laypersons. Randomized study is warranted to determine the incremental impact of this and other multimedia educational interventions.
我们旨在确定一个电子学习模块能否提高社区队列人群的结肠癌知识水平，同时获取后续研究的变异性估计值。
对参加健康教育博览会的受试者进行便利抽样，在观看结肠癌电子学习模块前后进行调查，以确定结肠癌知识水平。使用单变量分析评估癌症知识得分的差异是否具有显著性。
22名符合条件的受试者完成了调查：平均年龄77.2±7.5岁，55%为女性；67%至少拥有研究生学历。基线结肠癌知识水平为72.6%±11.6%；观看电子学习模块后，结肠癌知识平均得分是75.5%±12.2%，提高了3%（P = 0.33）。在排除项目分析中确定的一个有问题的项目后，调整后的提高幅度为7%（P = 0.04）。侵袭性、恶性和转移等概念仍理解不足，而关于常规淋巴结清扫术的作用则有大幅提高（45%）。受试者对该模块的满意度普遍（100%）很高或非常高。
使用电子学习模块与患者的高满意度相关，并且有可能提高外行人的结肠癌知识水平。有必要进行随机研究以确定此干预措施及其他多媒体教育干预措施的增量影响。
