自信地谈论癌症：对社区卫生工作者癌症意识培训的评估
Talking about cancer with confidence: evaluation of cancer awareness training for community-based health workers.
作者信息
Grimmett Chloe, Macherianakis Alexis, Rendell Helen, George Helen, Kaplan Gwen, Kilgour Gillian, Power Emily
机构信息
Faculty of Health Sciences, University of Southampton, UK.
Independent Consultant in Public Health Medicine, Birmingham, UK.
出版信息
Perspect Public Health. 2014 Sep;134(5):268-75. doi: 10.1177/1757913914534840.
AIMS
To examine the impact of cancer awareness training for community-based health workers on confidence to talk about cancer, and knowledge of cancer risk factors and signs and symptoms.
METHODS
Community-based health workers from Sandwell, Birmingham and Solihull were invited to take part in one of 14 one-day training workshops. Trainees completed questionnaires at the beginning of the workshop and were followed up one month later. Confidence in talking about cancer was examined. Knowledge of cancer risk factors and signs and symptoms was assessed. Trainees were asked to rate the usefulness of the workshop, whether they would recommend it to others and whether they had put what they had learnt into practice.
RESULTS
A total of 187 community-based health workers took part in the workshops, and 167 (89%) completed the one-month follow-up. Considerable improvements were observed in confidence to discuss cancer. For example, the proportion of participants reporting feeling 'very confident'/'fairly confident' in discussing signs and symptoms of cancer increased from 32% to 96% (p < .001). Substantial improvements in trainees' knowledge were also observed, with 79% of participants correctly identifying 10 out of 11 known risk factors for cancer at one month compared with 21% before training (p < .001). Average (unprompted) recall of cancer signs and symptoms also increased from 2.3 (± 1.6) to 2.7 (± 1.5), (p = .02). Most trainees (83%) rated the workshop as 'very useful', and 89% said they would 'definitely' recommend the workshop.
CONCLUSION
The cancer awareness training was reviewed positively by community-based health workers and led to improvements in confidence to talk about cancer, and knowledge of risk factors and warning signs of cancer. It is hoped that raising awareness among this group will help them to communicate and drive behaviour change in the at-risk populations with whom they work.
目的
探讨针对社区卫生工作者的癌症意识培训对其谈论癌症的信心以及癌症风险因素、体征和症状知识的影响。
方法
邀请来自桑德韦尔、伯明翰和索利赫尔的社区卫生工作者参加14个为期一天的培训工作坊中的一个。学员们在工作坊开始时完成问卷调查，并在一个月后进行随访。考察了谈论癌症的信心。评估了癌症风险因素、体征和症状的知识。要求学员对工作坊的有用性进行评分，是否会向他人推荐该工作坊，以及他们是否将所学知识付诸实践。
结果
共有187名社区卫生工作者参加了工作坊，167名（89%）完成了为期一个月的随访。在谈论癌症的信心方面观察到了显著改善。例如，报告在讨论癌症体征和症状时“非常自信”/“相当自信”的参与者比例从32%增加到96%（p < 0.001）。学员的知识也有大幅提高，79%的参与者在一个月时能正确识别出11个已知癌症风险因素中的10个，而培训前这一比例为21%（p < 0.001）。对癌症体征和症状的平均（无提示）回忆也从2.3（±1.6）增加到2.7（±1.5），（p = 0.02）。大多数学员（83%）将工作坊评为“非常有用”，89%的人表示会“肯定”推荐该工作坊。
结论
社区卫生工作者对癌症意识培训评价积极，该培训提高了谈论癌症的信心以及对癌症风险因素和警示信号的知识。希望提高这一群体的意识将有助于他们在与其合作的高危人群中进行沟通并推动行为改变。
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