Naserian Neda, Ansari Somayeh, Abedi Parvin
Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Cancer Educ. 2018 Oct;33(5):1036-1042. doi: 10.1007/s13187-017-1203-x.
This study is aimed to compare the effect of two methods of short messages and group training on level of knowledge and practice of middle-aged women about breast cancer screening procedures. This clinical trial study was done on 210 women aged 40-60 years in Mahshahr city, Iran. Eligible middle-aged women were randomly assigned in two groups of short message (n = 105) and group training (n = 105). Data collected through a questionnaire which included three parts (demographic, knowledge and practice of women about breast cancer and screening procedures). Group training was educated for two sessions in 2 weeks that each session lasted 2 h. In the short message group, every woman received texts about breast cancer, reasons, and preventive methods, three times a week, for 2 weeks. The questionnaire (knowledge and practice) was completed 2 months after educational intervention. Data was analyzed using independent t test, paired t test, and chi-square. Results of this study showed that average score of knowledge in two groups increased significantly, from 34.4 ± 7.54 to 40. 8 ± 7.18 in the short text messages (SMS) and from 35 to 39.75 in the group training (P > 0.05). Also, the score of breast examination by health provider in the SMS group was significantly higher than that in the group training, but the score of breast self-examination in the group training was higher than that in the short message (P < 0.05). The results showed that training by each way is effective to increase knowledge and performance of women about breast cancer screening methods. Further studies to compare the cost-effectiveness of two methods are recommended.
本研究旨在比较两种方法（短信和小组培训）对中年女性乳腺癌筛查程序知识水平和实践的影响。这项临床试验研究在伊朗马赫沙尔市的210名40至60岁女性中进行。符合条件的中年女性被随机分为短信组（n = 105）和小组培训组（n = 105）。通过一份问卷收集数据，该问卷包括三个部分（人口统计学、女性对乳腺癌及筛查程序的知识和实践）。小组培训在2周内进行了两次，每次课程持续2小时。在短信组中，每位女性每周收到三次关于乳腺癌、原因和预防方法的短信，持续2周。在教育干预2个月后完成问卷（知识和实践部分）。数据采用独立t检验、配对t检验和卡方检验进行分析。本研究结果表明，两组的知识平均得分均显著提高，短信组从34.4±7.54提高到40.8±7.18，小组培训组从35提高到39.75（P>0.05）。此外，短信组由医疗服务提供者进行乳房检查的得分显著高于小组培训组，但小组培训组的乳房自我检查得分高于短信组（P<0.05）。结果表明，每种方式的培训都能有效提高女性对乳腺癌筛查方法的知识和表现。建议进一步研究比较两种方法的成本效益。
