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在使用“深入了解”活动材料进行教育后,女性和医疗服务提供者对卵巢癌的认识

Ovarian Cancer Knowledge in Women and Providers Following Education with Inside Knowledge Campaign Materials.

作者信息

Puckett Mary C, Townsend Julie S, Gelb Cynthia A, Hager Polly, Conlon Amy, Stewart Sherri L

机构信息

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop F-76, Atlanta, GA, 30341, USA.

Michigan Department of Health and Human Services, Cancer Prevention and Control Section, Lansing, MI, 48913, USA.

出版信息

J Cancer Educ. 2018 Dec;33(6):1285-1293. doi: 10.1007/s13187-017-1245-0.

Abstract

Because no effective methods for preventing or screening for ovarian cancer exist, symptom recognition is integral to its early detection. The Centers for Disease Control and Prevention's Inside Knowledge: Get the Facts about Gynecologic Cancer campaign was developed to raise awareness and educate women and providers about risk factors, symptoms, recommended screening, and prevention strategies for the five main gynecologic cancers, including ovarian cancer. Inside Knowledge campaign materials were utilized by CDC's National Comprehensive Cancer Control Program grantees to educate women and providers about gynecologic cancer from 2014 to 2015. Grantees recruited participants and held educational sessions using Inside Knowledge materials. Questionnaires were given before and after the sessions to assess changes in awareness, confidence, and behavioral intentions around gynecologic cancer information and analyzed in 2016. This analysis focused on an assessment of changes related to ovarian cancer information. Participants' knowledge increased after educational sessions. Among women, there were increases in correctly identifying that the Papanicolaou (Pap) test does not screen for ovarian cancer (89.2%) and that genetic testing is available (77.9%). There was a lower increase in knowledge that HPV is not a cause of ovarian cancer (56.4%). Providers and women reported significant increases in their confidence in their ability to talk to each other about gynecologic cancer post-session. Ovarian cancer awareness, confidence, and related behaviors increased in participants exposed to Inside Knowledge materials. Using these materials to increase knowledge could lead to more empowered patients, better provider-patient communications, and improved care for gynecologic cancers, including ovarian cancer.

摘要

由于目前尚无有效的卵巢癌预防或筛查方法,症状识别对于卵巢癌的早期发现至关重要。美国疾病控制与预防中心开展了“深入了解:掌握妇科癌症事实”活动,旨在提高公众意识,并就包括卵巢癌在内的五种主要妇科癌症的风险因素、症状、推荐筛查方法及预防策略对女性及其医疗服务提供者进行教育。2014年至2015年期间,美国疾病控制与预防中心的国家综合癌症控制项目受资助者利用“深入了解”活动的资料,对女性及其医疗服务提供者进行妇科癌症方面的教育。受资助者招募参与者,并使用“深入了解”活动的资料举办教育课程。在课程前后发放问卷,以评估参与者在妇科癌症信息方面的认知、信心和行为意向的变化,并于2016年进行分析。该分析重点评估与卵巢癌信息相关的变化。教育课程后,参与者的知识有所增加。在女性中,正确认识巴氏试验不能筛查卵巢癌的比例有所上升(89.2%),知晓可进行基因检测的比例也有所上升(77.9%)。而对于人乳头瘤病毒(HPV)不是卵巢癌病因的认知提升幅度较小(56.4%)。医疗服务提供者和女性报告称,课程结束后,他们在相互交流妇科癌症方面的信心显著增强。接触“深入了解”活动资料的参与者在卵巢癌认知、信心及相关行为方面均有所提升。利用这些资料增加知识,可能会使患者更有自主权,改善医患沟通,并提升对包括卵巢癌在内的妇科癌症的治疗水平。

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