Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.
Int J Environ Res Public Health. 2018 Jun 4;15(6):1167. doi: 10.3390/ijerph15061167.
The appropriate level of the society's health-oriented knowledge is essential for improving the effectiveness of actions to reduce the number of new cases and deaths caused by cancer. The aim of this study was to identify the role of web-based educational campaigns in the field of cancer prevention in Poland. From 14.05.2015 to 13.11.2016 readers of Polish scientific websites were invited to participate in the "PORINA" prospective interventional study. A total of 1118 volunteers (unrepresentative sample) were recruited and randomized (interventional and control groups). After applying the inclusion and exclusion criteria, 463 participants (41.4% of the recruited) qualified for the final analysis; 207 were allocated to the interventional and 256 to the control group. A specially designed internet platform, a self-reported questionnaire (validated during the study) and educational materials which were prepared by a physician specialized in clinical oncology were used. Assessments of participants' knowledge were based on the authors Cancer Knowledge Index (CKI). The number of subjects with an increase in CKI score was significantly higher for the interventional group with minor changes in the control ( < 0.001). The highest increase in CKI scores was obtained in the following demographic groups: females, younger participants, those living in smaller villages and also among the less educated. An overall impact of presented web-based educational intervention was moderate. However, the results obtained confirmed that well-organized intervention supported by oncologists may be useful in cancer prevention.
社会健康知识水平对于提高减少癌症新发病例和死亡人数的行动效果至关重要。本研究旨在确定网络教育活动在波兰癌症预防领域的作用。从 2015 年 5 月 14 日至 2016 年 11 月 13 日,波兰科学网站的读者受邀参与前瞻性干预研究“PORINA”。共招募了 1118 名志愿者(非代表性样本)并进行随机分组(干预组和对照组)。应用纳入和排除标准后,463 名参与者(招募人数的 41.4%)符合最终分析标准;207 名参与者被分配到干预组,256 名参与者被分配到对照组。研究使用了专门设计的互联网平台、自我报告问卷(在研究期间进行验证)和由临床肿瘤学专家编写的教育材料。参与者的知识评估基于作者的癌症知识指数(CKI)。干预组的 CKI 评分增加人数明显高于对照组(<0.001),且干预组的变化较小。CKI 评分增加最多的是女性、年轻参与者、居住在小村庄的参与者和受教育程度较低的参与者。总体而言,所呈现的网络教育干预具有中等影响。然而,研究结果证实,由肿瘤学家支持的组织良好的干预措施可能对癌症预防有用。