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健康教育对吉赞地区女教师早期乳腺癌检测与筛查知识及行为的影响:一项准实验研究

Effect of Health Education on Female Teachers' Knowledge and Practices Regarding Early Breast Cancer Detection and Screening in the Jazan Area: a Quasi-Experimental Study.

作者信息

Alameer Anwar, Mahfouz Mohamed Salih, Alamir Yahya, Ali Nasir, Darraj Abdulaziz

机构信息

Jazan Health Directorate, Ministry of Health, P.O. Box 1121, Abu Arish 45911, Jazan, Saudi Arabia.

Family and Community Medicine Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.

出版信息

J Cancer Educ. 2019 Oct;34(5):865-870. doi: 10.1007/s13187-018-1386-9.

Abstract

Educational programs are important tools for breast cancer prevention. The purpose of this study was to assess the effectiveness of health education in improving the knowledge and practices of female teachers regarding screening tools and the early detection of breast cancer. A two-group quasi-experimental design was conducted among 150 female teachers, who were selected from 75 schools of the Jazan General Administration of Education. Schools were chosen by a simple cluster randomization method and non-randomly assigned to either the intervention or control group. Eligible participants were recruited by a simple randomization method, proportional to the total number of teachers at each school. Those in the intervention group (n = 75) were compared to the control group (n = 75) at baseline, as well as at 6 weeks and 3 months post-intervention. Knowledge of breast cancer screening tools was measured using a modified version of the Breast Cancer Knowledge test. Breast self-examination, clinical breast examination, and mammography practices were also measured. Compared to the control group, the intervention group showed a statistically significant increase in knowledge and practice levels at both 6 weeks and 3 months post-intervention. Thus, the results of this study provide evidence that group health education programs are effective in improving breast cancer knowledge and practices in female teachers. Clinical Trial Registration number: NCT03398057 .

摘要

教育项目是乳腺癌预防的重要工具。本研究的目的是评估健康教育在提高女教师关于筛查工具和乳腺癌早期检测的知识及实践方面的有效性。在150名女教师中进行了两组准实验设计,这些女教师选自吉赞教育总局的75所学校。学校通过简单整群随机化方法选取,并非随机地分配到干预组或对照组。符合条件的参与者通过简单随机化方法招募,与每所学校教师总数成比例。干预组(n = 75)在基线时以及干预后6周和3个月时与对照组(n = 75)进行比较。使用改良版乳腺癌知识测试来测量乳腺癌筛查工具的知识。还测量了乳房自我检查、临床乳房检查和乳房X光检查实践情况。与对照组相比,干预组在干预后6周和3个月时的知识和实践水平均有统计学意义的提高。因此,本研究结果提供了证据,表明团体健康教育项目在提高女教师的乳腺癌知识和实践方面是有效的。临床试验注册号:NCT03398057 。

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