Gholampour Yousef, Jaderipour Atefeh, Khani Jeihooni Ali, Kashfi Seyyed Mansour, Afzali Harsini Pooyan
Department of Internal Medicine, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran. Email:
Asian Pac J Cancer Prev. 2018 Oct 26;19(10):2777-2787. doi: 10.22034/APJCP.2018.19.10.2777.
Background and Aim: Among the screening tests for colorectal cancer, fecal occult blood test (FOBT) is important in comparison other methods due to its ease of use and low cost.The aim of this study is to survey the effect of educational intervention based on health belief model and social support on the rate of participation of individuals in performing fecal occult blood test for colorectal cancer screening among men who referred to the health centers in FasaCity, Fars province, Iran. Materials and Methods: In this quasi-experimental study, 200 men (100 in experimental group and 100 in control group) in FasaCity, Fars province, Iranwere selected in 2017. A questionnaire consisting of demographic information, knowledge, HBM constructs (perceived susceptibility, severity, benefits, barriers, self- efficacy and cues to action) and social support was used to measure the rate of participation of individuals in performing Fecal Occult Blood Test for colorectal cancer screening before and three months after the intervention. Data were analyzed using SPSS22 viadescriptive and inferential statistics, paired t-test, Mann-Whitney, Chi-square, and independent t-test at a significance level of 0.5. Results: The mean age of the men was 63.18 ± 8.25 years in the experimental group and 65.11 ± 7.66 years in the control group. Three months after the intervention, the experimental group showed a significant increase in the knowledge, perceived susceptibility, perceived severity, perceived benefits, Self-efficacy, cues to action, social support and the level of referrals (participation) of subjects for FOBTcompared to the control group. Conclusion: This study showed the effectiveness of HBM constructs and social support in adoption of the level of participation of subjects for FOBTin men. Hence, these models can act as a framework for designing and implementing educational interventions for undergoing FOBT.
在结直肠癌筛查试验中，粪便潜血试验（FOBT）因其使用方便且成本低廉，相较于其他方法具有重要意义。本研究旨在调查基于健康信念模型和社会支持的教育干预对伊朗法尔斯省法萨市前往健康中心的男性参与结直肠癌筛查粪便潜血试验的比率的影响。
在这项准实验研究中，2017年从伊朗法尔斯省法萨市选取了200名男性（实验组100名，对照组100名）。使用一份包含人口统计学信息、知识、健康信念模型构成要素（感知易感性、严重性、益处、障碍、自我效能感和行动线索）以及社会支持的问卷，来测量个体在干预前和干预后三个月参与结直肠癌筛查粪便潜血试验的比率。使用SPSS22软件通过描述性和推断性统计、配对t检验、曼-惠特尼检验、卡方检验和独立t检验对数据进行分析，显著性水平为0.5。
实验组男性的平均年龄为63.18±8.25岁，对照组为65.11±7.66岁。干预三个月后，与对照组相比，实验组在知识、感知易感性、感知严重性、感知益处、自我效能感、行动线索、社会支持以及受试者进行FOBT的转诊（参与）水平方面均有显著提高。
本研究表明健康信念模型构成要素和社会支持在提高男性受试者进行FOBT的参与水平方面具有有效性。因此，这些模型可作为设计和实施FOBT教育干预措施的框架。
