Department of Molecular and Translational Medicine, Center of Emphasis for Cancer, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, TX, USA.
Department of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, TX, USA.
Am J Health Promot. 2020 Jan;34(1):15-24. doi: 10.1177/0890117119871004. Epub 2019 Aug 27.
To determine whether group education is as effective as individual education in improving cervical cancer screening uptake along the US-Mexico border.
Cluster randomized controlled study.
El Paso and Hudspeth Counties, Texas.
Three hundred women aged 21 to 65 years, uninsured, due for a Pap test, no prior history of cervical cancer or hysterectomy.
Theory-based, culturally appropriate program comprised of outreach, educational session, navigation services, and no-cost cervical cancer testing.
Baseline, immediate postintervention, and 4-month follow-up surveys measured knowledge and theoretical constructs from the Health Belief Model, Theory of Reasoned Action, and the Social Cognitive Theory.
Relative risk regression analyses to assess the effects of educational delivery mode on the uptake of screening. Mixed effect models to analyze changes in psychosocial variables.
One hundred and fifty women assigned to each educational group; 99% Hispanic. Of all, 85.7% completed the follow-up survey. Differences in screening rate at follow-up were analyzed by education type. Overall screening rate at follow-up was 73.2%, no significant difference by education type (individual: 77.6%, group: 68.9% = .124). Significant increases among group education at follow-up for knowledge, perceived susceptibility, perceived seriousness, and subjective norms and significant decrease for perceived benefits.
This study provides evidence to support the effectiveness of group education to promote cervical cancer screening among vulnerable Hispanic women and offers an additional method to address cervical cancer disparities.
确定群体教育是否与个体教育一样能有效提高美国-墨西哥边境地区的宫颈癌筛查率。
整群随机对照研究。
德克萨斯州的埃尔帕索和胡德塞斯县。
300 名年龄在 21 至 65 岁之间、无保险、需要进行巴氏涂片检查、无宫颈癌或子宫切除术史的女性。
以理论为基础、具有文化适应性的方案，包括外展、教育课程、导航服务和免费的宫颈癌检测。
基线、即时干预后和 4 个月随访调查测量了健康信念模型、理性行动理论和社会认知理论的知识和理论结构。
相对风险回归分析评估教育提供模式对筛查率的影响。混合效应模型分析社会心理变量的变化。
每组 150 名女性接受教育；99%为西班牙裔。其中，99%完成了随访调查。通过教育类型分析随访时的筛查率差异。总体随访时的筛查率为 73.2%，但教育类型无显著差异（个体：77.6%，群体：68.9%，=.124）。群体教育在随访时的知识、感知易感性、感知严重性、主观规范显著增加，而感知益处显著下降。
本研究为群体教育在促进脆弱的西班牙裔妇女宫颈癌筛查方面的有效性提供了证据，并提供了一种额外的方法来解决宫颈癌差异问题。
