Key Kaitlin Voigts, Adegboyega Adebola, Bush Heather, Aleshire Mollie E, Contreras Omar A, Hatcher Jennifer
Kaitlin Voigts Key, Doctoral Candidate, University of Kentucky College of Nursing, Lexington, KY;, Email:
Adebola Adegboyega, Assistant Professor, University of Kentucky College of Nursing, Lexington, KY.
Am J Health Behav. 2020 May 1;44(3):353-363. doi: 10.5993/AJHB.44.3.8.
In this study, we pilot-tested #CRCFree, a Facebook-based intervention aimed at reducing colorectal cancer (CRC) risk in rural Appalachian adults at risk for CRC. Participants were 56 rural Appalachian adults aged > 50 years. Daily #CRCFree Facebook posts addressed diet, physical activity, and CRC screening. Participants' sociodemographics, diet, body mass index, physical activity, and CRC screening status were measured pre- and post-intervention. The Healthy Eating Index (HEI) and the Dietary Inflammatory Index (DII) assessed dietary patterns. Facebook engagement was measured throughout the intervention. A post-intervention focus group evaluated intervention acceptability. Participants were Caucasian, aged 58 ± 6 years, and predominantly female (66%). Post-intervention, HEI scores increased (49.9 ± 9.9 vs 58.6 ± 12.1, p = <.001), and DII scores decreased from baseline (2.8 ± 1.1 vs 1.6 ± 1.7, p = .002). There was no change in physical activity, BMI, or CRC screening status. Focus group participants found the intervention to be educational and motivating. These results provide preliminary evidence to support using Facebook to address CRC risk in this population. Participants were responsive to this intervention, and Facebook is a novel and accessible modality for health promotion.
在本研究中，我们对#CRCFree进行了试点测试，这是一项基于脸书的干预措施，旨在降低阿巴拉契亚农村地区有患结直肠癌（CRC）风险的成年人患CRC的风险。参与者为56名年龄超过50岁的阿巴拉契亚农村成年人。#CRCFree脸书每日帖子涉及饮食、身体活动和CRC筛查。在干预前后测量了参与者的社会人口统计学、饮食、体重指数、身体活动和CRC筛查状况。健康饮食指数（HEI）和饮食炎症指数（DII）用于评估饮食模式。在整个干预过程中测量了脸书参与度。干预后的焦点小组评估了干预的可接受性。参与者为白种人，年龄58±6岁，且以女性为主（66%）。干预后，HEI得分增加（49.9±9.9对58.6±12.1，p =<.001），DII得分从基线下降（2.8±1.1对1.6±1.7，p =.002）。身体活动、体重指数或CRC筛查状况没有变化。焦点小组参与者认为该干预具有教育意义且能起到激励作用。这些结果提供了初步证据，支持利用脸书来解决该人群的CRC风险问题。参与者对该干预措施反应良好，脸书是一种新颖且易于使用的健康促进方式。
