Kregting Lindy M, van Ravesteyn Nicolien T, Spijker Wolfert, Dierks Tessa, Aitken Clare A, Geuzinge H Amarens, Korfage Ida J
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Patient Educ Couns. 2020 Jul 2. doi: 10.1016/j.pec.2020.06.032.
To assess the effect of an information leaflet on knowledge, explicit attitudes, implicit associations, and attendance for breast cancer screening.
Dutch women (aged 49-75 years) were approached three months before their breast cancer screening invitation. After providing informed consent, participants were randomised to receiving the information leaflet (intervention condition) or not (control condition). Screening knowledge, explicit attitudes, and implicit associations were assessed through web-based questionnaires, at baseline and two weeks later. Actual screening attendance data were collected.
In total, 988 women completed both questionnaires. Participants in the leaflet condition scored higher on knowledge (9.9 versus 9.6, p < 0.001, scale 0-11), and more often had positive explicit attitudes (97 % versus 95 %, p = 0.03), than those in the control condition. This contrast was bigger among first-time invitees. Implicit associations were not correlated with explicit attitudes or attendance. Explicit attitudes were moderately correlated with attendance (r=.30, p < 0.001).
The information leaflet led to more knowledge and more positive explicit attitudes. Implicit associations towards breast cancer screening were not correlated with attendance.
Encouragement to learn about the screening programme can increase levels of knowledge of invitees and therefore support their decision-making about participation. This might be especially relevant for first-time invitees.
评估一份信息手册对乳腺癌筛查知识、显性态度、隐性关联及筛查参与率的影响。
在荷兰49至75岁的女性收到乳腺癌筛查邀请前三个月与她们取得联系。在获得知情同意后，参与者被随机分为接受信息手册组（干预组）和未接受信息手册组（对照组）。在基线期和两周后通过网络问卷评估筛查知识、显性态度和隐性关联。收集实际筛查参与数据。
共有988名女性完成了两份问卷。与对照组相比，收到手册的参与者在知识得分上更高（9.9分对9.6分，p<0.001，量表范围0至11），且更常持有积极的显性态度（97%对95%，p=0.03）。这种差异在首次受邀者中更大。隐性关联与显性态度或参与率无关。显性态度与参与率呈中度相关（r=0.30，p<0.001）。
信息手册带来了更多知识和更积极的显性态度。对乳腺癌筛查的隐性关联与参与率无关。
鼓励了解筛查项目可提高受邀者的知识水平，从而支持他们关于参与筛查的决策。这对首次受邀者可能尤为重要。
