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[阿根廷职场中增加结直肠癌筛查策略的设计与实施的形成性研究]

[Formative research for the design and implementation of a strategy to increase colorectal cancer screening in the workplace in Argentina].

作者信息

Alonso Juan Pedro, Belizán María, Comolli Mariana, González Lucas, Roberti Javier, Pichón-Riviere Andrés, Bardach Ariel

机构信息

Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina.

Instituto de Investigaciones Gino Germani, Buenos Aires, Argentina.

出版信息

Cad Saude Publica. 2021 Nov 22;37(11):e00313620. doi: 10.1590/0102-311X00313620. eCollection 2021.

Abstract

The workplace has great potential to disseminate information and implement health promotion activities such as cancer prevention and early detection. Due to the challenges of deploying health interventions in this setting, formative studies are needed to adjust the design and implementation of successful strategies. To inform the intervention's design and implementation and improve the adherence rate to screening with fecal occult blood test in a workplace in Argentina, a formative study was conducted to identify potential barriers and facilitators. The formative study adopted a qualitative methodological design. Interviews were held with 10 individuals in charge of key areas in the institution where the main study was conducted, besides 8 focus groups with workers over 50 years of age. Challenges were identified at the institutional level for the intervention's implementation, such as workers' geographic dispersion and the complexity of the institution's flowchart, as well as at the population level, such as low knowledge about colorectal cancer and diagnostic tests and low risk perception. The facilitators featured the intervention's acceptability and the availability of human and material resources to proceed with the intervention, such as institutional communications channels for disseminating the information and logistics for distribution of diagnostic kits. The formative study allowed identifying resources and potential barriers that informed the intervention's design and implementation.

摘要

工作场所具有传播信息以及开展癌症预防和早期检测等健康促进活动的巨大潜力。由于在此环境中开展健康干预存在挑战,因此需要进行形成性研究来调整成功策略的设计与实施。为了为干预措施的设计与实施提供信息,并提高阿根廷某工作场所粪便潜血检测筛查的依从率,开展了一项形成性研究以确定潜在障碍和促进因素。该形成性研究采用了定性方法设计。除了与8个50岁以上工人的焦点小组进行访谈外,还与在开展主要研究的机构中负责关键领域的10个人进行了访谈。在机构层面确定了干预实施的挑战,如工人的地域分散以及机构流程图的复杂性,在人群层面也存在挑战,如对结直肠癌和诊断检测的了解不足以及风险认知较低。促进因素包括干预措施的可接受性以及开展干预所需的人力和物力资源,如用于传播信息的机构沟通渠道以及诊断试剂盒的分发后勤保障。该形成性研究有助于确定为干预措施的设计与实施提供信息的资源和潜在障碍。

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