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运用干预映射法在坦桑尼亚乞力马扎罗地区开发用于宣传糖尿病视网膜病变筛检的漫画

Developing comic strips promoting diabetic retinopathy screening in Kilimanjaro, Tanzania, using Intervention Mapping.

机构信息

Maastricht University, Faculty of Psychology and Neuroscience, Department of Work & Social Psychology, P.O. Box 616, MD, Maastricht, 6200, The Netherlands.

Newcastle Eye Hospital Research Foundation, Waratah, NSW, 2292, Australia.

出版信息

Eye (Lond). 2022 May;36(Suppl 1):25-32. doi: 10.1038/s41433-022-02003-8.

DOI:10.1038/s41433-022-02003-8
PMID:35590052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9159028/
Abstract

INTRODUCTION

Intervention Mapping is the protocol used by the Kilimanjaro Diabetic Programme to plan, develop, implement, and evaluate an evidence-based screening programme for diabetic retinopathy. Two comic strips were developed to deliver the message on the need for diabetic retinopathy screening.

OBJECTIVES

The first objective was to develop a culturally appropriate and accessible health message to promote diabetic retinopathy screening for the target audience. The second objective was to deliver a motivational message to promote acceptance of diabetic retinopathy screening irrespective of past eye health behaviour.

METHODS

A multi-method research design was used. Social cognitive theory provided the theoretical basis for the intervention, involving community participation to promote positive eye health behaviour.

RESULTS

For the Draughts Comic Strip, Flesch-Kincaid readability was 75.7% and comprehension was 87.04%, and for the Soap Opera Comic Strip Flesch-Kincaid readability was 75.6% and comprehension was 86.54%.

CONCLUSION

The development of the diabetic retinopathy comic strips was a positive health education strategy implemented during a clinical trial comparing methods of screening for diabetic retinopathy at the Kilimanjaro Christian Medical Centre Hospital. The level of comprehension of the comic strips by stakeholders indicated their understanding of the message. Patients enroled in the clinical trial requested the comic strips. No discarded comic strips were found in the clinic during the clinical trial.

TRIAL REGISTRATION

Trial registration number: ISRCTN31439939. Details available at https://www.isrctn.com/ .

摘要

简介

干预映射是 Kilimanjaro 糖尿病计划用于规划、开发、实施和评估基于证据的糖尿病视网膜病变筛查计划的方案。开发了两个漫画来传达需要进行糖尿病视网膜病变筛查的信息。

目的

第一个目标是为目标受众开发一种文化上适当且易于理解的健康信息,以促进糖尿病视网膜病变筛查。第二个目标是传递一个激励信息,以促进接受糖尿病视网膜病变筛查,无论过去的眼部健康行为如何。

方法

采用多方法研究设计。社会认知理论为干预提供了理论基础,涉及社区参与,以促进积极的眼部健康行为。

结果

对于 Draughts 漫画,Flesch-Kincaid 可读性为 75.7%,理解度为 87.04%,对于 Soap Opera 漫画,Flesch-Kincaid 可读性为 75.6%,理解度为 86.54%。

结论

糖尿病视网膜病变漫画的开发是在一项临床试验中实施的积极健康教育策略,该试验比较了在 Kilimanjaro 基督教医学中心医院筛查糖尿病视网膜病变的方法。利益相关者对漫画的理解程度表明他们理解了信息。参与临床试验的患者要求提供漫画。在临床试验期间,诊所内未发现丢弃的漫画。

试验注册

试验注册号:ISRCTN31439939。详情可在 https://www.isrctn.com/ 查看。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/9e73bfe0dd06/41433_2022_2003_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/04302b63cef7/41433_2022_2003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/f217cdfb7695/41433_2022_2003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/9e73bfe0dd06/41433_2022_2003_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/04302b63cef7/41433_2022_2003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/f217cdfb7695/41433_2022_2003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf6/9159028/9e73bfe0dd06/41433_2022_2003_Fig3_HTML.jpg

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