印度南部迈索尔市社会经济地位较低的女性社交群体中,移动医疗 (mHealth) 应用对宫颈癌预防知识和筛查的影响。

Effects of mobile Health (mHealth) application on cervical cancer prevention knowledge and screening among women social support groups with low-socioeconomic status in Mysuru city, Southern India.

机构信息

Department of Community Medicine, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru, Karnataka, India.

出版信息

PLoS One. 2022 Sep 1;17(9):e0273070. doi: 10.1371/journal.pone.0273070. eCollection 2022.

Abstract

BACKGROUND

Cervical cancer is an important area of action because of the mortality and morbidity of the disease, and the potential for effective prevention by screening. Involving the social support groups by health education improves cervical cancer screening and early detection of the disease in the community. In the ongoing efforts to strengthen cervical cancer prevention, control, and management, digital health and technology will have a significant role to play.

OBJECTIVE

To assess the effectiveness of the mHealth-based intervention on cervical cancer preparedness among women social support groups.

MATERIALS & METHODS: A pre-post interventional study was conducted among women social support groups from lower socio-economic status, identified from the field practice area. Purposive sampling technique was employed. A Cervical Cancer Awareness Measure (CAM) instrument was used to assess the cancer preparedness among the social support group women After taking inputs from the stakeholders' mobile health application was developed. The mHealth educational intervention was given to 102 women. Both pre-and post-test questionnaires were administered through mHealth application to assess the change in knowledge after a gap of 1 month to 2 months. The data obtained was coded and entered into Microsoft Excel worksheet 2016 and was later imported and analyzed using SPSS version 22 (licensed to the Institute). The difference in median scores of knowledge and practice were interpreted as statistically significant at p value of < 0.05.

RESULTS & CONCLUSION: Before the intervention only 13 (12.7%) of them had heard about cervical cancer. There was a significant increase in the knowledge about warning signs & symptoms, risk factors of cervical cancer, and HPV vaccination. Around 5% increase in Pap smear test uptake.

摘要

背景

宫颈癌是一个重要的行动领域,因为该疾病的死亡率和发病率,以及通过筛查进行有效预防的潜力。通过健康教育让社会支持团体参与,可以提高社区的宫颈癌筛查和早期发现率。在加强宫颈癌预防、控制和管理的持续努力中,数字健康和技术将发挥重要作用。

目的

评估基于移动医疗的干预措施对女性社会支持团体宫颈癌防治准备情况的影响。

材料与方法

在经济地位较低的女性社会支持团体中进行了一项干预前后的研究,这些团体是从实地实践领域中确定的。采用了目的抽样技术。使用宫颈癌意识量表(CAM)来评估社会支持团体女性的癌症防治准备情况。在征求利益相关者的意见后,开发了移动健康应用程序。对 102 名女性进行了移动医疗教育干预。通过移动医疗应用程序在 1 个月至 2 个月的间隔后分别进行了预测试和后测试问卷,以评估知识的变化。获得的数据进行了编码并输入到 Microsoft Excel 工作表 2016 中,然后使用 SPSS 版本 22(授权给该机构)导入和分析。知识和实践的中位数评分差异被解释为具有统计学意义(p 值<0.05)。

结果与结论

在干预前,只有 13 名(12.7%)女性听说过宫颈癌。有关宫颈癌的警告信号和症状、危险因素以及 HPV 疫苗接种的知识显著增加。巴氏涂片检查的接受率增加了约 5%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3833/9436151/8a8eba20d323/pone.0273070.g001.jpg

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