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使用网络应用程序提高乳腺癌风险因素和症状知识,并促进未被诊断出患有乳腺癌的女性坚持健康饮食和体育锻炼(Precam 项目)。

Use a web-app to improve breast cancer risk factors and symptoms knowledge and adherence to healthy diet and physical activity in women without breast cancer diagnosis (Precam project).

机构信息

Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain.

Precam Research Group, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain.

出版信息

Cancer Causes Control. 2023 Feb;34(2):113-122. doi: 10.1007/s10552-022-01647-x. Epub 2022 Nov 8.

Abstract

PURPOSE

This study aimed to evaluate the preliminary effectiveness of an educational intervention using a web-app to improve knowledge of breast cancer risk factors and symptoms and adherence to healthy eating and physical activity among women without breast cancer diagnosis in Asturias (Spain).

METHODS

A pragmatic randomized pilot trial was conducted to evaluate the impact of a web-app-based intervention for women without breast cancer diagnosis. Women in the intervention group participated in a 6-month intervention web-app based on the Behaviour Change Wheel Model. The web-app includes information about breast cancer risk factors, early detection, physical activity and diet.

RESULTS

Two hundred and eighty-fifth women aged 25-50 were invited to join the study. Two hundred and twenty-four were randomly assigned to either the intervention group (IG = 134) or control group (CG = 90) according to their place of residence. Adherence among women in the IG increased significantly from pre- to post-intervention for eight of the 12 healthy behaviors and for the identification of six risk factors and six symptoms compared to women in the CG and, among whom adherence only increased for two behaviors, the identification of one risk factor and 0 symptoms. The intervention significantly improved the mean number of risk factors + 1.06 (p < 0.001) and symptoms + 1.18 (p < 0.001) identified by women in the IG.

CONCLUSIONS

The preliminary results of this study suggest that an educational intervention using a web-app and based on the Behaviour Change Wheel model could be useful to improve knowledge of breast cancer risk factors and symptoms and to improve adherence to a healthy diet and physical activity in women without a previous breast cancer diagnosis.

摘要

目的

本研究旨在评估一种使用网络应用程序进行教育干预的初步效果,以提高阿斯图里亚斯(西班牙)无乳腺癌诊断女性对乳腺癌危险因素和症状的认识,以及促进其健康饮食和身体活动。

方法

本研究采用实用随机试点试验,评估基于网络应用程序的干预措施对无乳腺癌诊断女性的影响。干预组的女性参加了一个基于行为改变轮模型的为期 6 个月的干预网络应用程序。该网络应用程序包括乳腺癌危险因素、早期检测、身体活动和饮食方面的信息。

结果

共邀请了 285 名年龄在 25-50 岁的女性参加本研究。根据居住地,224 名女性被随机分配至干预组(IG = 134)或对照组(CG = 90)。与对照组的女性相比,干预组女性在参与干预后,有 12 种健康行为中的 8 种以及 6 种危险因素和 6 种症状的识别,其依从性显著增加,而对照组的女性仅在 2 种行为、1 种危险因素和 0 种症状的识别方面的依从性增加。干预组显著提高了女性识别的危险因素数量(+1.06,p<0.001)和症状数量(+1.18,p<0.001)。

结论

本研究的初步结果表明,使用基于行为改变轮模型的网络应用程序进行教育干预可能有助于提高无乳腺癌诊断女性对乳腺癌危险因素和症状的认识,并促进其健康饮食和身体活动的依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ab2/9877062/5175f9ccbfcb/10552_2022_1647_Fig1_HTML.jpg

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