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《乳腺癌风险降低计划对高乳腺癌风险女性参与筛查及其健康信念和行为的影响:一项随机对照试验研究方案》

The Effect of the Breast Cancer Risk Reduction Program on Women With High Breast Cancer Risk in Terms of Their Participation in Screening and Their Health Beliefs and Behavior: A Study Protocol for a Randomized Controlled Trial.

机构信息

Author Affiliation: Department of Public Health Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.

出版信息

Cancer Nurs. 2024;47(6):E376-E386. doi: 10.1097/NCC.0000000000001229. Epub 2023 Mar 13.

Abstract

BACKGROUND

First-degree biological relatives of individuals with breast cancer have a higher risk of breast cancer.

OBJECTIVE

The purpose of this study was to create a protocol for evaluating the effect of the Breast Cancer Risk Reduction Program (BrCaRRP) on the participation of women at risk in screening and on their health beliefs and risk reduction behaviors.

METHODS

The research was planned as a single-site, single-blind randomized controlled experimental study with a parallel group. Participants will be assigned to intervention and control groups using the Stratified Permuted Block Randomization method. The BrCaRRP will be applied to the intervention group within the theoretical framework of the Health Belief Model and the Health Promotion Model. The BrCaRRP is a 12-week program that encompasses 6 meetings, the first being face-to-face and the others via phone. Multidisciplinary experts calculated the content validity index of BrCaRRP as being 0.954 (high); its weighted kappa statistic is 0.70 (high).

RESULTS

The difference in the likelihood of participation in breast cancer screening between the BrCaRRP and control groups will be evaluated after the interventions. Findings will be presented in terms of our hypotheses.

CONCLUSIONS

The BrCaRRP is a nurse-led program based on the Health Belief Model and the Health Promotion Model. The BrCaRRP has high content validity and interrater reliability.

IMPLICATIONS FOR PRACTICE

This protocol can be tested as an intervention in a randomized controlled study.

摘要

背景

乳腺癌患者的一级亲属患乳腺癌的风险较高。

目的

本研究旨在制定方案,评估乳腺癌风险降低计划(BrCaRRP)对高危女性参与筛查的影响,以及对其健康信念和降低风险行为的影响。

方法

该研究计划采用单站点、单盲随机对照实验研究设计,采用平行组设计。参与者将采用分层随机区组随机分组方法分为干预组和对照组。BrCaRRP 将在健康信念模型和健康促进模型的理论框架内应用于干预组。BrCaRRP 是一个 12 周的计划,包括 6 次会议,第一次是面对面,其余是通过电话进行。多学科专家计算出 BrCaRRP 的内容效度指数为 0.954(高);其加权kappa 统计量为 0.70(高)。

结果

干预后,将评估 BrCaRRP 组与对照组参与乳腺癌筛查的可能性差异。结果将根据我们的假设进行呈现。

结论

BrCaRRP 是一个基于健康信念模型和健康促进模型的护士主导的项目。BrCaRRP 具有较高的内容效度和评分者间信度。

实践意义

本方案可作为一项随机对照研究中的干预措施进行测试。

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