Zhang Mengyue, Sit Janet W H, Choi Kai Chow, Chan Carmen W H
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Asia Pac J Oncol Nurs. 2023 Mar 24;10(6):100218. doi: 10.1016/j.apjon.2023.100218. eCollection 2023 Jun.
This study aimed to evaluate the feasibility and preliminarily estimate the effects of a theory-driven, culture-tailored, community-based educational intervention promoting cervical cancer screening among rural females.
An experimental study with the two-arm parallel, nonrandomized control trial design was implemented, followed by individual semi-structured interviews. Thirty rural females between 26 and 64 were recruited, with 15 in each group. Both groups were exposed to the usual care about cervical cancer screening promotion from the local clinics, while participants in the intervention group additionally received five educational sessions in 5 weeks. Data were collected at baseline and immediately postintervention.
All participants completed the study, and the retention rate was 100%. Participants in the intervention group had more significant increments in cervical cancer screening-related self-efficacy ( < 0.001), knowledge ( < 0.001), and intention levels ( = 0.003) than those in the control group. Most participants showed acceptance and satisfaction with this educational intervention.
This study revealed that the theory-driven, culture-tailored, community-based educational intervention was feasible among the rural populations to promote cervical cancer screening. A large-scale interventional study with a prolonged follow-up duration is warranted to explore this educational intervention's effectiveness further.
本研究旨在评估一种理论驱动、文化适应、基于社区的教育干预措施在促进农村女性宫颈癌筛查方面的可行性，并初步估计其效果。
采用双臂平行、非随机对照试验设计的实验性研究，并进行个体半结构式访谈。招募了30名年龄在26至64岁之间的农村女性，每组15人。两组均接受当地诊所关于促进宫颈癌筛查的常规护理，而干预组的参与者在5周内额外接受了5次教育课程。在基线和干预后立即收集数据。
所有参与者均完成了研究，保留率为100%。干预组参与者在宫颈癌筛查相关的自我效能感（<0.001）、知识水平（<0.001）和意愿水平（=0.003）方面的提升比对照组更显著。大多数参与者对这种教育干预表示接受和满意。
本研究表明，这种理论驱动、文化适应、基于社区的教育干预措施在农村人群中促进宫颈癌筛查是可行的。有必要进行一项随访时间更长的大规模干预研究，以进一步探索这种教育干预的效果。
