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培训患者导航员并评估患者导航在促进宫颈癌筛查参与率、知识、意识、意愿及健康信念方面的影响:一项随机对照试验方案

Preparing patient navigators and assessing the impact of patient navigation in promoting cervical cancer screening uptake, knowledge, awareness, intention, and health beliefs: a protocol for a randomized controlled trial.

作者信息

Mboineki Joanes Faustine, Chen Changying

机构信息

First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

School of Nursing and Health, Zhengzhou University, Zhengzhou, China.

出版信息

Front Glob Womens Health. 2024 Dec 4;5:1209441. doi: 10.3389/fgwh.2024.1209441. eCollection 2024.

Abstract

AIM

There are limited studies in Tanzania concerning the modality of preparing patient navigators and the influence of patient navigation strategies on cervical cancer screening. This protocol describes the preparation of patient navigators and assesses the impact of a patient navigation strategy on promoting cervical cancer screening uptake, knowledge, awareness, intention, and health beliefs.

DESIGN

This is a protocol for a community-based randomized controlled trial.

METHODS

The method is categorized into two phases. (1) Preparing patient navigators, which will involve the training of five patient navigators guided by a validated training manual. The training will be conducted over three consecutive days, covering the basic concepts of cervical cancer screening and guiding navigators on how to implement a patient navigation strategy in the communities. (2) Delivering a patient navigation intervention to community women (COMW) which will involve health education, screening appointments, navigation services, and counseling. The study will recruit 202 COMW who will be randomized 1:1 by computer-based blocks to either the patient navigation intervention group or the control group.

PUBLIC CONTRIBUTION

The study will prove that the trained patient navigators are easily accessible and offer timely and culturally acceptable services to promote cervical cancer screening uptake in communities.

摘要

目的

在坦桑尼亚,关于患者导航员的培训方式以及患者导航策略对宫颈癌筛查的影响的研究有限。本方案描述了患者导航员的培训过程,并评估患者导航策略对促进宫颈癌筛查参与率、知识、意识、意愿和健康观念的影响。

设计

这是一项基于社区的随机对照试验方案。

方法

该方法分为两个阶段。(1)培训患者导航员,这将包括在一份经过验证的培训手册指导下对五名患者导航员进行培训。培训将连续进行三天,涵盖宫颈癌筛查的基本概念,并指导导航员如何在社区中实施患者导航策略。(2)对社区女性实施患者导航干预,这将包括健康教育、筛查预约、导航服务和咨询。该研究将招募202名社区女性,她们将通过计算机程序以1:1的比例随机分为患者导航干预组或对照组。

公众贡献

该研究将证明,经过培训的患者导航员易于联系,并能提供及时且符合文化习惯的服务,以促进社区中的宫颈癌筛查参与率。

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Community health workers at the dawn of a new era: 5. Roles and tasks.新时代的社区卫生工作者:5. 角色和任务。
Health Res Policy Syst. 2021 Oct 12;19(Suppl 3):128. doi: 10.1186/s12961-021-00748-4.

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