Grady K E, Kegeles S S, Lund A K, Wolk C H, Farber N J
Health Educ Q. 1983 Summer;10(2):79-94. doi: 10.1177/109019818301000201.
Interest in a free breast self-examination (BSE) teaching program offered to a patient population (n = 1590) was assessed, and a follow-up survey of refusers undertaken to determine difference between participants and refusers. Fifty-one percent of the known, eligible women patients expressed interest in the program and 24% ultimately had the teaching. Participants differed from refusers most notably in terms of less previous experience with BSE, more family history of cancer, a longer relationship with their physicians, and different health beliefs. They state more confidence in the effectiveness of breast cancer detection and treatment, less fear and embarrassment, and more personal and physician responsibility for health outcomes, as measured by the Health Locus of Control Scales. Self-selection thus seems rationally based on the kind of program and the needs of the women. Such self-selection can be cost-effective in delivering health education to the people most in need of it and most likely to benefit from it.
我们评估了向患者群体（n = 1590）提供的免费乳房自我检查（BSE）教学计划的受关注程度，并对拒绝者进行了后续调查，以确定参与者和拒绝者之间的差异。51%已知符合条件的女性患者对该计划表示感兴趣，最终24%的人接受了教学。参与者与拒绝者的不同之处最显著地体现在：以前进行BSE的经验较少、癌症家族史更多、与医生的关系更长以及健康观念不同。根据健康控制点量表测量，他们对乳腺癌检测和治疗的有效性更有信心，恐惧和尴尬更少，并且对健康结果的个人和医生责任感更强。因此，自我选择似乎基于该计划的类型和女性的需求而合理形成。这种自我选择在向最需要且最可能从中受益的人群提供健康教育方面可能具有成本效益。
