...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Testing a culturally appropriate, theory-based intervention to improve colorectal cancer screening among native Hawaiians.
【24h】

Testing a culturally appropriate, theory-based intervention to improve colorectal cancer screening among native Hawaiians.

机译：测试一种文化上适当的，基于理论的干预措施，以改善夏威夷本地人的结肠直肠癌筛查。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: We tested an intervention based on social learning theory (SLT) to improve colorectal cancer (CRC) screening among Native Hawaiians, a group with low CRC screening rates. METHOD: Sixteen Hawaiian civic clubs agreed to randomization. Eight control clubs received a culturally targeted presentation, a free Fecal Occult Blood Test (FOBT), and a reminder call. Eight experimental clubs also received culturally targeted education and free testing; but, in line with SLT, education was delivered by a Native Hawaiian physician and Native Hawaiian CRC survivor, and members received an FOBT demo, were challenged to involve a family member in screening, and were telephoned multiple times to address change-related emotions and barriers. RESULTS: One hundred twenty-one members age 50 and older from 16 clubs participated. At the club level, screening rates were modestly increased in four experimental clubs and six control clubs. Surprisingly, 64% of participants reported being up to date with CRC screeningat baseline. Only 13 individuals (five in experimental arm and eight in the control arm) were screened for the first time through this intervention, increasing the percent screened from 59% to 67% in the experimental group and from 69% to 85% in the control group. Although individuals in the experimental arm were more likely to rate the intervention as culturally appropriate, both arms realized similar and significant gains in CRC knowledge, attitudes, intent, and self-efficacy. CONCLUSIONS: For Native Hawaiian individuals belonging to a network of civic clubs, an intervention based on SLT delivered by a Native Hawaiian physician and CRC survivor was less effective at further increasing compliance than was a culturally targeted educational session delivered by a non-Hawaiian nurse. That CRC screening compliance was high prior to our intervention suggests that we targeted a very health conscious segment of the Native Hawaiian population. Future work should focus on underserved segments of this indigenous group.
机译：背景：我们测试了一种基于社会学习理论（SLT）的干预措施，以改善夏威夷原住民人群中的结直肠癌（CRC）筛查，这是低CRC筛查率的人群。方法：十六个夏威夷市民俱乐部同意随机分配。八个控制俱乐部收到了针对文化的演讲，免费的粪便潜血测试（FOBT）和提醒电话。八个实验俱乐部还接受了针对文化的教育和免费测试;但是，根据SLT，由夏威夷土著医生和夏威夷土著CRC幸存者进行了教育，并且成员接受了FOBT演示，被要求让家人参与筛查，并多次致电以应对与变化有关的情绪和障碍。结果：来自16个俱乐部的121位年龄在50岁以上的成员参加了比赛。在俱乐部一级，四个实验俱乐部和六个对照俱乐部的筛选率有所提高。出人意料的是，有64％的参与者报告说其在基线时已接受CRC筛查。通过此干预措施，首次仅筛选了13个人（实验组中为5个人，对照组中为8个人），从而使实验组的筛选百分比从59％增至67％，对照组的百分比从69％增至85％。 。尽管实验组的人员更有可能在文化上适当地评价干预措施，但两个组在CRC知识，态度，意图和自我效能方面都获得了相似且明显的收获。结论：对于属于公民俱乐部网络的夏威夷土著人而言，由夏威夷土著医生和CRC幸存者提供的基于SLT的干预措施在进一步提高依从性方面的效果不如非夏威夷护士进行的针对文化的教育课程。在我们进行干预之前，CRC筛查的依从性很高，这表明我们的目标人群是夏威夷土著居民中非常注重健康的人群。未来的工作应集中在该土著群体服务不足的人群上。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号