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首页> 外文期刊>Journal of health communication >Spiritually based intervention to increase colorectal cancer awareness among african americans: Intermediate outcomes from a randomized trial
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Spiritually based intervention to increase colorectal cancer awareness among african americans: Intermediate outcomes from a randomized trial

机译：基于精神的干预措施可提高非裔美国人对结直肠癌的认识：一项随机试验的中间结果

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Colorectal cancer screening, while effective for reducing mortality, remains underutilized particularly among underserved populations such as African Americans. The present study evaluated a spiritually based approach to increasing Health Belief Model-based pre-screening outcomes in a Community Health Advisor-led intervention conducted in African American churches. Sixteen urban churches were randomized to receive either the spiritually based intervention or a nonspiritual comparison of the same structure and core colorectal cancer content. Trained Community Health Advisors led a series of two educational sessions on colorectal cancer early detection. The educational sessions were delivered over a 1-month period. Participants (N=316) completed a baseline survey at enrollment and a follow-up survey one month after the first session. Both interventions resulted in significant pre/post increases in knowledge, perceived benefits of screening, and decreases in perceived barriers to screening. Among women, the spiritually based intervention resulted in significantly greater increases in perceived benefits of screening relative to the nonspiritual comparison. This finding was marginal in the sample as a whole. In addition, perceived benefits to screening were associated with behavioral intention for screening. It is concluded that in this population, the spiritually based was generally as effective as the nonspiritual (secular) communication.
机译：结肠直肠癌筛查虽然可有效降低死亡率，但尤其在服务不足的人群（如非裔美国人）中仍未得到充分利用。本研究评估了在非裔美国人教会中由社区健康顾问（Community Health Advisor）领导的干预措施中，基于精神的方法来增加基于健康信念模型的预筛查结果。 16个城市教堂被随机分配，以接受基于精神的干预或对相同结构和核心结肠直肠癌内容的非精神比较。受过训练的社区卫生顾问领导了关于结直肠癌早期检测的两个教育会议。培训课程为期1个月。参加者（N = 316）在入学时完成了基线调查，并在第一届会议后一个月完成了后续调查。两种干预措施均导致知识的前/后显着增加，筛查的感知收益以及筛查的感知障碍减少。在女性中，与非精神比较相比，基于精神的干预显着提高了筛查的感知收益。在整个样本中，这一发现是微不足道的。另外，感知的筛查益处与筛查的行为意图有关。结论是，在这种人群中，基于精神的交流通常与非精神（世俗）交流一样有效。

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