背景:英国提供了使用粪便免疫化学测试的肠癌筛查,目的是降低结直肠癌的死亡率。然而,在整个英国的少数民族中,参与率很低。信仰干预措施有可能提高这些人群的筛查率,但是研究它们的有效性的研究很少。
方法:我们在东伦敦的七个清真寺(干预组)为204名穆斯林提供了关于肠癌筛查的报告。所有参与者都填写了一份关于态度的问卷,介绍前后对肠癌筛查的认识和知识。同时,我们对72名参加清真寺的未接受报告的受试者(对照组)进行了问卷调查.
结果:干预组表现出更高的测试意愿(90%vs.67%,p<0.001),并推荐给其他人(96%与74%,p<0.001),自己完成测试的能力(94%vs.56%,p<0.001)和注意症状的信心(78%vs.32%,p<0.001)在演示后与之前相比。干预组演示后与对照组在进行测试的意图上存在显着差异(90%vs.79%,p=0.02),推荐给其他人(96%与83%,p<0.001),以及对自己完成测试的能力的信心(94%vs.63%,p<0.001)。
结论:对培养敏感,在清真寺提供的信仰健康教育干预可以大大提高肠癌筛查的知识,并增加参与筛查计划的意愿。
■干预演讲是利用来自四个公众参与会议的见解而开发的,四个到六个成员代表东伦敦穆斯林社区。会议征求与会者对社区干预设计的适当方法的想法,并征求他们对可接受性的意见,消息传递的适当性,格式/设计和演示文稿的可能影响。然后利用他们的观点来改进演示文稿。
BACKGROUND: Bowel cancer screening using faecal immunochemical testing is provided in the United Kingdom with the aim of reducing mortality from colorectal cancer. However, there are low participant rates among ethnic minorities across the United Kingdom. Faith-placed interventions have the potential to improve screening rates among such populations, but studies examining their effectiveness are scarce.
METHODS: We delivered a presentation on bowel cancer screening to 204 Muslims in seven mosques in East London (intervention group). All participants completed a questionnaire regarding attitudes, perceptions and knowledge of bowel cancer screening before and after the presentation. Concurrently, we administered the questionnaire to 72 subjects attending a mosque that did not receive the presentation (comparison group).
RESULTS: The intervention group showed a greater willingness to do the test (90% vs. 67%, p < 0.001) and to recommend it to others (96% vs. 74%, p < 0.001), ability to complete the test by themselves (94% vs. 56%, p < 0.001) and confidence in noticing symptoms (78% vs. 32%, p < 0.001) after the presentation compared to before. There was a significant difference between the intervention group post-presentation and the comparison group on intention to do the test (90% vs. 79%, p = 0.02), recommending it to others (96% vs. 83%, p < 0.001), and confidence in their ability to complete the test by themselves (94% vs. 63%, p < 0.001).
CONCLUSIONS: A culture-sensitive, faith-placed health education intervention delivered in mosques can substantially improve knowledge of bowel cancer screening and increase the intention to participate in the screening programme.
UNASSIGNED: The intervention presentation was developed using insights from four public involvement sessions with four to six members representative of the East London Muslim community. The sessions sought attendees\' thoughts on appropriate ways to approach the intervention design for their community and asked for their views on the acceptability, appropriateness of messaging, format/design and likely impact of the presentation. Their views were then utilised to improve the presentation.