海员的主要职业危害之一是长时间暴露在阳光下。这项研究旨在确定基于手机的短信干预在布什尔省Genaveh港口的海员样本中采用皮肤癌预防行为的有效性。伊朗。
在这项随机对照试验中,随机选择136名海员,并将其分配到干预组(n=68)或对照组(n=68)。作为理论基础,我们遵循保护动机理论(PMT)变量来开发短信。通过问卷调查收集与PMT变量和皮肤癌预防行为相关的数据。设计了45条短信,在45天内预先测试并发送给干预组的海员电话。两组均于干预后1个月随访。两个阶段收集的数据采用配对样本t检验进行分析,ANCOVA,和卡方检验。
干预后,采取皮肤癌预防行为的平均得分(p=0.001),感知自我效能感(p=0.01),保护动机(p=0.02),干预组的恐惧(p=0.001)明显高于对照组。干预后,干预组的反应成本(p=0.05)和感知奖励(p=0.01)得分明显低于对照组。然而,感知脆弱性没有显著差异(p=0.14),感知严重性(p=0.09),干预后两组之间的反应效能(p=0.64)。
研究结果表明,基于手机的短信干预对增加伊朗海员皮肤癌预防行为的有效性。
伊朗临床试验注册中心(试验链接:https://www.irct.ir/trial/7572)。7月16日登记,2016年。前瞻性注册。
One of the main occupational hazards for seafarers is the long exposure to sunlight. This
study aimed to determine the efficacy of a mobile phone-based text message intervention in adopting skin cancer preventive behaviors among a sample of seafarers in Genaveh port located in Bushehr province, Iran.
In this randomized controlled
trial, 136 seafarers were randomly selected and assigned to the intervention (n = 68) or a control groups (n = 68). As a theoretical basis, we followed the Protection Motivation Theory (PMT) variables to develop the text messages. The data related to PMT variables and skin cancer preventive behaviors were collected through a questionnaire. Forty-five text messages were designed, pre-tested and sent to the seafarers\' phones in the intervention group in 45 days. Both groups were followed up 1 month after the intervention. Data collected in the two stages were analyzed using paired-samples t-test, ANCOVA, and Chi-square tests.
Following the intervention, the mean scores of adopting skin cancer preventive behaviors (p = 0.001), perceived self-efficacy (p = 0.01), protection motivation (p = 0.02), and fear (p = 0.001) were significantly higher in the intervention group than the control group. There was significant reduction in the response costs (p = 0.05) and perceived rewards (p = 0.01) scores in the intervention group compared with the control group after the intervention. However, there were no significant differences in the perceived vulnerability (p = 0.14), perceived severity (p = 0.09), and response efficacy (p = 0.64) between the two groups after the intervention.
The results of the
study indicated the effectiveness of mobile phone-based text message intervention for increasing skin cancer preventive behaviors in Iranian seafarers.
Iranian Registry for Clinical
Trial (the link to
trial: https://www.irct.ir/
trial/7572 ). Registered 16 July, 2016. Prospectively registered.