THE EFFECT OF CANCER EDUCATION BASED ON THE HEALTH BELIEF MODEL ON AWARENESS OF WOMEN WITH DISABILITIES AND THEIR PARTICIPATION IN SCREENING
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The Gynecological Cancers Awareness Scale
研究概览
简要总结
Disability is part of being human. He estimates that the prevalence of disability among women is 60% higher than that of men.
Disabled women coexist in a dual state of vulnerability where "being a woman" and "being a disabled person" have two social disadvantages. Among people with disabilities, women with disabilities (WWD) have higher unmet healthcare needs than women without disabilities.
Cancer is an important public health problem and cause of death all over the world. Among the most common cancers in women; breast, uterine corpus, ovarian and cervix cancers are seen to be prominent, respectively. It is known that with regular examinations and screenings, early diagnosis of breast and cervical cancer increases the chance of treatment.
International studies show that women face barriers and difficulties in accessing reproductive health and cancer screening services. In studies, it was stated that especially women with disabilities living in rural areas had lower mammography and Pap-smear tests compared to women without disabilities. In recent years, the Health Belief Model has been used frequently to examine the effect of health beliefs on cancer screening behaviors in women and to increase screening rates. The model explains the beliefs and attitudes that affect individuals' behaviors. According to the model; If a person has a desire to prevent illness or a belief in recovery, he recommends taking a specific health action to prevent illness as a positive behavior. It was emphasized that nurses have important roles and responsibilities in the protection and development of health, and that they can identify individuals with disabilities who are considered "fragile", and provide health education and counseling to these groups. It is thought that the "disabled-friendly accessible health care" practices under the guidance of the Health Belief Model will bring the preventive health care behavior of women with disabilities to the desired level.
Disabled women experience inequalities in benefiting from routine health services and health screening services in special areas such as reproductive health and protection from women's cancers. Being diagnosed with cancer is undoubtedly devastating for anyone. For this reason, it becomes more important to raise awareness about the prevention, prevention, early diagnosis and development of a healthy lifestyle in women with physical disabilities, and to encourage health-seeking behaviors.
详细描述
Disability is part of being human. Everyone may be temporarily or permanently disabled at some point in their life, and it has been stated that they will experience increasing difficulties in functioning in old age. He estimates that the prevalence of disability among women is 60% higher than that of men.
Disabled women coexist in a dual state of vulnerability where "being a woman" and "being a disabled person" have two social disadvantages. Among people with disabilities, women with physical disabilities have higher unmet healthcare needs than women without disabilities.
Cancer is an important public health problem and cause of death all over the world. According to the Turkish Cancer Statistics, it is estimated that approximately 69,633 women are diagnosed with cancer in our country. Among the most common cancers in women; breast, uterine corpus, ovarian and cervix cancers are seen to be prominent, respectively. It is known that with regular examinations and screenings, early diagnosis of breast and cervical cancer increases the chance of treatment.
International studies show that women face barriers and difficulties in accessing reproductive health and cancer screening services. In the study of Horner-Johson et al., it was stated that especially rural women with disabilities had lower mammography and Pap-smear tests compared to non-disabled women. It is emphasized that as a result of lower screening participation of persons with disabilities, there is a higher risk of cancer mortality with delayed diagnosis.
In another study investigating the reasons why women with physical disabilities do not engage in preventive health services; time constraints and priorities, interactions between health professionals and women with disabilities, lack of knowledge, belief, sensitivity, belief that people with disabilities have more information than service providers, economic problems, transportation problems, appointment problems, availability of accessible facilities, physical pain, mammography, pap smear It has been stated that factors such as both psychological and physical discomfort during the test and pelvic examination are effective.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
The collected data will be analyzed by an independent statistician. The fact that the intervention 1 and intervention 2 groups of the study are known by the researcher and the women with physical disabilities do not know, makes it a double-blind randomized controlled study.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Being physically disabled
- •Having a disability to perform KKMM and KKVM
- •Being between the ages of 18-65 (since these are the age ranges at which screening is started),
- •Being married or living with a spouse (for participation in cervical cancer screening),
- •Not to do KKMM and KKVM regularly every month,
- •Never or in the last three years have not had a pap smear test, CMM or mammography,
- •Not being pregnant, breastfeeding or postpartum,
- •Not having a history of common cancers in women,
- •Accepting to participate in the research,
- •Being literate, accessible and communicative,
- •Absence of severe psychiatric problems
排除标准
- •Hearing impairment
- •Being visually impaired
- •Being mentally handicapped
- •A physically disabled woman who gives up working at any stage of the study will be excluded from the study.
研究组 & 干预措施
İntervention 1: Cancer awareness training based on the Health Belief Model
Awareness training based on the Health Belief Model will be given to the participants in the Intervention 1 group during home visits in order to eliminate the lack of information about the common female cancers in women and to increase their awareness. For 3 months, intervention 1 group will be given applications to reinforce their awareness in the education based on the Health Belief Model (for BSE and KKVM, erasable calendar magnets, booklets, phone cases and accessories themed as "common cancers awareness in women" as a reminder, phone call) will be made.
干预措施: HEALTH FAITH MODEL GUIDED IN CANCER FREQUENTLY SEEN IN WOMEN EARLY DIAGNOSIS AND SCREENING METHODS EDUCATION (Behavioral)
İntervention 2: Standart cancer education
Participants in the Intervention 2 group will be provided with the standard training applied at KETEM by the Ministry of Health on female cancers, which are frequently seen in physical women, during home visits. The training will be held in the form of power-point presentation, question and answer. For 3 months, intervention 2 groups will be applied to reinforce their awareness in standard education (sms reminder).
干预措施: STANDART CANCER EDUCATİON (Behavioral)
结局指标
主要结局
The Gynecological Cancers Awareness Scale
时间窗: 12 weeks
The Gynecological Cancers Awareness Scale consists of 41 questions in total, with a minimum of 41 and a maximum of 205 points that can be obtained from the scale. The increase in the scores obtained from the scale indicates that the awareness of gynecological cancer increases.
次要结局
- Champion's Health Belief Model Scale for Breast Cancer and Screening(12 weeks)
研究者
Yeşim KAYAPA
PhD student
Ankara Yildirim Beyazıt University