The impact of educational intervention based on the theory of planned behavior on preventive behaviors for gastric cancer in obese and smoking individuals.

IF 3.4 2区 医学 Q2 ONCOLOGY
Siamak Najafi, Fatemeh Mohammadkhah, Saina Alempour Salemi, Amirhossein Kamyab, Ali Khani Jeihooni
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引用次数: 0

Abstract

Background: Gastric cancer remains a significant global health issue due to its aggressive nature and high heterogeneity, making early detection and prevention critical. Obesity and smoking are established risk factors that significantly contribute to the development of gastric cancer. Despite the clear links between these risk factors and the disease, there is a lack of targeted educational interventions that address these behaviors. This study aims to fill this gap by investigating the impact of an educational intervention based on the Theory of Planned Behavior (TPB) on promoting preventive behaviors for gastric cancer among obese and smoking individuals.

Methods: This quasi-experimental study was conducted in 2021-2022 on 150 obese or overweight individuals, more than 25 years old who smoked (cigarettes and hookah) in Fasa city, Iran. From six urban health centers, two centers were randomly selected (one as the experimental group and the other as the control group). Data collection tools included a demographic characteristics questionnaire based on the TPB model (a researcher-made questionnaire). Based on pre-test results, the educational intervention for the experimental group included 12 educational sessions for 50 min, following the TPB model, through lectures, Question and Answers, group discussions, practical demonstrations, video clips, and PowerPoint presentations. The questionnaires were completed by both groups before and six months after the intervention. Data were analyzed using SPSS 22 and descriptive and analytical statistical methods (paired t- test, McNemar test, Chi-square test, and independent t-test) (p < 0.05).

Results: The results showed no significant difference between the two groups before the educational intervention. However, six months after the intervention, the experimental group showed a significant increase in TPB model cues (awareness, attitude, subjective norms, perceived behavioral control, behavioral intention, and behavior) (P < 0.001).

Conclusion: The findings of the present study indicate that the educational intervention based on the TPB model is useful in improving gastric cancer screening and preventive behaviors. It can also be used in planning and implementing appropriate programs to prevent and treat this disease.

基于计划行为理论的教育干预对肥胖和吸烟人群胃癌预防行为的影响
背景:胃癌由于其侵袭性和高度异质性,仍然是一个重要的全球健康问题,因此早期发现和预防至关重要。肥胖和吸烟是胃癌发生的重要危险因素。尽管这些风险因素与疾病之间存在明显的联系,但缺乏针对这些行为的有针对性的教育干预措施。本研究旨在通过调查基于计划行为理论(TPB)的教育干预对促进肥胖和吸烟人群预防胃癌行为的影响来填补这一空白。方法:本准实验研究于2021-2022年对伊朗法萨市150名25岁以上吸烟(香烟和水烟)的肥胖或超重个体进行。从6个城市卫生中心中,随机选择两个中心(一个作为实验组,另一个作为对照组)。数据收集工具包括基于TPB模型的人口统计学特征问卷。根据前测结果,实验组的教育干预包括12个50分钟的教育环节,遵循TPB模式,通过讲座、问答、小组讨论、实践演示、视频剪辑和ppt演示。调查问卷由两组在干预前和干预后六个月完成。采用SPSS 22、描述性统计和分析性统计方法(配对t检验、McNemar检验、卡方检验、独立t检验)对数据进行分析(p)。结果:教育干预前两组间差异无统计学意义。然而,在干预6个月后,实验组的TPB模型线索(意识、态度、主观规范、感知行为控制、行为意图和行为)显著增加(P)。结论:本研究结果表明,基于TPB模型的教育干预有助于改善胃癌筛查和预防行为。它还可用于规划和实施预防和治疗这种疾病的适当方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Cancer
BMC Cancer 医学-肿瘤学
CiteScore
6.00
自引率
2.60%
发文量
1204
审稿时长
6.8 months
期刊介绍: BMC Cancer is an open access, peer-reviewed journal that considers articles on all aspects of cancer research, including the pathophysiology, prevention, diagnosis and treatment of cancers. The journal welcomes submissions concerning molecular and cellular biology, genetics, epidemiology, and clinical trials.
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