在偏远的塔斯马尼亚州参与肠癌查的障碍和促进因素:使用理论领域框架进行定性研究
Nicola Gadd1, Simone Lee1, Jessica Hughes1,2
1Centre for Rural Health, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia.
The Australian journal of rural health
|August 31, 2024
概括
障碍和推动因素影响了塔斯马尼亚州偏远地区的居民参与国家肠癌查计划. 解决这些因素,包括社会支持和后勤挑战,对于提高查率至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肠癌查对于早期检测和改善结果至关重要.
- 偏远地区的人群在获得查计划时经常面临独特的挑战.
- 国家肠癌查计划旨在减少肠癌死亡率.
研究的目的:
- 确定阻碍和促进肠癌查参与的障碍和因素,在偏远的塔斯马尼亚.
- 为提高查计划可访问性和普及性的策略提供信息.
主要方法:
- 在一个偏远的塔斯马尼亚社区进行了16次半结构面试的定性研究.
- 采访指南由理论领域框架和行为变化车轮提供信息.
- 用灵活的诱导方法使用定向内容分析分析数据.
主要成果:
- 出现了四个主要主题:查主题,物理套件,过程和结果.
- 社会支持和意识是重要的推动因素;缺乏这些是障碍.
- 识别了后续测试的后勤问题,如邮局互动和旅行等后续测试的障碍.
- 一个移动查单位 (肠道公共汽车) 可以减轻旅行负担,并支持低识字的人.
结论:
- 在肠癌查过程的各个阶段都存在障碍和促进因素.
- 了解这些因素对于改善农村和偏远地区的查率至关重要.
- 考虑到当地环境的定制干预措施是必要的,以促进参与.
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