开发基于沙龙的HPV自收集干预的组概念映射
Kelly N B Palmer1,2, Namoonga M Mantina3, Adebola Adegboyega4
1Department of Health Promotion Sciences, University of Arizona College of Public Health, Tucson, AZ, USA. palmerkn@uab.edu.
社区的意见指导了以沙龙为基础的宫癌查干预措施的设计,改善了黑人妇女的获取机会. 这种方法消除了障碍,提高了查的普及率.
科学领域:
- 基于社区的参与性研究
- 公共卫生干预措施
- 癌症查
背景情况:
- 由于诊断迟到和查率较低, 黑人女性的子宫癌死亡率较高.
- 障碍包括提供者偏见,成本和有限的获取,特别是40至64岁的女性.
- 像HPV自收集这样的创新方法需要公平的传播.
研究的目的:
- 使用社区洞察力设计以沙龙为基础的宫癌查干预措施.
- 将癌症查从临床环境调整为社区空间.
- 提高黑人妇女的宫癌查准入率.
主要方法:
- 使用了groupwisdomTM和REDCap进行干预开发.
- 与黑人社区咨询委员会成员 (发型师,客户,医疗保健提供者) 进行概念映射.
- 包括头脑风暴,陈述分类,重要性/可行性等级,以及干预评估草案.
主要成果:
- 在六个集群中生成了39个陈述:推广,成本/收益,沟通,教育,物流和样本收集.
- 沟通考虑和采样被认为是最重要的和可行的.
- 突出了沟通,教育和样本采集的重要性和可行性.
结论:
- 社区参与对于将查适应于发型店等非临床环境至关重要.
- 合作的概念绘制确定了改善查准入和采用策略.
- 基于沙龙的干预可以有效地解决黑人女性的宫癌查差异.
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