基于健康信念模型的教育干预措施,以获得有关乳房镜的知识,信念和意图:系统性审查
Ahmad Shaker Abu Abed1, Luz Garcia-Valdes1, Hana Taha2,3
1Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.
BMC women's health
|December 22, 2025
概括
健康信念模型 (HBM) 教育干预措施显著改善了40岁以上女性乳腺癌 (BC) 知识和乳房扫描查意图. 医疗保健机构的多方面的方法在早期检测方面最有效.
科学领域:
- 公共卫生 公共卫生
- 卫生教育卫生教育教育
- 预防医学 预防医学
背景情况:
- 乳腺癌 (BC) 是全球主要的健康问题,尤其对女性来说.
- 通过乳房镜早期检测对于改善生存率至关重要.
- 本系统性审查审查了基于健康信念模型 (HBM) 的教育干预措施,以加强40岁以上女性的乳房镜检查.
研究的目的:
- 系统地审查基于HBM的教育干预措施对乳腺癌知识,信念和乳腺镜片意图的有效性.
- 确定影响40岁及以上妇女乳房扫描查决策的关键因素.
- 为优化未来乳腺癌查推广策略提供证据.
主要方法:
- 在PROSPERO (CRD42023402436) 上注册的系统审查,遵循PRISMA 2020指南.
- 从2003年1月到2024年12月,在五个数据库 (PubMed,CINAHL,Embase,Web of Science,PsycINFO) 进行了全面的文献搜索.
- 使用Cochrane风险偏见2 (RoB2) 和RoBANS 2工具进行质量评估,然后进行叙事综合.
主要成果:
- 包括8项研究 (5项RCT,3项NRCT;N=1,439),使用各种教育策略.
- 观察到乳腺癌知识 (6项研究) 和与查信念相关的HBM构造 (7项研究) 显著改善.
- 诸如尬,成本,收入,保险,年龄和移民身份等因素影响了查意图;限制包括小样本大小和自我报告数据.
结论:
- 基于HBM的教育干预措施通常会增强40岁以上女性的乳腺癌知识,信念和乳腺扫描意图.
- 医疗保健机构内的多组件干预措施显示出最大的影响.
- 未来的干预措施应该是多方面的,文化敏感,并包括持续的后续,以改善查遵守和促进早期发现乳腺癌.
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