Trial Title:
THE EFFECT OF CANCER EDUCATION ON WOMEN'S AWARENESS LEVELS AND THEIR BEHAVIORS ON SCREENINGS
NCT ID:
NCT05881902
Condition:
Cancer
Conditions: Keywords:
cancer screening
cancer early detection
physically disabled
early screening
health blief model
breast cancer
cervix cancer
awareness
Study type:
Interventional
Study phase:
N/A
Overall status:
Recruiting
Study design:
Allocation:
Randomized
Intervention model:
Parallel Assignment
Intervention model description:
Randomized controlled experimental design
Primary purpose:
Screening
Masking:
Double (Participant, Outcomes Assessor)
Masking description:
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.
Intervention:
Intervention type:
Behavioral
Intervention name:
HEALTH FAITH MODEL GUIDED IN CANCER FREQUENTLY SEEN IN WOMEN EARLY DIAGNOSIS AND SCREENING METHODS EDUCATION
Description:
A total of 4 home visits and 2 phone calls will be made by giving awareness training
based on the Health Belief Model to the participants in the Intervention 1 group 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
Arm group label:
İntervention 1: Cancer awareness training based on the Health Belief Model
Intervention type:
Behavioral
Intervention name:
STANDART CANCER EDUCATİON
Description:
The participants in the intervention 2 group will be given the standard training applied
by the Ministry of Health in KETEM for women's cancers during home visits, and a total of
4 home visits and 2 SMS reminders will be made.
Arm group label:
İntervention 2: Standart cancer education
Summary:
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.
Detailed description:
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.
In recent years, the Health Belief Model (SIM) has been frequently used 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 the behavior of
individuals. The most basic components of the model are the perception of susceptibility,
the perception of seriousness, the perception of benefit, the perception of obstacles,
the health motivation and the perception of trust. The SIM recommends that if a person
has a desire to prevent illness or a belief in recovery, he or she should take a specific
health action to prevent illness as a positive behavior. In an interventional study
conducted with Korean-American women to improve breast cancer screening, using SIM for
early diagnosis and behavioral change, it was determined that the rate of mammography and
Breast Self-Examination (BSE) application rates increased significantly. It has been
emphasized that nurses have important roles and responsibilities in the protection and
development of health, and that they can identify disabled individuals who are considered
"fragile" and provide health education and counseling to these groups. It is thought that
awareness training on cancers that are common in women, given under the guidance of the
Health Belief Model, will bring the preventive health behavior of women with disabilities
to the desired level. When the literature is examined, the limited number of randomized
controlled studies that will increase the participation of disabled women in cancer
screening services increases the importance of the subject.
Disabled women experience inequalities in benefiting from routine health services and
health screening services in special areas such as reproductive health and protection
from cancers that are common in women. Being diagnosed with cancer is undoubtedly
devastating for anyone. For this reason, it becomes more important to raise awareness
about the prevention, prevention and early diagnosis of cancers that are common in women
with physical disabilities, to raise awareness on this issue and to encourage
health-seeking behaviors.
This study was conducted to determine the barriers for women with physical disabilities
between the ages of 18-65 to adopt behaviors to diagnose common cancers in women at an
early stage, and to increase participation in early diagnosis behaviors in cancers that
are common in women (Breast Self Examination (BSE), Clinical Breast Examination (CBE),
Self-Examination). Vulva Self Examination (KKVM), Mammography and PapSmear Test) was
planned to determine the effectiveness of awareness training based on SIM.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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.
Gender:
Female
Gender based:
Yes
Gender description:
Our sample is considered based on biological sex.
Minimum age:
18 Years
Maximum age:
65 Years
Healthy volunteers:
Accepts Healthy Volunteers
Locations:
Facility:
Name:
Ankara Yildirim Beyazit University
Address:
City:
Ankara
Zip:
06760
Country:
Turkey
Status:
Recruiting
Contact:
Last name:
YEŞİM KAYAPA
Phone:
+905426726220
Email:
ysmkyp@hotmail.com
Start date:
January 1, 2023
Completion date:
July 1, 2023
Lead sponsor:
Agency:
Yeşim KAYAPA
Agency class:
Other
Source:
Ankara Yildirim Beyazıt University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05881902
