Increased cancer awareness among British adolescents after a school-based educational intervention: a controlled before-and-after study with 6-month follow-upReportar como inadecuado




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BMC Public Health

, 13:190

Infectious Disease epidemiology

Abstract

BackgroundThere is a lack of evidence around the effectiveness of school-based interventions designed to raise adolescents’ cancer awareness. To address this deficit this study assessed the impact of an intervention delivered in the United Kingdom by Teenage Cancer Trust on: recall open question and recognition closed question of cancer warning signs; knowledge of common childhood, teenage, male and female cancers; awareness of the relationship between cancer and age; anticipated medical help-seeking delay; perceived barriers to seeking medical advice about cancer; and examined variation of intervention effect by gender and whether adolescents reported that they knew someone with cancer.

MethodsThe Cancer Awareness Measure CAM was completed by 422 adolescents male: 221, 52.4% aged 11-17 years old mean age=13.8, standard deviation=1.26 two weeks before and two weeks after the intervention in three schools, and on two occasions four weeks apart in a fourth control school. Intervention schools were followed-up 6-months post-intervention.

ResultsRecognition of nine common cancer warning signs significantly increased two weeks after the intervention 4.6 to 6.8, p<0.001 and was maintained at 6-month follow-up 6.2, p<0.001. Endorsement of emotional barriers to help-seeking ‘not confident to talk about symptoms’ 53% to 45%, p=0.021 and ‘worried about what the doctor might find’ 70% to 63%, p=0.021 significantly decreased two weeks after the intervention but changes were not maintained at 6-months. The intervention had a greater impact on females and those who knew someone with cancer.

ConclusionsThe intervention is an effective way to raise adolescents’ cancer awareness, especially of cancer symptoms. Further development and evaluation is required to maximise intervention impact, particularly on barriers to help-seeking behaviour.

AbbreviationsCAMCancer awareness measure

NAEDINational awareness and early diagnosis initiative

RCTRandomised controlled trial

SDStandard deviation

TYATeenage and young adult

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-190 contains supplementary material, which is available to authorized users.

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Autor: Richard G Kyle - Liz Forbat - Petra Rauchhaus - Gill Hubbard

Fuente: https://link.springer.com/







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