@文章{信息:doi/10.2196/35962,作者=“Hamdiui, Nora和Stein, Mart L和van Steenbergen, Jim和Crutzen, Rik和Bouman, Martine和Khan, Abresham和{\c{c}}etin, Miyase N和Timen, Aura和van den Muijsenbergh, Maria”,标题=“基于网络的文化敏感教育视频的评估,以促进30至60岁的土耳其和摩洛哥-荷兰妇女的知情宫颈癌筛查决定:随机干预研究”,期刊=“J Med Internet Res”,年=“2022”,月=“10”,日=“26”,卷=“24”,数=“10”,页=“e35962”,关键词=“宫颈癌;筛选;明智的决策;基于web的干预;具有文化敏感性的教育视频;土耳其;摩洛哥;背景:在荷兰,自1996年起,对30 ~ 60岁的女性实施了全国宫颈癌(CC)筛查计划。区域甄别组织每5年向目标妇女的家庭地址发送一封荷兰文的邀请函和资料小册子。 Although this screening is free of charge, Turkish- and Moroccan-Dutch women, especially, show low screening participation and limited informed decision-making (IDM). As Turkish- and Moroccan-Dutch women indicated their need for information on the practical, emotional, cultural, and religious aspects of CC screening, we developed a culturally sensitive educational video (CSEV) as an addition to the current information brochure. Objective: In this study, we aimed to evaluate the added effect of the CSEV on IDM regarding CC screening participation among Turkish and Moroccan women aged 30 to 60 years in the Netherlands through a randomized intervention study. Methods: Initial respondents were recruited via several social media platforms and invited to complete a web-based questionnaire. Following respondent-driven sampling, respondents were asked to recruit a number of peers from their social networks to complete the same questionnaire. Respondents were randomly assigned to the control (current information brochure) or intervention condition (brochure and CSEV). We measured respondents' knowledge and attitude regarding CC screening and their intention to participate in the next CC screening round before and after the control or intervention condition. We evaluated the added effect of the CSEV (above the brochure) on their knowledge, attitude, intention, and IDM using intention-to-treat analyses. Results: The final sample (n=1564) included 686 (43.86{\%}) Turkish and 878 (56.14{\%}) Moroccan-Dutch women. Of this sample, 50.7{\%} (793/1564) were randomized to the control group (350/793, 44.1{\%} Turkish and 443/793, 55.9{\%} Moroccan) and 49.3{\%} (771/1564) to the intervention group (336/771, 43.6{\%} Turkish and 435/771, 56.4{\%} Moroccan). Among the Turkish-Dutch women, 33.1{\%} (116/350) of the control respondents and 40.5{\%} (136/336) of the intervention respondents consulted the brochure (not statistically significant). Among Moroccan-Dutch women, these percentages were 28.2{\%} (125/443) and 37.9{\%} (165/435), respectively (P=.003). Of all intervention respondents, 96.1{\%} (323/336; Turkish) and 84.4{\%} (367/435; Moroccan) consulted the CSEV. The CSEV resulted in more positive screening attitudes among Moroccan-Dutch women than the brochure (323/435, 74.3{\%} vs 303/443, 68.4{\%}; P=.07). Women, who had never participated in CC screening before, showed significantly more often a positive attitude toward CC screening compared with the control group (P=.01). Conclusions: Our short and easily implementable CSEV resulted in more positive screening attitudes, especially in Moroccan-Dutch women. As the CSEV was also watched far more often than the current brochure was read, this intervention can contribute to better reach and more informed CC screening decisions among Turkish- and Moroccan-Dutch women. Trial Registration: International Clinical Trial Registry Platform NL8453; https://tinyurl.com/2dvbjxvc ", issn="1438-8871", doi="10.2196/35962", url="//www.mybigtv.com/2022/10/e35962", url="https://doi.org/10.2196/35962", url="http://www.ncbi.nlm.nih.gov/pubmed/36287585" }
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