TY - JOUR AU - Hamdiui, Nora AU - Stein, Mart L AU - van Steenbergen, Jim AU - Crutzen, Rik AU - Bouman, Martine AU - Khan, Abresham AU - Çetin, Miyase N AU - Timen, Aura AU - van den Muijsenbergh, Maria PY - 2022 DA - 2022/10/26 TI -评估一个基于网络的文化敏感教育视频，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JO - J Med Internet Res SP - e35962 VL - 24 IS - 10 KW -宫颈癌KW -筛查KW -知情决策KW -网络干预KW -文化敏感教育视频KW -土耳其KW -摩洛哥KW -荷兰AB -背景:在荷兰，自1996年以来，对30至60岁的妇女实施了国家宫颈癌(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。虽然这种筛查是免费的，但土耳其和摩洛哥-荷兰妇女的筛查参与度低，知情决策有限(IDM)。由于土耳其和摩洛哥-荷兰妇女表示需要CC筛查的实际、情感、文化和宗教方面的信息，我们制作了一个文化敏感的教育视频(CSEV)作为当前信息手册的补充。目的:在本研究中，我们旨在通过一项随机干预研究，评估CSEV对荷兰30 - 60岁土耳其和摩洛哥女性CC筛查参与IDM的附加影响。方法:最初的受访者通过几个社交媒体平台招募，并被邀请完成一份基于网络的问卷调查。在受访者驱动抽样之后，受访者被要求从他们的社交网络中招募一些同龄人来完成相同的问卷。受访者被随机分配到对照组(当前信息手册)或干预组(手册和CSEV)。在控制或干预条件前后，我们测量了受访者对CC筛查的知识和态度，以及他们参与下一轮CC筛查的意愿。 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e35962 UR - https://doi.org/10.2196/35962 UR - http://www.ncbi.nlm.nih.gov/pubmed/36287585 DO - 10.2196/35962 ID - info:doi/10.2196/35962 ER -