تاثير باورهاي بهداشتي بر مشاركت كارمندان اداري دانشگاه علوم پزشكي شيراز در برنامه هاي غربالگري سرطان كولوركتال - سال 1383

The effect of health belief on participation of the official administrative personnel in colorectal cancer screening programs in Shiraz University of Medical Sciences: 2004

Success of screening programs depends on the people belief health toward the importance and necessity of these programs. This study was conducted to determine the effect of health belief on participation of official administrative personnel of Shiraz University of Medical Sciences withan average risk(age: 40 years) for colorectal cancerin fecal occult blood test(FOST).. Materials and Methods In this sub experimental study 156 subjects were selected using a random cluster sampling and divided randomly into two grous of experimental and control (n=78 for each). In the first stage, the level of knowledge, status of willingness and barriers related to participation in screening program were examined in each of two groups. The intervention program was done according to the health belief model for the experimental group, then, 3 stool samples in different times ( randomly) for checking occult blood were collected from the subjects who attended the laboratory. The results were then reported to them. The level of awareness was re-examined by a questionnaire after 3 months. Finally Comparison of level of knowledge and participation before and after intervention was implemented. Results In the two groups studied, only 19 subject (12/18%) very interensing to screening programs . Lack of time in 53 subjects (57/6%) and lack of awareness in 49 (53/2%) were the most common barriers for participation in screening programs (FOST) . In each of two groups, 8 subjects (5/2%) were aware of CRC and screening programs. The mean level of awareness in experimental group changed from1/192 in the before intervention to 11/166 in the after intervention stage . 54 subjects (69/2%) in the experimental group and 3 (3/8%) from the control group participated in the implementation of FOST. Conclusions Application of the health belief model can significantly increase the level of awareness and participation in screening programs.