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1.
BMC Oral Health ; 24(1): 577, 2024 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-38760829

RESUMO

BACKGROUND: The theory of planned behavior (TPB) is recognized as an effective theory for behavior change. The aim of the present study was to investigate the impact of two TPB-based educational interventions on oral self-examination (OSE) behavior and the related TPB constructs among adults in Tehran, Iran, in 2022. METHODS: This randomized controlled trial involved 400 healthy individuals recruited from 20 urban comprehensive health centers in the southern part of Tehran, Iran. The health centers were randomly assigned to two control (PowerPoint) and intervention (WhatsApp) groups (200 individuals in each group). In the control group (the recipient of the routine care), participants received a 20-minute lecture through a PowerPoint presentation and a pamphlet. In the intervention group (the recipient of an additional intervention alongside the routine care), participants were educated through messages and images on WhatsApp along with having monthly group discussions. Data was collected at baseline, as well as at 1- and 3-month follow-ups using a structured questionnaire. The outcomes assessed included OSE behavior and the related TPB constructs: intention, attitude, subjective norm, and perceived behavioral control. Linear and logistic generalized estimating equations (GEE) regression models were used to evaluate the impact of the interventions with STATA version 17. RESULTS: Of the total participants, 151 (37.75%) were men. The mean ± standard deviation (SD) of ages in the PowerPoint and WhatsApp groups were 39.89 ± 13.72 and 39.45 ± 13.90, respectively. OSE and the related TPB constructs showed significant differences between the groups at the 1-month post-intervention assessment. The effect of PowerPoint was more significant in the short-term (one month), while both methods showed similar effectiveness after three months, specifically in relation to OSE and the TPB constructs. At the 3-month post-intervention assessment, there were significant increases in OSE (OR = 28.63), intention (ß = 1.47), attitude (ß = 0.66), subjective norm (ß = 2.82), and perceived behavioral control (ß = 1.19) in both groups (p < 0.001). CONCLUSIONS: The present study provides evidence of the effectiveness of both educational interventions in improving OSE and the TPB constructs after three months. Therefore, both TPB-based educational methods can be recommended for designing and implementing interventions aimed at preventing oral cancer. TRIAL REGISTRATION: The trial protocol was registered in the Iranian Registry of Clinical Trials (IRCT) on 04/03/2022 (registration number: IRCT20220221054086N1).


Assuntos
Neoplasias Bucais , Autoexame , Humanos , Masculino , Feminino , Adulto , Neoplasias Bucais/psicologia , Irã (Geográfico) , Pessoa de Meia-Idade , Autoexame/métodos , Intenção , Comportamentos Relacionados com a Saúde , Teoria Psicológica , Inquéritos e Questionários , Educação em Saúde Bucal/métodos , Teoria do Comportamento Planejado
3.
J Drugs Dermatol ; 23(5): e132-e133, 2024 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-38709690

RESUMO

Skin self-examinations play a vital role in skin cancer detection and are often aided by online resources. Available reference photos must display the full spectrum of skin tones so patients may visualize how skin lesions can appear. This study investigated the portrayal of skin tones in skin cancer-related Google Images, discovering a significant underrepresentation of darker skin tones. J Drugs Dermatol. 2024;23(5):e132-e133.     doi:10.36849/JDD.7886e.


Assuntos
Neoplasias Cutâneas , Pigmentação da Pele , Humanos , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Fotografação , Autoexame/métodos , Pele/patologia , Internet , Ferramenta de Busca
4.
Contemp Clin Trials ; 140: 107494, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38458557

RESUMO

BACKGROUND: Adolescents infrequently use sun protection and engage in intentional tanning more frequently compared to other age groups, leading to increased ultraviolet radiation (UVR) exposure that heightens skin cancer risk across the lifespan. High schools are therefore an ideal setting for offering skin cancer preventive interventions. Yet, there are limited UVR protection interventions for high school students, especially those that are personalized, tested using randomized designs, and include long-term outcome assessment to determine the durability of intervention effects. METHOD: The Sun-safe Habits Intervention and Education (SHINE) cluster-randomized trial will test a novel, personalized intervention that targets high school adolescents' sun protection and tanning behaviors, and tracks their outcomes for up to one year following intervention. Enrolled high schools will be randomized to receive either the personalized SHINE intervention, which includes facial UVR photographs and sun protection action planning, or standard education using publicly available materials. Students in both conditions will receive information about skin cancer, sun protection, and skin self-examination. Outcome variables will include students' sun protection and tanning behaviors and sunburn occurrence. Potential moderators (e.g., race/ethnicity) and mediators (e.g., self-efficacy) will also be assessed and tested. CONCLUSIONS: This trial examines the efficacy of a personalized intervention targeting sun protection and tanning of high school students. The project will lead to new scientific understanding of the theoretical mechanisms underlying outcomes and moderators of the intervention effects, which will inform future intervention tailoring to meet the needs of vulnerable subgroups.


Assuntos
Neoplasias Cutâneas , Queimadura Solar , Humanos , Adolescente , Neoplasias Cutâneas/prevenção & controle , Queimadura Solar/prevenção & controle , Feminino , Protetores Solares/uso terapêutico , Protetores Solares/administração & dosagem , Masculino , Educação em Saúde/organização & administração , Educação em Saúde/métodos , Raios Ultravioleta/efeitos adversos , Banho de Sol , Serviços de Saúde Escolar/organização & administração , Comportamentos Relacionados com a Saúde , Autoexame/métodos
5.
Contemp Clin Trials ; 140: 107513, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38537902

RESUMO

BACKGROUND: Adherence to self-management interventions is critical in both clinical settings and trials to ensure maximal effectiveness. This study reports how the Behaviour Change Wheel may be used to assess barriers to self-management behaviours and develop strategies to maximise adherence in a trial setting (the MEL-SELF trial of patient-led melanoma surveillance). METHODS: The Behaviour Change Wheel was applied by (i) using the Capability, Opportunity, Motivation-Behaviour (COMB) model informed by empirical and review data to identify adherence barriers, (ii) mapping identified barriers to corresponding intervention functions, and (iii) identifying appropriate behaviour change techniques and developing potential solutions using the APEASE (Affordability, Practicability, Effectiveness and cost-effectiveness, Acceptability, Side-effects and safety, Equity) criteria. RESULTS: The target adherence behaviour was defined as conducting a thorough skin self-examination and submitting images for teledermatology review. Key barriers identified included: non-engaged skin check partners, inadequate planning, time constraints, low self-efficacy, and technological difficulties. Participants' motivation was positively influenced by perceived health benefits and negatively impacted by emotional states such as anxiety and depression. We identified the following feasible interventions to support adherence: education, training, environmental restructuring, enablement, persuasion, and incentivisation. Proposed solutions included action planning, calendar scheduling, alternative dermatoscopes, optimised communication, educational resources in various formats to boost self-efficacy and motivation and optimised reminders (which will be evaluated in a Study Within A Trial (SWAT)). CONCLUSION: The Behaviour Change Wheel may be used to improve adherence in clinical trials by identifying barriers to self-management behaviours and guiding development of targeted strategies.


Assuntos
Melanoma , Motivação , Cooperação do Paciente , Autoeficácia , Neoplasias Cutâneas , Feminino , Humanos , Masculino , Comportamentos Relacionados com a Saúde , Melanoma/terapia , Melanoma/psicologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Autoexame/métodos , Autogestão/métodos
6.
Patient Educ Couns ; 123: 108226, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38442436

RESUMO

OBJECTIVES: The purpose of this study was to field-test a recently developed AR-based serious game designed to promote SSE self-efficacy, called Spot. METHODS: Thirty participants played the game and answered 3 questionnaires: a baseline questionnaire, a second questionnaire immediately after playing the game, and a third questionnaire 1 week later (follow-up). RESULTS: The majority of participants considered that the objective quality of the game was high, and considered that the game could have a real impact in SSE promotion. Participants showed statistically significant increases in SSE self-efficacy and intention at follow-up. Of the 24 participants that had never performed a SSE or had done one more than 3 months ago, 12 (50.0%) reported doing a SSE at follow-up. CONCLUSIONS: This study provides supporting evidence to the use of serious games in combination with AR to educate and motivate users to perform SSE. Spot seems to be an inconspicuous but effective strategy to promote SSE, a cancer prevention behavior, among healthy individuals. PRACTICE IMPLICATIONS: Patient education is essential to tackle skin cancer, particularly melanoma. Serious games, such as Spot, have the ability to effectively educate and motivate patients to perform a cancer prevention behavior.


Assuntos
Realidade Aumentada , Melanoma , Neoplasias Cutâneas , Humanos , Melanoma/prevenção & controle , Autoexame , Neoplasias Cutâneas/prevenção & controle , Inquéritos e Questionários
7.
World J Urol ; 42(1): 58, 2024 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-38279983

RESUMO

PURPOSE: Testicular cancer (TC) predominantly affects young men and early detection enhances survival. However, uncertainty surrounds the impact of population-wide screening. Testicular self-examination (TSE) is a simple detection method but there is a gap in current practices that needs to be assessed. Our goal was to assess the perceptions and knowledge of male subjects in the general population (MP) and general practitioners (GPs) regarding TSE for TC. METHODS: Two distinct surveys evaluating knowledge and perceptions of TSE for TC were administered to GPs and MP, aged 15‒45-years. Factors that could favour the realisation of TSE or improve the knowledge of TC were evaluated by multivariable logistic regression. RESULTS: Overall, 1048 GPs (mean (SD) age: 35.1 ± 10.3 years) and 1032 MP (mean (SD) age: 27 ± 8.2 years) answered the survey. Among the GPs, only 93 (8.9%) performed scrotal examination for TC screening. Although the majority (n = 993, 94.8%) were aware of the age of onset of TC, most (n = 768, 73.3%) did not know the overall survival rate from TC. GPs familiar with the guidelines were more likely to explain TSE to their patients (OR = 2.5 [95% CI 1.5‒4.1]; p < 0.01). Among the MP, 800 (77.5%) admitted that they did not know how to perform TSE and 486 (47.1%) did not know the main symptoms associated with TC. MP who had already undergone TC screening were more likely to be familiar with the main symptoms (OR = 2.1 [95% CI 1.6‒2.7]; p < 0.001) and MP who knew someone with TC or who had already undergone TC screening were more likely to be aware of the correct prevalence of TC (OR = 1.9 [95% CI 1.3‒2.7], p < 0.01; and OR = 1.6 [95% CI 1.2‒2.1], p < 0.01; respectively). CONCLUSION: The knowledge of both GPs and MP regarding TC could be improved. TSE screening and knowing someone close with TC improved the awareness of our subjects.


Assuntos
Clínicos Gerais , Neoplasias Embrionárias de Células Germinativas , Neoplasias Testiculares , Humanos , Masculino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Adolescente , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Autoexame/métodos , Percepção
8.
Am J Mens Health ; 17(6): 15579883231215343, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38044499

RESUMO

Extensive research showcases the extent and efficacy of humor-based messaging in general health promotion. However, the work describing humor's use within testicular cancer (TC) awareness is less developed. The aim of this comparative critical review was to determine the impact of using humor-based messaging in TC awareness campaigns to achieve a baseline assessment from which future research can be modeled. A literature search was conducted using seven databases to locate relevant literature. Three research questions guided this investigation: (1) To what extent has humor been used in TC awareness campaigns? (2) What does the literature reveal about the use of humor-based messaging on relevant health outcomes? (3) What are the limitations within current TC awareness strategies? Six studies were included in the review, of which three directly assessed the use of humor in TC awareness vis-à-vis intervention designs. Humor-based strategies were implemented to enhance knowledge of TC and testicular self-examination (TSE) procedures, reduce anxiety surrounding detection threat, and promote TSE. The rhetoric provided to men via various health interventions relied on humor and slang to promote TSE among males. Despite the small sample size of the included studies, this review determined that humor may be useful in reducing uncomfortable feelings surrounding TSE, increasing awareness of TC, and promoting TSE. When using humor-based messaging, however, the audience and type of humor implemented must be considered. Limited research exists assessing the long-term impact humor in TC promotion on health behavioral changes, easing anxieties related to detection, and increased self-efficacy surrounding TSE.


Assuntos
Neoplasias Testiculares , Masculino , Humanos , Neoplasias Testiculares/prevenção & controle , Neoplasias Testiculares/diagnóstico , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Autoexame
9.
PLoS One ; 18(11): e0293843, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37943824

RESUMO

OBJECTIVE: The present study aimed to identify the social cognitive predictors of regular dental visits and mouth self-examination behaviors among the elderly population, based on the Health Action Process Approach (HAPA) model. BACKGROUND: Regular dental visits and mouth self-examination can prevent oral and dental problems among the elders. Little information is available regarding the social cognitive predictive factors of these two behaviors. MATERIALS AND METHODS: A cross-sectional study was conducted in 24 municipality centers in Tehran, Iran in 2021. The centers were selected randomly using a multi-stage cluster sampling method and 301 elderly attendants aged 60≥years participated in the study. Data collection was done using a researcher-made questionnaire including demographic characteristics and the HAPA model constructs for two target behaviors. Data were analyzed using the Smart-PLS version 3.3.9 via correlation and PLS-SEM analysis. RESULTS: The mean age of the participants was 65.3±5.33 years and 79.7% were female. The SEM analysis showed that Action Self-Efficacy [b (SD) = 0.595 (0.065), P< 0.001] and Risk Perception [b (SD) = 0.218 (0.070), P< 0.002] were predictors of Intention for mouth self-examination but only Action Self-Efficacy [b (SD) = 0.651 (0.043), P< 0.001] was predictor of Intention for regular dental visits. Recovery Self-Efficacy and Planning directly contributed to the prediction of Mouth Self-Examination. The relationship between Maintenance Self-Efficacy and both behaviors is mediated by Planning. Also, the mediating role of Planning between Intention and target behaviors was confirmed. CONCLUSION: Action self-efficacy predicted the intention for regular dental visits and mouth self-examination behaviors. The relationship between intention and both behaviors was mediated by Planning. Emphasis on improving Action Self-Efficacy and Intention formation will enhance the effectiveness of interventions aiming at promoting the oral health of the elderly population.


Assuntos
Intenção , Autoexame , Humanos , Idoso , Feminino , Pessoa de Meia-Idade , Masculino , Estudos Transversais , Irã (Geográfico) , Inquéritos e Questionários , Autoeficácia , Cognição
11.
Clin Exp Dermatol ; 48(12): 1358-1360, 2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-37611174

RESUMO

We developed the Achieving Self-directed Integrated Cancer Aftercare (ASICA) in melanoma app to support monthly total-skin self-examinations (TSSE) by people previously treated for melanoma. A randomized 12-month trial demonstrated ASICA supported optimal monthly TSSE adherence in a third of participants (ClinicalTrials.gov NCT03328247). However, a further third of participants adhered well initially but subsequently dropped off, and a final third did not adhere at all. This follow-up qualitative study investigated trial participants' perceptions of barriers and facilitators to TSSE adherence using the app. Three former trial participants participated in a single focus group and 11 participated in new semistructured telephone interviews. These were analysed thematically alongside secondary analysis of 13 qualitative interviews conducted during the trial. All transcripts were recorded, transcribed and analysed thematically. Five themes encompassing barriers and facilitators to ASICA adherence emerged. These were: technology, role of others, tailoring, disease journey and competing priorities. These data will inform further development of ASICA to increase user adherence.


Assuntos
Melanoma , Aplicativos Móveis , Humanos , Seguimentos , Melanoma/terapia , Pesquisa Qualitativa , Autoexame , Ensaios Clínicos Controlados Aleatórios como Assunto
12.
Pigment Cell Melanoma Res ; 36(6): 481-500, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37574711

RESUMO

Melanoma is a significant cause of cancer death, despite being detectable without specialized or invasive technologies. Understanding barriers to preventive behaviors such as skin self-examination (SSE) could help to define interventions for increasing the frequency of early detection. To determine melanoma knowledge and beliefs across three high-incidence US states, 15,000 surveys were sent to a population-representative sample. We aimed to assess (1) melanoma literacy (i.e., knowledge about melanoma risks, attitudes, and preventive behaviors) and (2) self-reported SSE and its association with melanoma literacy, self-efficacy, and belief in the benefits of SSE. Of 2326 respondents, only 21.2% provided responses indicating high knowledge of melanoma, and 62.8% reported performing an SSE at any time in their lives. Only 38.3% and 7.3% reported being "fairly" or "very" confident about doing SSE, respectively. SSE performance among respondents was most strongly associated with higher melanoma knowledge, higher self-efficacy, and personal history of melanoma. Melanoma literacy among survey respondents was modest, with greater literacy associated with a higher likelihood of reported preventive behavior. This assessment establishes a baseline and provides guidance for public health campaigns designed to increase prevention and early detection of this lethal cancer.


Assuntos
Melanoma , Neoplasias Cutâneas , Humanos , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/prevenção & controle , Alfabetização , Melanoma/diagnóstico , Melanoma/epidemiologia , Melanoma/prevenção & controle , Autoexame , Inquéritos e Questionários
13.
Asian Pac J Cancer Prev ; 24(7): 2413-2420, 2023 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-37505774

RESUMO

INTRODUCTION: Testicular cancer (TC) is a serious health issue, which requires early detection through testicular self-examination (TSE). OBJECTIVES: To investigate Saudi nursing students' health beliefs about TC and TSE using the Health Belief Model (HBM) scale and assess the validity and reliability of the HBM scale. METHODS: This cross-sectional study recruited a convenience sample of 374 nursing students from six nursing colleges in different cities in Saudi Arabia. Data were collected through self-report questionnaires that included demographic and academic information, as well as a valid and reliable HBM scale for TC and TSE. RESULTS: Most participants were single (88.8 %), in their third year of nursing education (43.9 %), had excellent or very good health (83.2%), had no family history of TC (88.9%), and had no medical problems with their testicles (92.8%). The participants had low susceptibility to TC and moderate beliefs about the seriousness of TC. Furthermore, participants reported moderate levels of perceived benefits and health motivation for preventing TC and practicing TSE, but high levels of perceived barriers and low levels of self-efficacy for practicing TSE. The internal reliability (Cronbach's alpha) of susceptibility, benefits and health motivation, seriousness, barriers, self-efficacy, and health motivation and promotion sub-scales was 0.91, 0.89, 0.88, 0.84, 0.67, and 0.65, respectively. Significant relationship between students' performing TSE and their health beliefs about Susceptibility (t=1.93, p=0.04) and Seriousness of having TC (t=2.88, p=0.03), and self-efficacy (t=3.91, p<0.001) and barriers (t=-2.51, p=0.04) to practice TSE. CONCLUSION: The study concluded that Saudi nursing students had moderate levels of health beliefs about TC and TSE, with high perceived barriers and low levels of self-efficacy for practicing TSE.


Assuntos
Estudantes de Enfermagem , Neoplasias Testiculares , Masculino , Humanos , Neoplasias Testiculares/diagnóstico , Estudos Transversais , Reprodutibilidade dos Testes , Arábia Saudita , Conhecimentos, Atitudes e Prática em Saúde , Autoexame , Inquéritos e Questionários
14.
Ned Tijdschr Geneeskd ; 1672023 07 12.
Artigo em Holandês | MEDLINE | ID: mdl-37493335

RESUMO

At the end of 2022, the Erasmus Medical Centre (Rotterdam) drew attention to testicular cancer with the 'Balls alarm' campaign. Testicular cancer is the most common cancer in young men. They were called upon to do a monthly self-examination. There are some caveats to this campaign. First, the alleged increase in the incidence of testicular cancer is not accurate. Second, on the basis of evidence-based research and the use of the criteria of Wilson and Jungner, testicular screening by self-examination appears to be ineffective. And thirdly, the opportunistic comparison with periodically self-examination of breasts does not hold true because this has proven to be ineffective as is stated by authoritative organizations in the Netherlands.


Assuntos
Neoplasias Testiculares , Masculino , Humanos , Neoplasias Testiculares/diagnóstico , Detecção Precoce de Câncer , Autoexame
16.
World J Urol ; 41(4): 941-951, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37036497

RESUMO

Testicular cancer (TCa) commonly presents as a painless scrotal mass. It has been suggested that testicular self-examination (TSE) can help in early detection and thus potentially improve treatment outcomes and prognosis. While TSE is more well established in guideline recommendations for patients with a known history of TCa, its role in healthy young men is less established and controversial. In this paper, we review contemporary data to provide an updated recommendation.


Assuntos
Neoplasias Testiculares , Masculino , Humanos , Neoplasias Testiculares/diagnóstico , Autoexame , Detecção Precoce de Câncer , Escroto , Conhecimentos, Atitudes e Prática em Saúde
17.
JAMA Dermatol ; 159(4): 432-440, 2023 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-36857048

RESUMO

Importance: Adherence, both in research trials and in clinical practice, is crucial to the success of interventions. There is limited guidance on strategies to increase adherence and the measurement and reporting of adherence in trials of melanoma self-management practices. Objective: This scoping review aimed to describe (1) strategies to improve adherence to self-management practices in randomized clinical trials of people at high risk of melanoma and (2) measurement and reporting of adherence data in these trials. Evidence Review: Four databases, including MEDLINE, Embase, CENTRAL, and CINAHL, were searched from inception to July 2022. Eligible studies were randomized clinical trials of self-monitoring interventions for early detection of melanoma in people at increased risk due to personal history (eg, melanoma, transplant, dysplastic naevus syndrome), family history of melanoma, or as determined by a risk assessment tool or clinical judgment. Findings: From 939 records screened, 18 eligible randomized clinical trials were identified, ranging in size from 40 to 724 participants, using a range of adherence strategies but with sparse evidence on effectiveness of the strategies. Strategies were classified as trial design (n = 15); social and economic support (n = 5); intervention design (n = 18); intervention and condition support (n = 10); and participant support (n = 18). No strategies were reported for supporting underserved groups (eg, people who are socioeconomically disadvantaged, have low health literacy, non-English speakers, or older adults) to adhere to self-monitoring practices, and few trials targeted provider (referring to both clinicians and researchers) adherence (n = 5). Behavioral support tools included reminders (n = 8), priority-setting guidance (n = 5), and clinician feedback (n = 5). Measurement of adherence was usually by participant report of skin self-examination practice with some recent trials of digital interventions also directly measuring adherence to the intervention through website or application analytic data. Reporting of adherence data was limited, and fewer than half of all reports mentioned adherence in their discussion. Conclusions and Relevance: Using an adaptation of the World Health Organization framework for clinical adherence, this scoping review of randomized clinical trials identified key concepts as well as gaps in the way adherence is approached in design, conduct, and reporting of trials for skin self-examination and other self-management practices in people at high risk of melanoma. These findings may usefully guide future trials and clinical practice; evaluation of adherence strategies may be possible using a Study Within A Trial (SWAT) framework within host trials.


Assuntos
Melanoma , Autogestão , Humanos , Idoso , Ensaios Clínicos Controlados Aleatórios como Assunto , Melanoma/diagnóstico , Autoexame
18.
PLoS One ; 18(3): e0283311, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36930633

RESUMO

The construct of "sensory processing sensitivity" has become an extremely popular concept outside the scientific literature under the term "high sensitivity" (HS), reflected in a variety of self-help guides and media reports. Therefore, the present study aimed to investigate this phenomenon by examining in-depth individuals who consider the label HS essential to their self-definition. In semi-structured interviews, 38 individuals described their understanding of HS and its perceived manifestations and impact on their lives (among other topics). Subsequently, the data were content-analytically evaluated, i.e., categorized and quantified. One key finding was that HS individuals feel relief following self-attribution or self-diagnosis. Moreover, this self-attribution replaced the feeling of being somehow different from the others, which almost all interviewees mentioned, with positive attributes. The main negative features of HS mentioned were feeling overwhelmed by sensory and emotional stimuli. The results are discussed with regard to the significance of the label HS for this group on the one hand, and with regard to alternative approaches for future research on the other hand.


Assuntos
Emoções , Comportamentos Relacionados com a Saúde , Humanos , Autoexame , Pesquisa Qualitativa
19.
An. pediatr. (2003. Ed. impr.) ; 98(1): 19-27, ene. 2023. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-214783

RESUMO

Introducción: Se ha descrito que la autoexploración testicular se realiza en un bajo porcentaje de los adolescentes. Objetivo: Evaluar el impacto de una maniobra educativa a corto y largo plazo (6 meses) sobre el conocimiento y la actitud de los adolescentes varones en la autoexploración testicular. Métodos: Se realizó un cuasiexperimento, antes y después en adolescentes varones. Se validó un cuestionario para evaluar el conocimiento y la actitud (conciencia, intenciones y comportamiento) sobre la autoexploración testicular. La maniobra educativa consistió en una charla informativa de manera grupal que incluía esquemas y folletos. Se les aplicó el cuestionario antes y después de la maniobra educativa. Se citaron a los 6 meses posteriores y se les dio nuevamente la charla aplicándose un cuestionario antes y después de la misma. Resultados: Se incluyeron 139 adolescentes con una mediana para la edad de 14 años. El conocimiento (18,3% vs. 78,9% p=0,02) y la actitud (5,6% vs. 53,5% p=0,02) mejoraron posteriormente a la primera charla informativa. A los 6 meses de seguimiento (n=98) el conocimiento no se modificó (87,0% vs. 93,0% p=0,671); sin embargo, la actitud mejoró tras la segunda charla (58,0% vs. 78,0% p=0,009). Conclusión: Una maniobra educativa sobre la autoexploración testicular mejoró la proporción de una adecuada actitud (5,6% vs. 53,5%) y conocimiento (18,3% vs. 78,9%) en los adolescentes. El reforzamiento de la maniobra a los 6 meses mejora la proporción de adolescentes con una adecuada actitud (53,5% vs. 86,4%). (AU)


Introduction: There is evidence that the percentage of adolescents that practice testicular self-examination is low. Objective: To assess the short-term and long-term (6 months) impact in male adolescents of an educational intervention on the knowledge of testicular self-examination and attitude toward it. Methods: We conducted a quasi-experimental pre-test post-test study in male adolescents. A questionnaire was validated to assess knowledge on testicular self-examination and attitudes towards it (awareness, intentions, and behaviour). The educational intervention was group-based and consisted in an instructional talk with the aid of diagrams and brochures. The questionnaire was administered before and after the intervention. A follow-up was scheduled 6 months later, and the talk was delivered again, with administration of the questionnaire before and after. Results: The study included 139 adolescents with a median age of 14 years. We found an improvement in knowledge (18.3% vs. 78.9%; P=.02) and attitude (5.6% vs. 53.5%; P=.02) after the initial intervention. At the 6-month follow-up (n=98), there was no change in knowledge (87.0% vs. 93.0%; P=.671), but attitude improved after the second intervention (58.0% vs. 78.0%; P=.009). Conclusion: An educational intervention on testicular self-examination improved the proportion of adolescents with an adequate attitude (5.6% vs. 53.5%) and adequate knowledge (18.3% vs. 78.9%). The repetition of the intervention at 6 months increased the proportion of adolescents with an adequate attitude (53.5% vs. 86.4%). (AU)


Assuntos
Humanos , Masculino , Adolescente , Autoexame , Neoplasias Testiculares , Testículo , Inquéritos e Questionários , Conhecimentos, Atitudes e Prática em Saúde
20.
J Cancer Educ ; 38(2): 632-638, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35486360

RESUMO

This study aimed to examine the effect of an educational brochure about testicular cancer and its early diagnosis on the health beliefs and self-examination of participants. The pretests/posttests were conducted in a quasi-experimental design with non-randomized groups and a control group of university students. The study recruited students enrolled in the psychological counseling and guidance department of a Turkish public university. The research sample comprised 92 students, 48 in the experimental and 44 in the control group. An educational brochure about testicular cancer and self-examination was provided to the experimental group. The data includes a personal information form, testicular cancer and health beliefs scale about testicular self-examination, and the form for self-examination. Mann Whitney U, Wilcoxon, and chi-square analyses were performed for data analysis. A significant difference was found between the scores of the experimental and control groups regarding seriousness/caring, benefit and health motivation, obstacles, and self-efficacy (p < 0.05). Moreover, the testicular self-examination ratio was determined as 83.3% in the experimental group and 4.5% in the control group. It can be asserted that the training brochure is effective in promoting the self-examination of testicles. It may be recommended to conduct experimental studies with larger study groups to increase testicular self-examination.


Assuntos
Neoplasias Testiculares , Masculino , Humanos , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/prevenção & controle , Neoplasias Testiculares/psicologia , Universidades , Folhetos , Autoexame , Estudantes , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários
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