A randomised controlled trial of a pilot intervention to encourage early presentation of oral cancer in high risk groups

作者：Scott Suzanne E^*; Khwaja Mahrukh; Low Emma L; Weinman John; Grunfeld Elizabeth A

来源：Patient Education and Counseling, 2012, 88(2): 241-248.

DOI：10.1016/j.pec.2012.03.015

• Oral cancer
• Early detection
• One-to-one
• Leaflet
• Self-regulatory model
• Social Cognitive Theory

Objective: Prognosis for oral cancer is substantially improved when diagnosed early. This research aimed to evaluate an intervention to promote early presentation of oral cancer.
Methods: Participants were randomly assigned to a leaflet group (n = 42), a one-to-one group (n = 46) or a control group (n = 24). Participants in the leaflet group read a theory-based (Extended Self-Regulatory Model; Social Cognitive Theory) leaflet on how to spot oral cancer early. Those in the one-to-one group received a brief, interactional discussion on early presentation of oral cancer and were then asked to read the leaflet. Participants in the control group received no information about oral cancer.
Results: The leaflet and the one-to-one instruction led to more accurate knowledge of oral cancer, decreased anticipated delay, and increased understanding, likelihood and confidence to perform self-examination. Neither intervention raised participants' anxiety. There were minimal differences between the two interventions, yet both were superior to the control group.
Conclusion: This piloting indicates the initial effectiveness of an brief intervention purposefully designed for people at risk of developing oral cancer.
Practice implication: A low cost intervention may be a useful tool to encourage early detection of oral cancer. This could be embedded into routine consultations or an early detection programme.

• 出版日期2012-8