Evaluating Outcomes of Community-Based Cancer Education Interventions: A 10-Year Review of Studies

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• 作者：Alexandria Booker (1) (2)
  Vanessa L. Malcarne (1) (2) (3)
  Georgia Robins Sadler (2) (3) (4)
  
• 关键词：Cancer education ; Outcomes ; Measurement ; Intervention ; Review
• 刊名：Journal of Cancer Education
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：29
• 期：2
• 页码：233-240
• 全文大小：
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• 作者单位：Alexandria Booker (1) (2)
  Vanessa L. Malcarne (1) (2) (3)
  Georgia Robins Sadler (2) (3) (4)
  
  1. Department of Psychology, San Diego State University, 5500 Campanile Dr, San Diego, CA, 92182, USA
  2. UCSD Moores Cancer Center, 3855 Health Sciences Drive, 0850, La Jolla, CA, 92093-0850, USA
  3. SDSU/UCSD Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Ct, Ste 103, San Diego, CA, 92120, USA
  4. Department of Surgery, San Diego School of Medicine, University of California, 9500 Gilman Dr, San Diego, CA, 92093, USA
  
• ISSN：1543-0154

文摘

The public is encouraged to participate in cancer education programs because it is believed that acquiring health-promoting knowledge will motivate participants to make the recommended, evidence-based behavioral modifications that should lead to reductions in cancer morbidity and mortality. Because of the extended time that elapses between conducting a health education program and the amassing of the scientific evidence needed to establish that an education program has ultimately resulted in a reduction in morbidity and mortality, researchers have sought more proximal and intermediate outcome measures as substitutes for the more distal desired outcomes. This paper presents an analysis of research published in the Journal of Cancer Education from 2000 through 2010, in which the impact of cancer education interventions was evaluated. The focus was to identify the proximal, intermediate, and distal outcome measures used to evaluate the impact of cancer education interventions. The results showed that researchers primarily focus on measuring the varied proximal outcomes (e.g., knowledge and attitude changes) of cancer education interventions. Intermediate outcome measures (the desired behavior change itself) received less attention, while distal outcomes (changes in morbidity and mortality) were never measured. This review gives cancer education researchers a review of the proximal and intermediate outcome measures and strategies that behavioral scientists recently used to overcome the challenges of measuring distal outcomes. Future reviews could expand this analysis to studies published in other journals and health disciplines.