A cluster randomized trial study protocol on effectiveness of Health Education Module (HEAMOD) on colorectal cancer screening uptake among workers in Kuantan District,Pahang State, Malaysia
Background Colorectal Cancer (CRC), the third most common cancer in Malaysia, is a preventable disease if screened early. Health Education Module (HEAMOD) developed in accordance with the Preventive Health Model (PHM) framework is particularly useful in increasing screening uptake among health-i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bioaccent
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/71024/ http://irep.iium.edu.my/71024/ http://irep.iium.edu.my/71024/1/cancer-sciences32.pdf |
| Summary: | Background
Colorectal Cancer (CRC), the third most common cancer in
Malaysia, is a preventable disease if screened early. Health
Education Module (HEAMOD) developed in accordance with the
Preventive Health Model (PHM) framework is particularly useful in increasing screening uptake among health-insured workers and can improve productivity. The main objective of this study is to assess the effect of PHM-based health education module on CRC screening uptake using Faecal Immunochemical Test (FIT) among Social Security Organisation (SOCSO) health-insured workers in Kuantan.
Method/Design
A parallel, two arms, single-blind, cluster randomized trial utilizing stratified block randomization will be conducted, involving 12 workplace clusters of 32 workers in each. The intervention group receives HEAMOD comprising of group education, a practical
session on FIT and WhatsApp group follow-up, while the control group receives CRC brochure. A validated questionnaire will be used to assess participant’s background characteristics, risk factors,
signs and symptoms, knowledge on CRC, attitude on CRC and
acceptability of FIT. Validated weighing scale and stadiometer will be used for body mass index measurements. FIT will be used as the CRC screening tool. Descriptive and inferential statistics will be applied for data analysis using IBM Statistical Package for Social Sciences version 22. Longitudinal correlated data on knowledge, perception and acceptability score at baseline, immediate post
intervention and 3 months post-intervention will be analyzed using generalized linear mixed model (GLMM). FIT uptake and its trend at immediate post intervention and 3 months post-intervention will be analyzed using GLMM and repeated measure Analysis of Variance (ANOVA) trend analysis, respectively.
Outcome
It is expected that CRC screening uptake rate is more in the
intervention group as compared to the control group, indicating the effectiveness of the HEAMOD. Positive individuals for FIT will be referred to a specialist for further evaluation, while, negative individuals will be given reassurance.
Conclusion
It is hoped that the HEAMOD and CRC screening could potentially be included in SOCSO Health Screening Programme for workers’ health benefit in the long-run. |
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