Table 4.
Pre–post measures of knowledge, attitudes, intent, and self-efficacya
Experimental (N = 69) |
Control (N = 52) |
|||
---|---|---|---|---|
Pre | Post | Pre | Post | |
Knowledgeb | 5.14 | 8.12* | 5.11 | 8.57* |
Attitudesc | 28.97 | 34.47* | 29.08 | 33.13* |
Intentiond | 8.61 | 10.71* | 9.38 | 11.02* |
Self-efficacye | 8.73 | 11.17* | 9.74 | 11.54* |
There were no significant differences between groups on pre-intervention or post-intervention measures. However, significant within-group improvement was seen on all measures.
10 true–false knowledge items included: having family history of CRC increases risk; people with colon polyps are at higher risk; all colon polyps are cancerous; screening decreases death from CRC: office rectal exam is good CRC screening test; only people with CRC symptoms need screening; CRC always causes symptoms; CRC is most curable when caught early through screening; for most people, CRC screening should start at age 50; and people with family history of CRC or polyps should start screening at a younger age than others. Possible range of scores was 0 to 10; alpha = 0.63.
Ten attitudinal statements included: I am interested in screening because someone close to me had cancer; I am interested in CRC screening; I am afraid that screening is painful; screening will reduce my mana; screening is embarrassing; CRC is not a problem for Hawaiians; I do not want to know if I have cancer; if I have cancer it will kill me, so there is no point in getting screened; I am not comfortable talking about CRC; and I am not comfortable touching my stool. Items were rated on a 4-point scale from 1 = strongly disagree to 4 = strongly agree. Possible range of scores was 4 to 40; alpha = 0.91.
Three items about intention to talk to doctor about screening, participate in screening, and talk to family about screening were rated on a 4-point scale from 1 = strongly disagree to 4 = strongly agree. Possible range of scores was 3 to 12; alpha = 0.91.
Three items about confidence in ability to complete FOBT, explain importance of CRC screening to family, and explain FOBT to family were rated on a 4-point scale from 1 = strongly disagree to 4 = strongly agree. Possible range of scores was 3 to 12; alpha = 0.94.
P < 0.001.