Capacity Development of Village Health Volunteers and Community Leaders in Colorectal Cancer Screening among At-Risk Populations at Ban Lueam Subdistrict Health Promoting Hospital.

Abstract

      This quasi-experimental research employed a one-group pretest–posttest design, applying the systems theory framework in conjunction with the nursing process. The study population consisted of 34 village health volunteers and community leaders at Ban Lueam Subdistrict Health Promoting Hospital, Mueang District, Udon Thani Province. Data were collected using a validated questionnaire reviewed by three experts (IOC = 0.67–1.00), with reliability confirmed using Kuder–Richardson 20 (KR-20 = 0.75). Descriptive statistics and paired t-tests were applied, with the level of statistical significance set at 0.05.

      The results showed that most participants were female (85.3%), with an average age of 57.2 years, and nearly half had attained secondary education (47.1%). After the training, the mean knowledge score increased from 9.2 (SD = 0.9) to 9.6 (SD = 0.7), with a mean difference of 0.4 (SD = 0.8), which was statistically significant (p = 0.004). This indicates that the training program effectively improved participants’ knowledge of colorectal cancer screening.

      In terms of satisfaction, participants reported a very high level of satisfaction, with an overall mean score of 9.9 (SD = 0.4). The highest-rated aspects included content comprehensiveness, appropriateness of training format, expertise of lecturers, and confidence in applying the knowledge (97.1%–100.0%).