DEVELOPMENT OF SELF-MANAGEMENT MODEL ABOUT CERVICAL CANCER PREVENTION WITH HEALTH INNOVATION SUB-DISTRICT HEALTH PROMOTING HOSPITALS IN PATHUM THANI PROVINCE

Abstract

This study was a research and development aimed to study develop a self-management model for cervical cancer prevention with health innovations at sub-district health promoting hospitals in Pathum Thani Province. The study which 3 phases as follow: First Phase, study basic information about self-management with health innovations, problems and needs for cervical cancer prevention. The sample were 6 public health officers in the sub-district health promoting hospitals in Pathum Thani Province through in-depth interviews and used questionnaires for data collection from 400 women with aged 30-60 years. Second Phase, was development the model and experimental model with a sample group of 30 public health officers and 300 women aged 30-60 years old. Third Phase, the model was evaluated. Statistics used were frequency, percentage, mean, standard deviation, Paired-t tests, One Way Repeated Measures ANOVA and One-way MANOVA.

The results of this study revealed that in first phase, the samples had an average age of 40 years old. Most of the samples had high level of knowledge about cervical cancer and patterns of health beliefs. Second Phase used the data from first phase to develop model and applications was integrated with the health belief model to create a Cervical cancer guidebook application for health officers to prevent cervical cancer. And developing a self-management model for cervical cancer prevention with health innovations. Including 5 main activities with a duration of 5 weeks: 1) knowledge 2) persuasion 3) decision making 4) Implementations and 5) Confirmation. Third phase, after 5 weeks, it was found that public health officers had higher skills in applying health innovations than before using the model was significant at the 0.05 level. However, health officers had no different health communication skills than before using the model. The sample was found that after using the model, they had higher knowledge of cervical cancer prevention, perception on risk of developing cervical cancer, perception on severity of cervical cancer and perceived benefit of cervical cancer prevention than before significant at the 0.05 level. However, the perception of barriers to cervical cancer screening was significantly lower than before using model significant at the 0.05 level.