Health promotion in the “Cancer Early Diagnosis, Screening and Education Centers”in Ankara: Mixed methods research among women/Ankara’daKanser Erken Teşhis Tarama Eğitim Merkezlerinde sağlığı geliştirme:Kadınlar ile yürütülen karma yöntemli bir araştırma

Abstract Objective: Prevention remains the most cost-effective long term strategy for cancer control. This study assessed health services delivered by the “Cancer Early Diagnosis, Screening and Education Centers” (CEDSECs), with a special focus on health promotion. Methods: The study group included 332 women, aged 30-70 years, who had attended any of the three centers in Ankara and had volunteered to participate in the study with a follow-up. A mixed methods design (before and after surveys, medical records and focus groups) was used for data collection. Descriptive statistics, the chi-square test, Fisher’s exact test, McNemar’s chi-square test, Bowker’s test for symmetry and the paired samples t test were used for quantitative data analysis, whereas, manifest content analysis was used for qualitative data. Results: Of the participants surveyed after they had used the services of the centers (n=319), 97.5% were satisfied with the centers’ services. After service delivery, participants’ knowledge on cancer preventive measures was significantly higher (p 0.05), except for an increase in breast self-examination (p 0.05). Sonuc: KETEM’lerden hizmet alan kadinlarin cogu hizmetlerden memnun kalmis ve kanser taramalari ile ilgili sorun yasamamistir; ancak bulgular, merkezlerin mevcut hizmetlerinin, kanser konusunda farkindaligi arttirmakla birlikte saglik davranislarini onemli duzeyde etkilemedigini gostermektedir. Sagligi gelistirme hizmetleri kapsaminda; kanita dayali egitim ve davranis mudahaleleri ile bu mudahaleleri izleme donemlerini de iceren cok boyutlu bir yaklasima gereksinim vardir. Anahtar Kelimeler: Kanser taramasi, sagligi gelistirme, saglik egitimi, saglik davranisi, koruyucu saglik hizmetleri