Mass Screening Clinical Trial
Official title:
Effectiveness of a Web-based Intervention to Promote Health Screening in Men: A Community-based Randomised Controlled Trial
Health screening is proven to be effective in reducing morbidity, death and healthcare cost.
However, the uptake of health screening is low particularly in men. In the earlier phase of
this project, a web-based intervention (ScreenMen) to increase health screening uptake in men
was developed based on theories, evidence and user needs. It was tested with experts and
users for its utility and usability.
In this phase, a randomised controlled trial (RCT) will be conducted to evaluate the
effectiveness of ScreenMen in improving health screening knowledge & uptake in men. Healthy
men, who have not gone for screening in the past 1 year will be recruited via Facebook to
participate in this RCT. The participants will be randomised to receive or not to receive
ScreenMen. Knowledge and intention to screen will be measured immediately post-intervention.
All participants will be followed up at 1 month and 3 months to measure knowledge, intention
and actual uptake of screening.
The uptake of health screening is low in Malaysia, particularly in men. There is a need to
increase health screening uptake in men as this will not just save healthcare cost and
increase national productivity in the long run but also improve the quality of life of men
and their family.
There were many interventions to increase health screening uptake in men which have been
identified in the systematic review conducted in the earlier phase of this study. However,
there is a lack of ICT-based intervention promoting health screening. The few existing ICT
based interventions only focus on screening on a specific disease such as HIV or prostate
cancer.(1-3) There was no ICT-based intervention which aimed to increase the uptake of
comprehensive health screening.
Studies have shown that ICT-based interventions are effective in improving health
behaviour.(4) On top of that, there is a high number of internet accessibility and smartphone
ownership in Malaysia, which provides a good platform to promote health screening in men.
Thus, ScreenMen, a web-based intervention was developed based on theories, evidence and
users' needs. It was tested with experts and users in terms of its utility and usability.
(5-7)
To the best of our knowledge, ScreenMen is the first mobile-responsive web-based intervention
that promotes comprehensive evidence-based health screening in men. It aims to educate men
about screening and empowers them to take charge of their health including undergoing regular
health screening. Apart from encouraging health screening, ScreenMen provides advice to men
about the recommended health screening they should undergo based on their health risks and
educates them to avoid non-evidence-based screening.
Before being launched to the public, a randomised controlled trial (RCT) will be conducted to
evaluate the effectiveness of ScreenMen in improving knowledge on screening, intention to
screen and the actual uptake of screening. Process evaluation will also be conducted to
identify the components that work in improving health screening uptake and resolve any
implementation issues of ScreenMen.
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