This study aims to develop and evaluate a theory-based educational intervention to improve cancer screening participation among Syrian migrants in Turkey. The study will also develop a Cancer Protection Motivation Scale (CPMS) to measure individuals' motivation toward cancer screening. Using a mixed-methods design, the study will explore barriers, beliefs, and behaviors related to breast, cervical, and colorectal cancer screening. The effectiveness of the intervention will be assessed using a pretest-posttest design. The findings are expected to support culturally appropriate strategies to improve cancer screening uptake among migrant populations.
over 18 years of age
hold Syrian citizenship
be registered with the Migrant Health Center in Mersin province
have proficiency in Turkish or Arabic
if they hold Turkish citizenship
have a diagnosed psychiatric disorder
have been diagnosed with cancer
wish to withdraw from the study
Single group
PMT-Based Cancer Screening Educational Intervention
Other interventionThis intervention is a structured educational program developed based on Protection Motivation Theory (PMT). It aims to improve cancer screening behaviors among Syrian migrants through culturally adapted educational sessions focusing on breast, cervical, and colorectal cancer screening. The intervention targets key components of PMT, including threat appraisal (perceived severity, perceived vulnerability, and rewards) and coping appraisal (self-efficacy, response efficacy, and perceived costs). Educational content is designed to increase awareness, enhance motivation, and reduce perceived barriers. Participants will receive the training through interactive sessions. The effectiveness of the intervention will be evaluated using pretest and posttest assessments with the Cancer Protection Motivation Scale (CPMS).
PMT-Based Cancer Screening Education Program
BehavioralThis behavioral intervention is a structured education program based on Protection Motivation Theory (PMT), designed to improve cancer screening behaviors among Syrian migrants. The program targets key PMT constructs, including perceived severity, perceived vulnerability, response efficacy, self-efficacy, and perceived barriers. It includes culturally adapted, interactive educational sessions focusing on breast, cervical, and colorectal cancer screening. The intervention aims to increase knowledge, enhance motivation, and reduce perceived barriers to screening participation. Effectiveness will be evaluated using pre- and post-intervention assessments with the Cancer Protection Motivation Scale (CPMS).
Cancer Protection Motivation Scale (CPMS)
Cancer protection motivation will be assessed using the Cancer Protection Motivation Scale (CPMS), a researcher-developed multidimensional instrument based on Protection Motivation Theory. The scale measures threat appraisal (perceived severity, vulnerability, and rewards), coping appraisal (response efficacy and response cost), and self-efficacy. The CPMS is planned to consist of 24 items rated on a 5-point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree. The total score ranges from 24 to 120, with higher scores indicating greater motivation. Content validity will be evaluated using the Content Validity Index (CVI) based on the opinions of approximately 20 experts. Following language validation, a pilot study will be conducted with 20 participants, after which the scale will be administered to 300 individuals. The CPMS will be used as a pretest and posttest to evaluate effectiveness.
Knowledge of Cancer and Screening (Structured Questionnaire Score)
Participants' knowledge regarding breast, cervical, and colorectal cancers and related screening programs will be assessed using a researcher-developed structured questionnaire. The questionnaire will include items on cancer risk factors, symptoms, and screening recommendations. It will be administered before the intervention (pretest) and after the educational program (posttest). Higher scores will indicate greater knowledge.
Cancer Screening Behavior (Referral and Attendance Rates)
Participants' cancer screening behaviors will be assessed by measuring referral and attendance rates to relevant health facilities for breast, cervical, and colorectal cancer screening. The number and proportion of participants who attend screening services after the intervention will be recorded. Behavioral changes will be evaluated by comparing screening attendance before and after the educational program.
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