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Empowering men to take control of their own health : development and validation of the Men’s Response to Colorectal Cancer Screening Scale (MR–CCSS)
Vesna Jašič, Mirko Prosen, Sabina Ličen, 2025, original scientific article

Abstract: Background/Objectives: Despite the proven effectiveness of colorectal cancer screening, men are less likely to participate than women, with emotional, behavioural and informational barriers contributing to this disparity. The aim of this study was to develop and validate the Men’s Response to Colorectal Cancer Screening Scale (MR–CCSS), a gender-sensitive instrument for measuring key factors that influence the participation of men in colorectal cancer screening. Methods: The scale was developed through a structured process that included qualitative data from focus groups (n = 20 men) and expert review (n = 11 professionals). Initial item pools were refined based on indices of content validity (I-CVI ≥ 0.78; S-CVI/Ave ≥ 0.90), resulting in a 23-item scale. The MR–CCSS was administered to 289 Slovenian men aged 50–74 years, and its psychometric properties were assessed using exploratory factor analysis, confirmatory factor analysis and reliability tests. Results: The EFA revealed a five-factor structure. Together, these factors explained 61.9% of the total variance. The CFA confirmed the robustness of the model (CFI = 0.928, TLI = 0.910 and RMSEA = 0.056). The internal consistency was acceptable to good, with Cronbach’s alpha between 0.665 (factor 4) and 0.833 (factor 5) for the subscales and 0.863 for the total scale. The ROC analysis showed moderate predictive accuracy (AUC = 0.702), with an optimal cut-off value of 92.5 (sensitivity = 0.782 and specificity = 0.509) for participation in screening. Conclusions: The MR–CCSS is a valid and reliable tool for identifying barriers to colorectal cancer screening in men. Its use can serve as a basis for gender-specific interventions, customised health education and strategies to improve screening equity.
Keywords: colorectal cancer screening, men’s health, health behaviour, health education, gender equity, preventive health, health promotion
Published in RUP: 15.06.2025; Views: 42; Downloads: 1
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2.
Evaluating the digital transformation in healthsciences education : a thematic analysisof higher education teachers’ perspectives
Mirko Prosen, Sabina Ličen, 2025, original scientific article

Abstract: The rapid shift to digital-based education has profoundly influenced pedagogical approaches in health scienceshigher education. This transformation has prompted a critical re-evaluation of digital pedagogy to improve learningeffectiveness and adapt to emerging educational realities. This study explored the perspectives of health sciencesteachers on digital pedagogy in higher education, with a specific focus on their adaptation to and perception ofintegrating digital technologies in pedagogical processes. A qualitative research design utilizing thematic analysiswas employed. The study involved twenty health sciences teachers in higher education institutions through fourfocus group sessions. Data were analysed using thematic analysis. Three main themes were identified: (1) Digitaltransformation in education, (2) Educational efficacy and evolution, and (3) Overcoming barriers and embracingopportunities. These themes have shown that the introduction of technology is closely linked to pedagogicalinnovation, as digital tools have transformed educational practise by enabling more interactive, flexible and learner-centred approaches. Additionally, they highlighted the challenges of integrating new technologies into existingeducational frameworks. Digital pedagogy in health sciences education remains a dynamic field that demandscontinuous adaptation and development. To effectively integrate digital tools, teachers need robust supportthrough professional development. This support is essential for creating engaging, inclusive, and effective learningenvironments. Addressing technological disparities and enhancing digital literacy are critical for fully harnessing thepotential of digital education.
Keywords: e-learning, didactics, health sciences education, technology-enhanced learning, professional development
Published in RUP: 08.06.2025; Views: 103; Downloads: 4
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