Age Distribution of Participants.

Prostatic Hyperplasia (PH) is a common condition among older men, contributing significantly to Lower Urinary Tract Symptoms (LUTS). Despite available medical treatments, there is a lack of public awareness about PH, resulting in late diagnoses. This study offers a novel approach by using a community-based educational intervention to increase knowledge of PH, leveraging the International Prostatic Symptom Score (I-PSS) as a tool for educating elderly men in Bogor, Indonesia. This study aims to evaluate the effectiveness of community-based education on prostatic hyperplasia (PH) in enhancing knowledge and awareness among elderly male participants, addressing the gap in public awareness and the need for early detection, unlike prior studies conducted in clinical settings. By utilizing the International Prostatic Symptom Score (I-PSS), this study provides a structured approach to community health education and symptom self-assessment. A mixed-methods, quasi-experimental pretest-posttest design involved 32 participants aged ≥ 60 years in Bogor, Indonesia. Quantitative data assessed changes in knowledge before and after the intervention, while qualitative insights were gathered through post-education discussions. Statistical analyses, including paired t-tests and effect size (Cohen’s d), were conducted to measure the intervention’s impact. This study is unique in its application of I-PSS for community education and its combination of quantitative and qualitative data to measure knowledge improvement and explore participant perceptions. Significant knowledge improvement was found post-intervention (mean increase: 8.9, p < 0.001, Cohen’s d = 0.82). The integration of qualitative feedback highlighted the relevance and clarity of the intervention while also identifying remaining knowledge gaps, revealing its holistic impact on the participants. The novelty of this study lies in its community-based approach using I-PSS, which is an underexplored method in educating about PH. The results provide strong evidence for using structured community education to promote early detection and improve PH awareness. Future studies could benefit from including control groups and testing this approach in other regions for broader applicability. This study demonstrates the effectiveness of a community-based educational intervention using the International Prostatic Symptom Score (I-PSS) in improving knowledge and awareness about Prostatic Hyperplasia (PH) among elderly men. The findings suggest that integrating tools like the I-PSS in community health programs can empower individuals to self-assess their symptoms, promote early detection, and reduce the burden of delayed diagnoses. These results underscore the potential of scalable, low-cost interventions to address health education gaps in similar low-resource settings globally.

前列腺增生（Prostatic Hyperplasia, PH）是老年男性群体中的常见病症，亦是引发下尿路症状（Lower Urinary Tract Symptoms, LUTS）的重要诱因。尽管已有可供选择的临床治疗手段，但公众对PH的认知普遍不足，导致诊断延迟。本研究提出了一种创新性的干预思路：采用基于社区的教育活动提升公众对PH的认知，并以国际前列腺症状评分（International Prostatic Symptom Score, I-PSS）为工具，面向印度尼西亚茂古罗市的老年男性开展健康宣教。

本研究旨在评估基于社区的前列腺增生健康教育干预对提升老年男性参与者认知水平的有效性，针对当前公众认知不足与早期筛查需求未被满足的现状，弥补以往临床场景下相关研究的局限。与以往临床环境下的研究不同，本研究借助国际前列腺症状评分（I-PSS）构建了结构化的社区健康教育与症状自我评估方案。

本研究采用混合方法类实验性前后测设计，共招募印度尼西亚茂古罗市32名年龄≥60岁的老年男性作为参与者。通过定量数据分析干预前后参与者的知识水平变化，并借助干预后的小组讨论收集定性反馈信息。研究采用配对t检验、效应量（Cohen’s d）等统计方法评估干预措施的实际效果。

本研究的独特之处在于将I-PSS应用于社区健康教育，并结合定量与定性数据同时衡量知识提升程度与参与者的认知反馈。干预后参与者的知识水平存在显著提升（平均提升8.9分，p<0.001，Cohen’s d=0.82）。定性反馈结果显示，本次干预内容兼具针对性与清晰性，同时也识别出参与者仍存在的认知盲区，全面展现了干预措施的实际影响。

本研究的创新点在于采用I-PSS开展社区健康教育，这一方式在前列腺增生宣教领域尚未得到充分探索。本研究结果为通过结构化社区教育提升前列腺增生早期筛查率与公众认知水平提供了有力证据。未来研究可增设对照组，并在其他地区验证该干预方案的适用性，以拓展其应用范围。

本研究证实，以国际前列腺症状评分（I-PSS）为工具的社区健康教育干预，可有效提升老年男性对前列腺增生（PH）的认知水平。研究结果表明，将I-PSS等工具融入社区健康项目，能够帮助老年男性开展症状自我评估，推动早期筛查，降低诊断延迟带来的健康负担。上述结果凸显了可复制、低成本的健康干预措施，在全球类似低资源环境下填补健康教育空白的应用潜力。