Effectiveness of a community program to promote early breast cancer detection

Boyle, Michele; Michalek, Arthur M.; Bersani, Gayle; Nemoto, Takuma; Mettlin, Curtis

doi:10.1002/jso.2930180212

Cited by 17 publications

(4 citation statements)

References 7 publications

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“…In addition, pamphlets are inexpensive to produce and dispense. In contrast, many interventions that have been shown to increase the performance of BSE (e.g., Boyle, Michalek, Bersani, Nemoto, & Mettlin, 1981; Grady et al, 1984; Parkinson, Denniston, Baugh, Dunn, & Schwartz, 1982) are costly both financially and professionally. Moreover, virtually all of these typically multifaceted interventions include providing women with instructional materials of some sort.…”

Section: Discussionmentioning

confidence: 99%

The effect of message framing on breast self-examination attitudes, intentions, and behavior.

Meyerowitz¹,

Chaiken²

1987

Journal of Personality and Social Psychology

843

643

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In this study we tested the framing hypothesis that a pamphlet stressing the negative consequences of not performing breast self-examination (BSE) would be more persuasive than a pamphlet emphasizing BSE's positive consequences. College-aged female subjects were exposed to a loss-frame pamphlet, a gain-frame pamphlet, or a no-arguments pamphlet, or they received no pamphlet describing the importance of and the techniques for performing BSE. Attitudes toward BSE and intentions to perform BSE were assessed immediately after this intervention and again 4 months later. The followup also assessed subjects' postexperi mental BSE behavior. Consistent with predictions, subjects who read a pamphlet with arguments framed in loss language manifested more positive BSE attitudes, intentions, and behaviors than did subjects in the other three conditions. The greater impact of the loss pamphlet could not be attributed to greater fear arousal, better memory for pamphlet content, greater perceived susceptibility to breast cancer, or stronger beliefs in BSE's efficacy on the part of the loss subjects. Only measures of perceived self-efficacy in performing BSE were differentially affected by the framing manipulation, with loss subjects reporting the greatest levels of self-confidence. The results are discussed in terms of prospect theory's framing postulate and a simpler negativity-bias conceptualization, and underlying mechanisms such as differential salience and vividness are considered. Clinical implications of the findings are also explored. Failure to comply with recommended health-care behaviors is a major contributor to death and disability in this country (e.g., Belloc, 1973; Stachnik, 1980). Research indicates that nonadherence rates are often extremely high, particularly for discretionary preventive and diagnostic behaviors such as quitting smoking, getting exercise, and performing monthly breast self-examination (BSE; see Ley, 1982; Masur, 1981). In the present study, we investigated an intervention designed to increase the performance of BSE among college-aged women. This health behavior was chosen for a number of reasons, including the high prevalence of breast cancer among American women (American Cancer Society, 1983), the relatively high survival rates associated with this disease when it is diagnosed at an early stage (American Cancer Society, 1983), and the potential effectiveness of monthly BSE as an aid in the early detection of malignant breast lumps (e.g., Foster & Costanza, 1984).'

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Section: Discussionmentioning

confidence: 99%

The effect of message framing on breast self-examination attitudes, intentions, and behavior.

Meyerowitz¹,

Chaiken²

1987

Journal of Personality and Social Psychology

843

643

View full text Add to dashboard Cite

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“…Zahlreiche Untersuchungen zur BSU basieren auf den unüberprüften Angaben der Probandinnen und unterliegen der Subjektivität der Aussagen [11,17,25]. Zur Überprüfung der Reliabilität von Selbst-Angaben bezüglich stattgefundener Mammographien und der klinischen Untersuchung wurden 382 Frauen wiederholt über die Häufigkeit und den Zeitpunkt von Mammographien und der Brustuntersuchung befragt.…”

Section: Methodische Schwierigkeiten In Der Beurteilung Der Qualität unclassified

Der Stellenwert der Brustselbstuntersuchung in der Früherkennung des Mammakarzinoms

Backe¹

2002

Geburtsh u Frauenheilk

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Die Brustselbstuntersuchung ist ein einfaches, nichtinvasives und kostengünstiges Verfahren in der Diagnostik des Mammakarzinoms. In Deutschland wird die Anleitung zur Brustselbstuntersuchung neben der klinischen Brustuntersuchung für Frauen mit Beginn des 30. Lebensjahres entsprechend den Richtlinien des gesetzlichen Krebsfrüherkennungs-Programms empfohlen. Obwohl die Selbstuntersuchung der Brust von vielen Frauen als sehr wichtig eingeschätzt wird, führen diese nur 8 ± 40 % der Frauen regelmäûig einmal monatlich durch. Der Wert der Brustuntersuchung wird derzeit kontrovers diskutiert. In Kanada hat kürzlich die ¹Task Force on Periodic Health Examinationª eine Empfehlung gegen die Propagierung der Brustselbstuntersuchung im Rahmen der Krebsvorsorge ausgesprochen, da die Ergebnisse zweier groûer randomisiert-kontrollierter Untersuchungen in Shanghai/China und in St. Petersburg/Russland, eine quasirandomisierte Studie in Groûbritannien und eine groûangelegte Kohortenstudie in den Vereinigten Staaten keine Reduktion der Brustkrebsmortalität durch die Brustselbstuntersuchung nachweisen konnten. Eine kanadische Fall-Kontroll-Studie hingegen, die einzigartig in der sorgfältigen prospektiven, objektiven Erfassung der Praxis des Selbstabtastens war, konnte für eine bestimmte Technik einen positiven Einfluss auf die Mortalität des Mammakarzinoms zeigen. Diese Studienergebnisse weisen auf die Bedeutung einer ausführlichen Unterrichtung in einer standardisierten und gut evaluierten Technik der Selbstuntersuchung der Brust hin. AbstractBreast self-examination is a non-invasive, simple early-screening method for the detection of breast cancer. In Germany clinical breast examination and training for breast self-examination are part of a public early cancer detection program for women 30 years and older. Generally women have accepted breast self-examination as a means for early detection of breast cancer, but only 8 ± 40 % of women conduct it once a month. Recently, the Canadian Task Force on Periodic Health Examination excluded breast self-examination instruction from periodic health examinations, because the results of two large randomised controlled trials in Shanghai/China and in St. Petersburg/Russia, a quasi-randomised trial in Great Britain and a large cohort study in the United States have failed to show a reduction of mortality from breast cancer. A Canadian case-control study was unique in its prospective, objective assessment of self-examination practice. Specific aspects of technique were found to be associated with a reduced risk of death from breast cancer. This trial suggests that proper education in a standardized and evaluated breast self-examination technique might be an important factor in breast cancer prevention. Several studies examined the impact of psychological factors on breast self examination practice. They describe that worry and anxiety can motivate and inhibit self-protective behaviour. Few studies have examined the psychological effects of breast self-examination, that might be of particular int...

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“…Unfortunately the validity of the results have been weakened by the absence of control groups in some studieS12 48 …”

Section: Experimental Designmentioning

confidence: 99%

Training Breast Self-Examination: A Research Review and Critique

Pinto

Fuqua²

1991

Health Education Quarterly

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Despite an increase in knowledge about breast cancer, a relatively low percentage of women practice breast self-examination (BSE) regularly and competently. This article reviews the BSE literature with a focus on training of BSE components, discrimination training, and the effectiveness of training procedures. Methodological issues such as the absence of control groups, lack of criteria for termination of training and reliance on self-reports of BSE frequency are identified weaknesses of BSE training studies. A theoretical analysis of BSE highlights potential difficulties in maintaining regular practice of BSE. Recommendations regarding training of proficient BSE skills and promoting regular practice of BSE are offered, and suggestions for further refinement of BSE training and directions for future research are discussed. Promising avenues of research in BSE training technology include discrimination training (on real or simulated breast tissue) together with computerized assessment of skill proficiency.

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Effectiveness of a community program to promote early breast cancer detection

Cited by 17 publications

References 7 publications

The effect of message framing on breast self-examination attitudes, intentions, and behavior.

The effect of message framing on breast self-examination attitudes, intentions, and behavior.

Der Stellenwert der Brustselbstuntersuchung in der Früherkennung des Mammakarzinoms

Training Breast Self-Examination: A Research Review and Critique

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