Effectiveness of an Educational Intervention among Public Health Midwives on Breast Cancer Early Detection in the District of Gampaha, Sri Lanka

Vithana, P.V.S.C.; Ariyaratne, M.A.Y.; Jayawardana, Pushpa

doi:10.7314/apjcp.2015.16.1.227

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…Of the seven studies that examined knowledge as the primary outcome, five controlled intervention studies demonstrated improvement in knowledge of health care professionals through video training, presentations, discussions, role‐plays, and learning through the review of academic papers and booklet material . Two quasi‐experimental studies that used audio‐visual educational activities demonstrated significant improvement in knowledge scores for breast cancer .…”

Section: Resultsmentioning

confidence: 99%

Interventions Addressing Barriers to Delayed Cancer Diagnosis in Low- and Middle-Income Countries: A Systematic Review

Brand

Chao

et al. 2020

The Oncologist

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Background Delays to cancer diagnosis exist, resulting in worse survival outcomes for many cancers. Interventions targeting delays and barriers to cancer diagnosis and treatment have been investigated, but mostly in high‐income countries. We conducted a systematic literature review to identify and characterize the interventions studied across cancers, within low‐ and middle‐income countries (LMICs). Methods This systematic review forms part two of a wider study examining solutions to delays and barriers in cancer early diagnosis in LMICs. A comprehensive literature search was conducted on November 27, 2017, encompassing published studies from the preceding 15 years. We extracted study design, population, and intervention, and reported outcome measures from each study. Results were presented by target of interventions (general vs. health care professionals). A narrative synthesis was used to summarize intervention efficacy. Results Of 10,193 abstracts returned, 25 were included, consisting of studies across World Health Organization geographical regions, examining breast, cervix, childhood, prostate, head and neck, and gastric cancers. Altogether, 11 intervention studies targeted the general population, 12 targeted health care professionals, and 2 targeted both. The majority (17/25) of studies reported interventions focusing on patient and diagnosis‐related barriers early in the cancer care pathway. Most studies reported knowledge score as primary outcome measure (17/25); few (6/25) reported on clinically relevant measures such as reducing disease stage at presentation or diagnostic time interval. Effectiveness of interventions was demonstrated for some cancers only. Conclusion More interventions reporting clinically relevant measures and using standardized methods and outcomes are required to improve our ability to effectively improve cancer early diagnosis in LMICs. Implications for Practice Prior to this study, the extent of intervention literature in cancer early diagnosis in low‐ and middle‐income countries had not been characterized. This study aimed to outline and characterize interventions across all cancer types and across all countries. This systematic review demonstrated that interventions have been investigated targeting both the general population and health care professionals. Furthermore, this review demonstrates that the majority of studies report knowledge as an outcome measure, rather than clinically significant measures that improve cancer‐related outcomes, such as delay intervals or downstaging of disease. Future interventions should address clinically relevant measures to better assess efficacy of interventions.

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Section: Resultsmentioning

confidence: 99%

Interventions Addressing Barriers to Delayed Cancer Diagnosis in Low- and Middle-Income Countries: A Systematic Review

Brand

Chao

et al. 2020

The Oncologist

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“…Targeted in-service education referred to essential maternal and newborn health-related skills. Other focus areas included partograph use [88], neonatal care [84], use of alternate birth positions [29] and antenatal care [43], HIV [89], family planning [90], mental health [91], ultrasound [92], patient safety [93], family violence [94], digestion health, nutrition and parenting [95], breast cancer [96], mammography [97], disaster preparedness and management [98], electronic health record system [47] and pharmacovigilance [99]. Targeted in-service education was offered for career pathway development, specifically professional education, academic progress, self-development or professional recognition, or with external incentives such as career paths, policies, workplace or professional organisation.…”

Section: In-service Education or Continuing Professional Developmentmentioning

confidence: 99%

Strengthening midwifery in the South-East Asian region: A scoping review of midwifery-related research

Griffin,

Bradfield,

Than

et al. 2023

PLoS ONE

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Improving sexual, reproductive, maternal, newborn, and adolescent health outcomes necessitates greater commitment to, and investments in, midwifery. To identify future research priorities to advance and strengthen midwifery, we conducted a scoping review to synthesise and report areas of midwifery that have been explored in the previous 10 years in the 11 countries of the World Health Organization’s South-East Asia region. Electronic peer-reviewed databases were searched for primary peer-reviewed research published in any language, published between January 2012 and December 2022 inclusive. A total of 7086 citations were screened against the review inclusion criteria. After screening and full text review, 195 sources were included. There were 94 quantitative (48.2%), 67 qualitative (34.4%) and 31 mixed methods (15.9%) studies. The majority were from Indonesia (n = 93, 47.7%), India (n = 41, 21.0%) and Bangladesh (n = 26, 13.3%). There were no sources identified from the Democratic People’s Republic of Korea or the Maldives. We mapped the findings against six priority areas adapted from the 2021 State of the World’s Midwifery Report and Regional Strategic Directions for Strengthening Midwifery in the South-East Asia region (2020–2024): practice or service delivery (n = 73, 37.4%), pre-service education (n = 60, 30.8%), in-service education or continuing professional development (n = 51, 26.2%), workforce management (n = 46, 23.6%), governance and regulation (n = 21, 10.8%) and leadership (n = 12, 6.2%). Most were published by authors with affiliations from the country where the research was conducted. The volume of published midwifery research reflects country-specific investment in developing a midwifery workforce, and the transition to midwifery-led care. There was variation between countries in how midwife was defined, education pathways, professional regulation, education accreditation, governance models and scope of practice. Further evaluation of the return on investment in midwifery education, regulation, deployment and retention to support strategic decision-making is recommended. Key elements of leadership requiring further exploration included career pathways, education and development needs and regulatory frameworks to support and embed effective midwifery leadership at all levels of health service governance.

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“…But, mammographic facilities are costly and available only at limited places (Vithana et al, 2015). Consequently, the new technology electrical impedance tomography (EIT) which is a relatively new imaging method that has evolved over the past 20 years is recommended (Hope et al, 2004).…”

Section: Electrical Impedance Tomography As a Primary Screening Technmentioning

confidence: 99%

Electrical Impedance Tomography as a Primary Screening Technique for Breast Cancer Detection

Akhtari-Zavare

Latiff²

2015

Asian Pacific Journal of Cancer Prevention

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Electrical impedance tomography (EIT) is a new non-invasive, mobile screening method which does not use ionizing radiation to the human breast. It is based on the theory that cancer cells display altered local dielectric properties, thus demonstrating measurably higher conductivity values. This article reviews the utilisation of EIT in breast cancer detection. It could be used as an adjunct to mammography and ultrasonography for breast cancer screening.

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Effectiveness of an Educational Intervention among Public Health Midwives on Breast Cancer Early Detection in the District of Gampaha, Sri Lanka

Cited by 8 publications

References 15 publications

Interventions Addressing Barriers to Delayed Cancer Diagnosis in Low- and Middle-Income Countries: A Systematic Review

Interventions Addressing Barriers to Delayed Cancer Diagnosis in Low- and Middle-Income Countries: A Systematic Review

Strengthening midwifery in the South-East Asian region: A scoping review of midwifery-related research

Electrical Impedance Tomography as a Primary Screening Technique for Breast Cancer Detection

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