Training Breast Self-Examination: A Research Review and Critique

Pinto, Bernardine M.; Fuqua, R. Wayne

doi:10.1177/109019819101800407

Cited by 27 publications

(21 citation statements)

References 56 publications

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“…En el presente estudio, la proporción corres-pondiente después del entrenamiento fue de 51 a 65% de acuerdo con el grupo de intervención, las cuales son similares a las ya notificadas en países desarrollados. 3,4,[16][17][18][19] En algunos países existen acciones educativas en AES que han mostrado buenos resultados. 4,13,14,20,21 La mayoría se basan en los servicios de atención de primer nivel, donde el personal de enfermería ofrece el entrenamiento a las mujeres que asisten a dichos servicios.…”

Section: Discussionunclassified

“…3,4,[16][17][18][19] En algunos países existen acciones educativas en AES que han mostrado buenos resultados. 4,13,14,20,21 La mayoría se basan en los servicios de atención de primer nivel, donde el personal de enfermería ofrece el entrenamiento a las mujeres que asisten a dichos servicios. 13,21 Otras estrategias efectivas incluyen tener personal técnico específicamente adiestrado para visitar a las mujeres en sus domicilios y enseñarles la téc-nica.…”

Section: Discussionunclassified

“…13,21 Otras estrategias efectivas incluyen tener personal técnico específicamente adiestrado para visitar a las mujeres en sus domicilios y enseñarles la téc-nica. 4,20 Cada una de las modalidades está en función de los recursos, la magnitud del problema y las políti-cas de salud vigentes en cada país.…”

Section: Discussionunclassified

“…4,22,23 Actualmente se encuentra en revisión la Norma Oficial Mexicana NOM-014 SSA2-1994, en la que se establece que el AES debe enseñarse en las unidades de primer nivel de atención a la salud por el personal de enfermería. 8,24 Al respecto, no se cuenta con información sobre la frecuencia con la que se ha ofrecido la capacitación a las usuarias y menos aún de la calidad de la enseñanza de la técnica en este nivel.…”

Section: Discussionunclassified

“…El tamaño del tumor es un buen indicador de la probabilidad de vivir sin recidivas; la presencia de algún tipo de metástasis (estadios II-III y IV) es proporcional a sus dimensiones. [3][4][5][6][7] De los casos con metástasis, 47% presentan tumores de al menos 4.5 cm de diámetro. 6 En México, el diagnóstico de CM es tardío.…”

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Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva

Ortega-Altamirano¹,

López-Carrillo²,

López-Cervantes³

2000

Salud pública Méx

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Malaquías López-Cervantes, Ph. D.( ResumenObjetivo. Disponer de una estrategia efectiva de enseñanza de conocimientos en cáncer de mama (CM) y en la técnica del autoexamen del seno (AES) para las mujeres mexicanas de entre 12 a 47 años de edad. Material y mé-todos. Entre abril de 1996 y julio de 1998, en la ciudad de Cuernavaca, Morelos, México, se diseñaron y evaluaron dos estrategias de enseñanza del AES y sus materiales didácti-cos con base en las propuestas de las mujeres participantes en el inicio de este estudio. Ambas estrategias consistieron en la presentación de un folleto y una cinta de video; en la primera, una enfermera en salud pública condujo la sesión; en la segunda, una sobreviviente de CM. Además, en la segunda estrategia se adicionaron unas diapositivas y unos modelos de senos de silicón. Ambas estrategias se compararon con una tercera que se extrajo de las normas de la Secretaría de Salud, consistente en la presentación de una hoja impresa y una cinta de video por parte de una enfermera. Participaron 149 mujeres, asignadas aleatoriamente a cada estrategia. La efectividad de éstas se evaluó por los cambios en los conocimientos en AES y CM, y en la destreza para identificar mayor número de abultamientos en un modelo de seno de silicón tamaño natural, medidos antes y después de la capacitación. Se realizaron para el análisis estadístico pruebas t de Student, análisis de varianza, χ 2 de McNemar, la de Pearson y regresión lineal múltiple. Resultados. Con las tres estrategias se elevaron aproximadamente 30% los conocimientos de las participantes sobre AbstractObjective. To develop an effective strategy to inform Mexican women between 12 and 47 years of age about breast cancer (BC) and train them to perform breast self-examination (BSE). Material and methods. Between April, 1996 and July, 1998, two different strategies to teach BSE were designed and evaluated in Cuernavaca, State of Morelos, Mexico. These strategies included teaching materials and were based on opinions of women participating in the first stage of this study. Both strategies consisted of the presentation of a leaflet and a video. The first strategy was delivered by a public health nurse in charge of leading the session. The second one was presented by a BC survivor. This second strategy included slides and silicon breast models. These two strategies were then compared to a third one, consisting of a primary care nurse handing out a leaflet and showing a video, based on Health Secretariat's guidelines. In total, 149 women were trained. They were randomly assigned to any one of these three strategies. The effectiveness of the teaching strategies was determined by assessing the changes in the women's knowledge of BC and BSE, as well as in their ability to identify the largest number of lumps on a natural size silicon breast, before and after training. CM, AES y su destreza para identificar abultamientos. Sólo una de cada 20 mujeres fue capaz de identificar más de tres abultamientos en el modelo al inicio de su capacitación, posterior...

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Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva

Ortega-Altamirano¹,

López-Carrillo²,

López-Cervantes³

2000

Salud pública Méx

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The impact of a brief coping skills intervention on adherence to breast self-examination among first-degree relatives of newly diagnosed breast cancer patients

et al. 1999

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The present investigation sought to determine (1) the impact of a single session stress management/coping intervention (problem‐solving training; PST) versus a general health counseling (GHC) control condition on breast self‐examination (BSE) adherence among relatives of newly diagnosed breast cancer patients, and (2) whether women with heightened perceived risk of breast cancer and/or cancer specific distress at baseline were more likely to improve their BSE adherence following PST. The participants were 510 women age 20–75 who had at least one first‐degree relative with breast cancer. All of the participants completed a baseline telephone interview, an intervention (PST versus GHC), and a 3‐month follow‐up telephone interview. The results revealed a 36% overall improvement in BSE adherence, with no significant between‐group difference in improvement (χ2=0.03, p=0.87). The logistic regression analysis of improvement in BSE adherence revealed a statistically significant cancer‐specific distress by treatment interaction (p=0.04). Among women who received PST, those with high levels of cancer‐specific distress were two times more likely to improve in BSE adherence than women low in cancer‐specific distress. There was no effect of cancer‐specific distress in the control condition. These results suggest that women with a family history of breast cancer who have high levels of distress may be most likely to benefit from behavioral coping skills intervention to promote adherence to breast cancer screening. Copyright © 1999 John Wiley & Sons, Ltd.

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Seminar in breast self‐examination for female medical students integrated into a human gross anatomy course

2003

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A breast self-examination (BSE) seminar for first-year female medical students is presented and a single-gender approach for other subjects in the medical curriculum is discussed. In 1999 a small group seminar on BSE was offered at the Hannover Medical School to female medical students as part of their curriculum in human gross anatomy. An evaluation questionnaire was answered by 94 students (87% of participants). Frequencies of answers to two open questions were used as indicators of: 1) the acceptance of a single-gender course and 2) an increased awareness of breast cancer prevention. A linear regression analysis was carried out to identify the most important predictors for the global course evaluation and a heightened interest in breast cancer prevention. The mean global rating of the seminar was 13.8 (minimum: 1 point; maximum: 15 points). Factors that significantly influenced the global rating were the course atmosphere, the teacher's enthusiasm, and the professional interest of the students. An increased concern for breast cancer prevention was significantly dependent on the professional interest and the self-awareness of the women. The results suggest that there is a need for single-gender seminars in academic medicine and that instruction of female students in BSE is an ideal subject for this approach. Because of the prevalence of breast cancer, it is recommended that such a seminar become an integral part of the preclinical curriculum for all female medical students.

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Training Breast Self-Examination: A Research Review and Critique

Cited by 27 publications

References 56 publications

Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva

Estrategias para la enseñanza del autoexamen del seno a mujeres en edad reproductiva

The impact of a brief coping skills intervention on adherence to breast self-examination among first-degree relatives of newly diagnosed breast cancer patients

Seminar in breast self‐examination for female medical students integrated into a human gross anatomy course

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