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A brief intervention designed to increase breast cancer self-screening
Nangel M Lindberg1, Victor J Stevens, K Sabina Smith
1Kaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227-1110, USA. Nangel.M.Lindberg@kpchr.org
American Journal of Health Promotion : AJHP
|May 19, 2009
Summary
A brief intervention effectively increased adequate breast self-examination (BSE) performance in women aged 40-70. This program demonstrated that even short interventions can significantly boost cancer self-screening rates.
Area of Science:
- Oncology
- Preventive Medicine
- Health Behavior
Background:
- Breast self-examination (BSE) is a recognized method for early cancer detection.
- The effectiveness of BSE in reducing cancer morbidity and mortality remains a subject of ongoing research and debate.
- Developing effective interventions to promote appropriate self-screening practices is crucial for public health.
Purpose of the Study:
- To evaluate the efficacy of a targeted intervention aimed at improving the appropriate utilization of breast self-examination (BSE).
Main Methods:
- A two-armed randomized clinical trial was conducted involving 616 women aged 40-70 at a health maintenance organization.
- The intervention group received a 30-45 minute counseling session on BSE, including practical training and barrier identification, followed by telephone support.
- The control group received a dietary intervention, and the primary outcome was self-reported BSE practice (frequency, duration, and technique).
Main Results:
- A 90% response rate was achieved at the 1-year follow-up.
- Significantly more women in the BSE intervention group (59%) reported adequate BSE performance compared to the control group (12.2%; p < .001).
Conclusions:
- The study concluded that a brief intervention successfully encouraged adequate BSE performance among participants.
- This highlights the potential for short, focused programs to enhance cancer self-screening behaviors.
- The intervention's adaptable nature suggests its potential application to other cancer screening practices, such as skin or testicular cancer screening.
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