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The Effect of Breast Cancer Risk Reduction Program Applied to Women With High Breast Cancer Risk on Participation in
Habibe Ozcelik1, Sebahat Gozum
1Author Affiliation: Department of Public Health Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
Cancer Nursing
|August 21, 2025
Summary
A Breast Cancer Risk Reduction Program significantly increased screening participation and improved health behaviors in high-risk women. The program positively influenced health beliefs but did not reduce fear.
Area of Science:
- Oncology
- Preventive Medicine
- Health Psychology
Background:
- Women with a family history of early-onset breast cancer (diagnosis ≤50 years) face elevated personal risk.
- Family history is a critical indicator for breast cancer risk assessment.
Purpose of the Study:
- To assess the efficacy of a Breast Cancer Risk Reduction Program (BrCaRRP).
- To evaluate BrCaRRP's impact on risk-reduction behaviors, health beliefs, and screening adherence in high-risk women.
Main Methods:
- A single-center, single-blind, randomized controlled trial involving first-degree relatives of early-onset breast cancer patients.
- Intervention group (n=38) received 12-week multidisciplinary support (education, counseling, case management) based on Health Belief and Health Promotion Models.
- Control group (n=39) received standard information and clinic care.
Main Results:
- BrCaRRP participation increased breast cancer screening probability by 5.11 times.
- Significant improvements observed in health motivation, health responsibility, and physical activity within the intervention group.
- No significant changes noted in perceived susceptibility or nutritional behaviors; genetic counseling consultations increased.
Conclusions:
- The Breast Cancer Risk Reduction Program effectively enhanced breast cancer screening participation and positively modified health beliefs and behaviors.
- While effective for screening and health behaviors, the program requires complementary strategies to address persistent fear.
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