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The Impact of Nurse-Led Intervention on Breast Cancer Screening and Early Detection in China: Randomized Control
Tsu-Yin Wu1,2, Guorong Wang3,4, Shou Li Chen5
1School of Nursing Eastern Michigan University, MI, U.S.A.
Objective:
To evaluate whether nurse-led intervention with the assistance of community health workers (CHWs) increases breast cancer awareness and uptake of breast cancer screening among Chinese women.
Background:
Breast cancer is the leading cause of cancer death among women, with breast cancer incidences being on the rise in China. Early detection through cancer screening and awareness of cancer prevention is imperative.
Methods:
The study recruited women from 16 communities (n=2050) who met the inclusion criteria and randomly assigned them to the intervention group (n=1,143) and control group (n=907). A Komen breast health toolkit was utilized for educational purposes, and the modified Chinese Mammogram Screening Beliefs Questionnaire was employed to assess knowledge and awareness regarding breast cancer and screening practice.
Results:
Results showed that implementing nurse-led CHW involved educational interventions for breast cancer improves breast cancer screening behavior (t=545, 761, p < .001) and awareness (4.92±3.59, 8.64±1.90, p < .001) in the intervention group when compared to the control group.
Conclusion:
This study provides information for future research and development of an educational intervention for breast cancer screening among Chinese women.
