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Related Experiment Videos

Assessing breast self-examination

P A Newcomb1, S J Olsen, F D Roberts

  • 1University of Wisconsin Comprehensive Cancer Center, Madison 53706, USA.

Preventive Medicine
|May 1, 1995
PubMed
Summary
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Breast self-examination (BSE) proficiency assessment methods, self-report and model-based, showed low overall competency. These common methods may not accurately reflect actual BSE practice or skill levels in women.

Area of Science:

  • Oncology
  • Women's Health
  • Medical Education

Background:

  • Breast self-examination (BSE) practice varies significantly among women.
  • This inconsistency complicates the evaluation of BSE efficacy and utilization studies.

Purpose of the Study:

  • To compare the effectiveness of two common methods for assessing breast self-examination (BSE) competency.
  • To evaluate self-report of practice versus ability to detect lumps in a model.

Main Methods:

  • 81 women participated in a tamoxifen toxicity trial.
  • Assessed BSE competency using self-report of practice and a silicone breast model with embedded lumps.
  • Scored self-report based on recommended techniques and positions mentioned.

Main Results:

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  • Overall proficiency was low across both assessment methods.
  • No significant correlation was found between self-report and model-based competency measures (r = 0.16, P = 0.15).
  • Higher correlations were noted in older women and those practicing BSE monthly.

Conclusions:

  • Current assessment techniques do not reliably measure breast self-examination (BSE) proficiency comparably.
  • Both self-report and model-based assessments may be inadequate indicators of true BSE practice.