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How compliant is compliant? Evaluating adherence with breast self-exam positions
V M Stevens1, J W Hatcher, B K Bruce
1Department of Psychiatry & Behavioral Sciences, Oklahoma State University College of Osteopathic Medicine, Tulsa 74107.
Journal of Behavioral Medicine
|October 1, 1994
Summary
Most women do not perform all three recommended breast self-examination (BSE) positions. The supine position was most common, highlighting a need to improve breast cancer screening education.
Area of Science:
- Oncology
- Preventive Medicine
- Women's Health
Background:
- Breast self-examination (BSE) is a key component of breast cancer screening.
- Standardized BSE protocols recommend specific examination positions for comprehensive assessment.
- Understanding adherence to recommended BSE practices is crucial for effective screening.
Purpose of the Study:
- To assess compliance with the three recommended breast self-examination (BSE) positions.
- To evaluate adherence patterns over a 6-month follow-up period.
- To identify common practices and deviations from recommended BSE techniques.
Main Methods:
- Utilized an ongoing behavioral measure to track examination types during BSE.
- Monitored compliance with three specific BSE positions over six months.
- Analyzed the frequency of adherence to all recommended positions versus partial adherence.
Main Results:
- Only 40% of breast self-examinations (BSE) included all three recommended positions.
- A significant proportion (42%) of exams involved only a single position.
- The supine position was the most frequently practiced single BSE position.
Conclusions:
- Adherence to comprehensive breast self-examination (BSE) protocols is suboptimal.
- Current BSE practices may not fully cover all recommended examination areas.
- Educational interventions are needed to improve compliance with all three BSE positions for enhanced breast cancer detection.
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