Effects of Motivational Interview on Awareness, Attitude, and Practice of Breast Self-examination in High-risk Women: A Clinical Trial Study

2019 ◽  
Vol 15 (4) ◽  
pp. 301-307
Author(s):  
Fatemeh Bahmani ◽  
Katayon Vakilian ◽  
Mahbobeh Faramarzi

Background: Breast cancer is the most commonly diagnosed malignancy and the leading cause of death among women throughout the world. The incidence of breast cancer has been increasing in Iran and the disease has been the most prevalently registered cancer in the country during the past decade. Objective: Therefore, this study aimed to investigate the effects of motivational interviewing (MI) on awareness, attitude, and practice of breast self-examination (BSE) in high-risk women. Methods: This randomized clinical trial recruited 60 rural women at higher risk of breast cancer in Babol, Iran in 2016. Thirty women from two randomly selected villages were assigned to the MI group. Two other villages were also randomly selected and 30 of their female residents were allocated to the control group. Eligible people were first identified by referring to the villages’ health centers. The participants were recruited using a table of random numbers and their informed consent was obtained. In the MI group, five 90-minutes weekly sessions of MI were held. Conventional training was conducted in the control group. All subjects completed a researcher-made questionnaire at baseline (before the intervention), at the end of the study, and three months later. Data were analyzed using repeated measures analysis of variance, and Bonferroni, Friedman, Wilcoxon, and chi-square tests. Results: In the MI group, there were significant increases in women's mean scores of awareness in the first and second follow-ups compared to the baseline. Moreover, the mean score of attitude toward BSE in the MI group increased at the end of the study (P<0.001). The positive performance of the participants was significantly different between the MI and control groups at the end of the study (86.7% vs. 16.7%; P<0.001) and three months later (83.3% vs. 13.3%; P<0.001). Conclusion: MI can be used alongside conventional trainings to promote and motivate screening behaviors.

2017 ◽  
Vol 2 (2) ◽  
pp. 20-28
Author(s):  
Bekhal Abdalwahid Amin ◽  
Muhammed Babakir-Mina ◽  
Fadhil Ahmed Mohialdeen ◽  
Mohammed I. M. Gubari

Breast cancer is a devastating affliction, the frequency of which is gradually increasing all over the world. Cancer may be cured if properly intervened at the right time. The correct treatment, aided by professionals and the right technology can provide critical life support to breast cancer patients. This study was conducted to assessment knowledge, attitude and practice of breast cancer among Kurdish females visited Maternity Teaching Hospital in Sulaimani. A face-to-face interview through a question¬naire to assessment of knowledge and practices toward breast cancer of 500 non-breast cancer women visited Maternity Teaching Hospital was done. Data were computerized and analyzed using Statistical Package for the Social Science (SPSS, version 22). P-value of < 0.05 was considered as statistically significant. Out of 500 participants in the current study on knowledge and practices toward breast cancer among non-breast cancer women, consequently were 227 (45.4%) and 201 (40.2%) practiced breast self-examination(BSE) and clinical breast examination respectively. In this study the participants having no symptoms and lack of knowledge about how to do BSE where regarded as the barriers of not practicing BSE (44.7%, 55.3%) respectively. The most common reason for not doing clinical breast examination (CBE) is fear of the outcome and no sign & symptom of breast cancer (28.8%, 61.9%) respectively. The high education level showed significantly more knowledge of breast self-examination and mammography than Illiterate women P≤ 0.001 and P≤ 0.03 respectively. On the other hand, the high education level women showed significantly more practice of breast self-examination P≤ 0.001. In conclusion, the present study found the facts to the inadequate knowledge of female about breast cancer and recognized the negative influence of low knowledge on the practice of BSE, CBE and mammography and the breast cancer incidence. Therefore, more determinations are needed to develop a positive attitude toward BSE, CBE and mammography screening and practice in Sulaimani.


2019 ◽  
Vol 26 (1) ◽  
pp. 107327481986377
Author(s):  
Do Thi Thanh Toan ◽  
Dinh Thai Son ◽  
Le Xuan Hung ◽  
Luu Ngoc Minh ◽  
Dinh Le Mai ◽  
...  

Breast cancer is the most common cancer in women all over the world, also in Vietnam. In recent years, the incidence of breast cancer has been increasing in Vietnam, and most cases are diagnosed at late stages, making treatment more difficult. More and better early detection could help more women to survive. The aim of this study was to identify the current knowledge, attitude and practice about early detection of breast cancer as well as potential predictors of breast cancer screening among women aged 20 to 49 year in a mountainous commune in Thanh Hoa Province, Vietnam, in a largely ethnic Muong population. Women aged 20 to 49 years were selected by systematic random sampling to participate in a cross sectional study in October 2017. They were interviewed with a closed questionnaire about their knowledge of breast cancer, its risk factors, and warning signs. A checklist for performance of breast self-examination was also applied. Three hundred six women agreed to participate in the study. More than half had a low level of knowledge, and were weak in attitude and practice about breast self-examination, clinical breast examination, breast ultrasound, and mamography. Among women who had practiced at least 1 screening method, 17.0% mentioned clinical breast examination, and only 13.8% reported practicing breast self-examination. Factors associated with practice included knowledge about breast cancer early detection (BCED), ethnicity, income, the BCED information approach, and the BCED screening programs approach. The finding of a very low proportion of women in the mountainous setting with good awareness and practice on early detection of breast cancer is important evidence to inform the BCED intervention program developers about where and how to target which information, especially to reach more ethnic minority women.


2018 ◽  
Vol 10 (1) ◽  
pp. 3-7
Author(s):  
Husbani Bt. Mohd Amin Rebuan ◽  
Myat Moe ◽  
Nur Qamilah Mohamad ◽  
Nurulhuda Mat Hassan ◽  
Hamidah Binti Othman

Background: In Malaysia, women had breast cancer always reported at their late stage. One of the causes is due to the delay in seeking medical attention. Poor knowledge about the breast cancer is one of the factors that cause the delay. Aim: This study was designed to assess the knowledge on breast cancer symptoms and risk factors, screening method, and practice among participants. Methodology: This was a cross-sectional study done from 1st of March till 15th of March 2016 involving 89 nursing students from School of Nursing Science, Medical Faculty, University Sultan Zainal Abidin (UniSZA). Data analysis was carried out using Statistical Package for the Social Sciences (SPSS) Version 21. Results: Eighty-nine participants responded. Majority of the students (>80.0%) knew the symptoms of breast cancer and common method of screening. Less than 50.0% knew the high risk factor for developing breast carcinoma. Less than 50.0% carried out the breast self-examination. Conclusion: Students had excellent knowledge on symptoms of breast carcinoma and its screening method. Majority (>50%) of the students were still not clear about high risk factors group. Lack of breast self-examination practice among students was noted.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Agboola AOJ ◽  
Deji-Agboola AM ◽  
Oritogun KS ◽  
Musa AA ◽  
Oyebadejo TY ◽  
...  

Background: Breast cancer is the leading cause of cancer mortality in women worldwide. This study was designed to assess the knowledge, attitude and practice of breast self examination (BSE) among female health workers in Sagamu. Methods: Questionnaire was used to obtain information such as demographic characteristics, knowledge of breast cancer, attitudes towards BSE and questions relating to practices of BSE from female health workers. Statistical analysis was carried out using descriptive statistics and Chi Square method. Results: The medical doctors had more knowledge about breast cancer than the nurses and laboratory scientists. The medical doctors (81.8%), laboratory scientists (56.5%) and the nurses (41.4%) knew the correct timing and frequency for performance of BSE. The monthly practice of BSE was very low among the nurses (30%), while only 68.2% of the doctors and 78.3% of laboratory scientist admitted carrying out BSE monthly. The doctors (68.2%), nurses (35.7%) and laboratory scientist (30.4%) started BSE below the age of 19 years. Conclusion: The results indicate that the nurses had poor attitude towards BSE and this affected their practice of BSE though they had knowledge. The finding that some of the female health workers did not practice BSE, suggests that there is a need for continuing education programs to change attitude and behaviour towards BSE.


Author(s):  
Ejiro C. Iwuoha ◽  
Ngozi C. Ekeleme ◽  
Chika L. Uche

Background: Early diagnosis of breast cancer has been associated with better outcomes in diagnosed cases. Breast self-examination (BSE) is an inexpensive but effective method of identifying breast masses that may be cancerous. Objectives: To identify the knowledge, attitude and practice of BSE among women in Abia State, Nigeria. Materials and Methods: This was a cross sectional study of 415 women in Aba, a commercial city in Abia State. Pretested questionnaires were administered on women who consented to participate in the study. Analysis of data was done using IBM SPSS Version 20. Results: The mean age of the 415 participants was 36.7±9.9 years. About 9% of respondents had a positive family history of breast cancer. Majority of the women; 76% (331) had heard of BSE with highest (34%) source of information being radio and television. While 67.5% knew how to do BSE, only 32% knew the right frequency for performing BSE. Though majority of women agreed that it was necessary to see a doctor for breast examination; only 39% had done so previously while 54% felt having a doctor examine their breast would be embarrassing. Only 28% of the women had practiced BSE in the past. Reasons given for not practicing BSE were lack of knowledge and forgetfulness. Conclusion: This study demonstrated high knowledge and good attitude but poor practice of BSE.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 47s-47s
Author(s):  
S. Mayilvaganan ◽  
G. Agarwal ◽  
A. Agarwal

Background: The Lifeline Express or Jeevan Rekha Express is World´s first hospital train run by the Impact India Foundation. It was developed in collaboration with the Indian Railways and Health Ministry and has been funded by Impact UK, international charitable sources, Indian corporate houses and individuals. It started on July 16, 1991; as of 2016 the service had completed almost 200 projects, benefiting over 900,000 rural Indians. Aim: This study aimed to study the role of superspeciality doctor (endocrine and breast surgeon) in this setting. Methods: The specialist surgeon was assigned a task screen and teach the importance of breast self examination in the rural setting. The women were divided into batches of 50 and were shown a PowerPoint presentation with a video on breast self examination. The screening was done by 2 female general surgeons and any kind of abnormal finding was consulted to the endocrine and breast surgeon. At the end of 15 minutes lecture on screening and breast self examination, the ladies were provided a pamphlet on breast self examination in their native language and also advised and requested to teach another 5 women in the community. Results: 1000 ladies were screened and taught them the importance of breast self examination. Each lady was requested to teach another 5 women in the community. Patients with breast cancer (6 ladies) were appropriately referred and treated in a tertiary referral hospital. 120 patients had mastalgia, treated with dietary measures and first line drugs evening primrose oil and vitamin E. 1 month telephonic follow-up revealed 60% ladies taught on a average 4 other ladies and was compliant. 2 patients who had abscesses was aspirated. Out of 6 patients with breast cancer 5 were locally advanced breast cancer (1 fungating breast cancer). The average duration of tumor was 34 ± 12 weeks. Other cancers like thyroid cancer and oral cancer were detected and treated appropriately. Conclusion: Technology with the intent to serve the rural community should be the motto to provide improved health care to the neglected rural women.


Author(s):  
Saba Rasool ◽  
Maham Iqbal ◽  
Ammarah Siddiqui ◽  
Ramna Ahsan ◽  
Sahrish Mukhtar ◽  
...  

Aims: The study was aimed at investigating knowledge, attitude and practice towards breast cancer and breast self-examination among female undergraduate students in Karachi, Pakistan. Study Design:  Cross Sectional study. Place and Duration of Study: This study was conducted for a period of four months in different universities of Karachi, Pakistan. Methodology: The study was done using a self-administered questionnaire. A total of 381 undergraduate students of medical and non-medical universities were included. Results: The mean age of participants was 20.45 ± 3.67 years.  97% of the candidates had heard about breast cancer out of which only 65.4% were aware about its high prevalence rate in Karachi, Pakistan. A good proportion of candidates i.e. 78% of participants had good knowledge of breast self examination out of which only 43.8% knew how to perform it but just 24.9 % actually performed it. 20.5% of female population had made arrangements for breast screening once in their lifetime however many of the candidates (39.1%) never experienced any symptoms of breast pathology thus never felt the need to screen themselves. Various signs and symptoms were considered as indications of breast cancer though lump as a sign was answered the most by 76.1% students. Out of the several risk factors of breast cancer 70.9% of candidates responded as family history the most common risk factor and early menstruation as a risk factor was 22.8% (the least). 44.4% of the aware candidates stated that they acquired this knowledge from social media. 21.5% had a positive family history. Mammography as a diagnostic modality was considered the most helpful by 61.4% population. Conclusion: The study points out to the sufficient knowledge and attitude of breast cancer among female undergraduates in Karachi, Pakistan. However, they lacked the practice towards breast self examination. We expect that our results may provide useful data that could be used by the department of health in Karachi, Pakistan to formulate their health programs to increase the knowledge, attitude and practice towards breast cancer and breast self-examination.


Sign in / Sign up

Export Citation Format

Share Document