“…Results of these studies reveal that having received BSE instruction can increase the frequency and thoroughness of practice (Avis, Katz, Rouselle, & Erick, 1987;Bennett, Lawrence, Fleishmann, Gifford, & Slack, 1983;Brailey, 1986;Celentano & Holtzman, 1983;Keller et al, 1980;Nettles-Carlson et al, 1988;Shamian & Edgar, 1987). However, comparisons of alternative instructional approaches have not suggested what type of instructional approach is superior in promoting BSE practice (Brailey, 1986;Carter etal., 1985;Edwards, 1980;Nettles-Carlson et al, 1988). There is a need to clarify the type of instructional content that may be most critical to promoting and supporting BSE practice.…”