Changing Breast Self-Examination Behavior

Edwards, Vivien

doi:10.1097/00006199-198009000-00009

Cited by 35 publications

(8 citation statements)

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“…Women surveyed by Turnbull (1978) identified forgetting, feeling unmotivated, being unsure how to do the procedure, and feeling that this practice would cause unnecessary worry as barriers. Additional barriers such as receiving little or no positive reinforcement for regular BSE, the need to be one's own diagnostician, and the need to carry out the exam on a regular, continuous basis were proposed by Edwards (1980).…”

Section: Belief Modelmentioning

confidence: 99%

Breast self‐examination and the health belief model: Variations on a theme

Wyper

1990

Research in Nursing & Health

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Variables derived from the Health Belief Model (HBM) were studied in relation to breast self-examination (BSE) performance, which was measured in terms of both frequency and thoroughness. Data were collected from 202 adult women via self-administered questionnaires. Susceptibility and Seriousness were combined to form a "threat of breast cancer" variable, and two approaches were used to compute "net perceived efficacy of BSE." However, barriers and susceptibility in their original form explained more variance in BSE practice than did the combined variables. The negative relationship found between perceived barriers and BSE performance (r = -.44) is consistent with previous findings. Implications for research and practice are presented.

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Section: Belief Modelmentioning

confidence: 99%

Breast self‐examination and the health belief model: Variations on a theme

Wyper

1990

Research in Nursing & Health

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“…For women aged 60 years and older, preliminary results from two case-con¬ trol studies (grade II evidence) suggest that early treatment following screen¬ ing by CBE and/or mammography lowers mortality from breast cancer at least 20%.17"19 In addition, the Swedish randomized trial reported a 39% reduc¬ tion in breast cancer mortality in women aged 50 to 74 years, and the HIP study found a sizable but nonsignificant reduction in women aged 60 years and older." 13,15 For women younger than 50 20 Preliminary results suggest that follow¬ ing training in BSE, women may find slightly smaller tumors. At one site, mean tumor size decreased from 2.8 to 2.0 cm after women were invited to a BSE lecture program.21 Though encour¬ aging, the results do not yet include mortality data, nor do they include data from the control communities.…”

Section: Effectiveness Of Early Treatmentmentioning

confidence: 97%

Screening for Breast Cancer With Breast Self-examination

O’Malley¹,

Fletcher²

1987

JAMA

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We reviewed evidence regarding breast self-examination (BSE) and screening for breast cancer. To our knowledge, no controlled prospective trial links BSE to lives saved from breast cancer. Compared with clinical breast examination and mammography, the estimated sensitivity of BSE is low (20% to 30%) and is lower among older women. The potential sensitivity of BSE should be higher because women can detect small lumps (0.3 cm) in silicone models. Instruction increases BSE frequency over the short term. Sensitivity also increases, but specificity decreases. The psychological effects of teaching and performing BSE are not yet clear. The cost of screening by BSE is unknown but depends on the accuracy of the test as well as the training method used. Breast self-examination has potential as a screening test for breast cancer, but many questions require scientific examination before this procedure can be advocated as a screening test for breast cancer.

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“…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.…”

Section: Relevant Literaturementioning

confidence: 99%

Identifying women's descriptions of breast tissue for the promotion of breast self‐examination

Lauver

Keenan

1991

Health Care for Women International

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The purpose of this study was to identify women's descriptions of their breast tissue. Concrete objective descriptions of the breast, in women's own words, are important to formulate an intervention, based on a self-regulation framework, designed to promote breast self-examination. Descriptions were initially generated from open-ended interviews with 27 women scheduled for mammography. The initial descriptions were validated by an additional 25 women scheduled for mammography. The descriptions of the breast that are relevant to women are presented, conclusions for a subsequent intervention study drawn, and implications for practice addressed.

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Changing Breast Self-Examination Behavior

Cited by 35 publications

References 0 publications

Breast self‐examination and the health belief model: Variations on a theme

Breast self‐examination and the health belief model: Variations on a theme

Screening for Breast Cancer With Breast Self-examination

Identifying women's descriptions of breast tissue for the promotion of breast self‐examination

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