Effectiveness of Methods Used to Teach Breast Self-Examination

Bennett, Susan E.; Lawrence, Robert S.; Angiolillo, Dea F.; Bennett, Susan; Budman, Susan; Schneider, Gail M.; Assaf, Annlouise R.; Feldstein, Michael

doi:10.1016/s0749-3797(18)31007-9

Cited by 19 publications

(8 citation statements)

References 21 publications

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“…Yet despite the benefits associated with self-exams, many women do not practice regular or proficient breast self-examination. Studies suggest that less than half of American women perform monthly exams (Gallup, 1988) and many women who do practice self-exams perform the technique incorrectly (Celentano and Holtzman, 1983;Howe, 1980, Huguley andBrown, 1981;Laughter et al, 1981 In an effort to increase regular monthly practice, numerous BSE interventions have been launched (Assaf et al, 1985;Bennett et al, 1990;Fletcher et aL, 1990;Grady, 1984;Grady et al, 1988;Hailey et aL, 1990;Mayer et aL 1987Mayer et aL , 1991, and impressive short-term gains in BSE frequency and competency are often obtained. However, these improvements may overestimate the degree of compliance during reported BSE events.…”

Section: Introductionmentioning

confidence: 99%

How compliant is compliant? Evaluating adherence with breast self-exam positions

1994

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The present study examined compliance with the three recommended breast self-examination (BSE) positions over a 6-month follow-up period. An ongoing behavioral measure that provided information about the type of exam performed during each BSE occasion was employed. Results indicated that adherence to all three position types was obtained in only 40% of the exams. Forty-two percent of exams were comprised of only one position, with the supine position being the most frequently practiced exam type. Implications of these results with regard to BSE research and current breast cancer screening recommendations are discussed.

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Section: Introductionmentioning

confidence: 99%

How compliant is compliant? Evaluating adherence with breast self-exam positions

1994

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“…We define global finger movement as tracking an examiner's finger in procession from one of the four quadrants of the prostate to another. A similar idea applies in the clinical breast exam, where global finger patterns (e.g., radial, clock, and vertical strip) are taught, ensuring that the entire breast is examined (Bennett et al, 1990). In analysis 2, local finger movement was considered.…”

Section: Analysis Techniquesmentioning

confidence: 99%

Characterizing Finger Palpation in the Detection of Prostate Cancers and Abnormalities

Wang¹,

Gerling²,

Childress

et al. 2008

Proceedings of the Human Factors and Ergonomics Society Annual

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Prostate cancer is detected in part via the digital rectal examination. Training for this hands-on exam is limited, in particular, by feedback given trainees with respect to finger palpation. This work characterizes finger palpation technique exerted by participants, using a simulator that can electronically record finger pressure on the prostate gland and abnormalities. In principal, we analyze 1) global finger movement, 2) local finger movement and 3) average finger pressure. The analysis determined that participants utilize four patterns of global finger movement (U, V, L and line), three patterns of local finger movement (tapping, vibration, smooth movement), and distinct finger pressures (in Newtons). This analysis also determined that participants who utilized certain techniques were better able to detect presented abnormalities.

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“…Diese werden der weiteren Forschung empfohlen. nahm die Sensitivität zu, es kam jedoch auch zur Zunahme der falsch positiven Befunde [9].…”

Section: Sensitivität Der Brustselbstuntersuchungunclassified

“…Entscheidend für die Wirksamkeit der BSU ist ihre Qualität. Gemessen an der Fähigkeit, in einem Silikon-Brustmodell vorgegebene Knoten zu identifizieren, korrelierte diese Qualität in diversen Untersuchungen mit der Länge des Vorgangs der BSU [9,30,37,39], mit der Anzahl der Schritte im Rahmen des Selbstabtastens [23,30,42] und mit der Komplettheit der Erfassung aller Quadranten der Brust [30,74]. Auûerdem erwies sich die Verwendung der Fingerbeeren und der drei mittleren Finger der Hand als eine wirksame Methode der BSU [38,39,42].…”

Section: Trainingsverfahren Zum Erlernen Der Brustselbstuntersuchungunclassified

Der Stellenwert der Brustselbstuntersuchung in der Früherkennung des Mammakarzinoms

Backe¹

2002

Geburtsh u Frauenheilk

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Die Brustselbstuntersuchung ist ein einfaches, nichtinvasives und kostengünstiges Verfahren in der Diagnostik des Mammakarzinoms. In Deutschland wird die Anleitung zur Brustselbstuntersuchung neben der klinischen Brustuntersuchung für Frauen mit Beginn des 30. Lebensjahres entsprechend den Richtlinien des gesetzlichen Krebsfrüherkennungs-Programms empfohlen. Obwohl die Selbstuntersuchung der Brust von vielen Frauen als sehr wichtig eingeschätzt wird, führen diese nur 8 ± 40 % der Frauen regelmäûig einmal monatlich durch. Der Wert der Brustuntersuchung wird derzeit kontrovers diskutiert. In Kanada hat kürzlich die ¹Task Force on Periodic Health Examinationª eine Empfehlung gegen die Propagierung der Brustselbstuntersuchung im Rahmen der Krebsvorsorge ausgesprochen, da die Ergebnisse zweier groûer randomisiert-kontrollierter Untersuchungen in Shanghai/China und in St. Petersburg/Russland, eine quasirandomisierte Studie in Groûbritannien und eine groûangelegte Kohortenstudie in den Vereinigten Staaten keine Reduktion der Brustkrebsmortalität durch die Brustselbstuntersuchung nachweisen konnten. Eine kanadische Fall-Kontroll-Studie hingegen, die einzigartig in der sorgfältigen prospektiven, objektiven Erfassung der Praxis des Selbstabtastens war, konnte für eine bestimmte Technik einen positiven Einfluss auf die Mortalität des Mammakarzinoms zeigen. Diese Studienergebnisse weisen auf die Bedeutung einer ausführlichen Unterrichtung in einer standardisierten und gut evaluierten Technik der Selbstuntersuchung der Brust hin. AbstractBreast self-examination is a non-invasive, simple early-screening method for the detection of breast cancer. In Germany clinical breast examination and training for breast self-examination are part of a public early cancer detection program for women 30 years and older. Generally women have accepted breast self-examination as a means for early detection of breast cancer, but only 8 ± 40 % of women conduct it once a month. Recently, the Canadian Task Force on Periodic Health Examination excluded breast self-examination instruction from periodic health examinations, because the results of two large randomised controlled trials in Shanghai/China and in St. Petersburg/Russia, a quasi-randomised trial in Great Britain and a large cohort study in the United States have failed to show a reduction of mortality from breast cancer. A Canadian case-control study was unique in its prospective, objective assessment of self-examination practice. Specific aspects of technique were found to be associated with a reduced risk of death from breast cancer. This trial suggests that proper education in a standardized and evaluated breast self-examination technique might be an important factor in breast cancer prevention. Several studies examined the impact of psychological factors on breast self examination practice. They describe that worry and anxiety can motivate and inhibit self-protective behaviour. Few studies have examined the psychological effects of breast self-examination, that might be of particular int...

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Effectiveness of Methods Used to Teach Breast Self-Examination

Cited by 19 publications

References 21 publications

How compliant is compliant? Evaluating adherence with breast self-exam positions

How compliant is compliant? Evaluating adherence with breast self-exam positions

Characterizing Finger Palpation in the Detection of Prostate Cancers and Abnormalities

Der Stellenwert der Brustselbstuntersuchung in der Früherkennung des Mammakarzinoms

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