Supporting Breast Self-Examination in Female Childhood Cancer Survivors: A Secondary Analysis of a Behavioral Intervention

Abstract

Nurses should explore survivors' fears about cancer and late treatment effects to address misconceptions, use modeling techniques with return demonstrations to ensure competency in BSE, and tailor risk information to each survivor's background (socio-economic status, age, development) and cognitive (disease and treatment knowledge, risks) and affective (fears) characteristics to increase BSE motivation.

Anxiety Among Adolescent Survivors of Pediatric Cancer

“…Twenty (83%) articles were quantitative studies(11, 12, 17–34), one (4%) was qualitative(35), and three (13%) utilized a mixed-methods approach(10, 36, 37). The three mixed-methods studies, the qualitative study, and 17 of the quantitative studies(10, 17–21, 23–37) were cross-sectional, descriptive studies, and three of the quantitative studies were longitudinal intervention studies(11, 12, 22). Of the quantitative studies, three of the cross-sectional studies(10, 17, 19) utilized samples from one of the included intervention studies(11), one intervention study(22) utilized a sample from a broader intervention study(38), and two cross-sectional studies(29, 30) utilized the same sample.…”

“…One study administered a self-report scale of cancer-related worry(31), and one study utilized a measure of perceptions of infertility risks including worry about infertility(26). Two studies utilized worry questionnaires designed by study investigators(22, 37), and one study developed a questionnaire to assess fear of relapse(27). …”

“…Eight (33%) were only missing one of nine quality indicators(10, 19, 21, 26–28, 33, 34), with the majority of these studies not specifying whether the participants were representative of the population from which they were recruited. Four studies (17%) were missing two of nine quality indicators(5, 22, 24, 32). Four studies did not meet criteria to be considered a high quality study: two studies (9%) missing three quality indicators(12, 20) and two studies (9%) missing four quality indicators(36, 37).…”

“…Cox and colleagues(22) conducted secondary analyses examining the effect of a health promotion intervention(38) on breast self-examination in a sample of female adolescent survivors. Although this intervention did not specifically target worry or anxiety, participants in the intervention group reported a decrease in general fears about cancer at post-intervention, despite an increase in perceptions of the seriousness of their vulnerability to late effects.…”

Turkish Social Attitudes towards to Cancer Prevention: a Health Belief Model Study

“…Hay et al reported that a positive relationship DOI:http://dx.doi.org/10.7314/APJCP.2014.15.18.7935 Turkish Social Attitudes towards to Cancer Prevention: a Health Belief Model Study between cancer worry and screening behavior. In the study of Cox et al, (2008) it was indicated that 88% of the participants were afraid of being cancer. Perceived cancer risk, defined as the subjective estimation of the likelihood that one might be diagnosed with cancer in the future has played a pivotal role in understanding the processes that predict adherence to a diverse range of cancer screening behaviors.…”