A Different Approach to Breast Self-Examination Training: Family Training
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Breast Self-Examination
Family Training

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Ayran, G., Gundogdu, G., Yaman, E., & Kutluata, S. (2022). A Different Approach to Breast Self-Examination Training: Family Training. Galician Medical Journal, 29(3), E202236. https://doi.org/10.21802/gmj.2022.3.6


Background. Breast self-examination (BSE) is an effective, cost-free, early diagnosis method that enables women to take responsibility for their own health in the early diagnosis of breast cancer, which is the most common cause of death in women.

The objective of the study was to determine the effect of BSE training given by female nursing students to their mothers and sisters on their BSE behavior and self-esteem.

Materials and Methods. This study is of one-group pretest-posttest quasi-experimental design. It was carried out at the Faculty of Health Sciences of Erzincan University in Turkey between December 2019 and May 2020. The universe of the study consisted of 140 third- and fourth-year female students over the age of 18 enrolled in the Department of Nursing, Faculty of Health Sciences, Erzincan University, Turkey. The total number of mothers and sisters in the study sample was 126. The data were collected in two stages, before and one month after family training. IBM SPSS Statistics 22 software package was used for statistical data analysis. The percentage, mean, standard deviation, and Student’s t-test were used for statistical processing. The p-value of 0.05 was considered statistically significant for all tests.

Results. The knowledge level of study participants about breast cancer and BSE was analyzed, and the source of their knowledge was assessed. Applying family training approach showed a significant increase in BSE knowledge level of participants one month after training. It was accompanied by increasing BSE skills and self-esteem levels (according to the mean values of the Rosenberg Self-Esteem Scale).

Conclusions. Training for family members is an effective method to increase women' s knowledge and skills in BSE. In addition, BSE training enabled female students and their families to participate in BSE practice.

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Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2018;68(6):394–424. Available from: https://doi.org/10.3322/caac.21492

World Health Organization. Breast cancer. 2021 [cited 25 May 2022]. Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer

World Health Organization. WHO report on cancer: setting priorities, investing wisely and providing care for all. Geneva: World Health Organization; 2020.

Avci IA. Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community. European Journal of Oncology Nursing. 2008;12(2):127–133. Available from: https://doi.org/10.1016/j.ejon.2007.11.006

Ashtarian H, Khezeli M, Saeidi S, Zangeneh A. The effect of model based health education on performing breast self-examination in women. The Journal of Basic and Clinical Health Sciences. 2020;4(1):15-21. Available from: https://doi.org/10.30621/jbachs.2020.773

Dagne AH, Ayele AD, Assefa EM. Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: cross- sectional study. Kwenti TE, editor. PLOS ONE. 2019;14(8):e0221356. Available from: https://doi.org/10.1371/journal.pone.0221356

Nde FP, Assob JCN, Kwenti TE, Njunda AL, Tainenbe TRG. Knowledge, attitude and practice of breast self-examination among female undergraduate students in the University of Buea. BMC Research Notes. 2015;8(1):43. Available from: https://doi.org/10.1186/s13104-015-1004-4

Wojtyna E, Zycinska J, Stawiarska P. The influence of cognitive-behaviour therapy on quality of life and self-esteem in women suffering from breast cancer. Reports of Practical Oncology & Radiotherapy. 2007;12(2):109–117. Available from: https://doi.org/10.1016/S1507-1367(10)60047-8

Rosenberg M. Society and the adolescent self-image. Princeton University Press; 1965. Available from: https://doi.org/10.1515/9781400876136

Tuna A, Bektash M, Turgay A, Tuna A, Genc R. Effects of peer education, social support and self esteem on breast self examination performance and knowledge level. Asian Pac J Cancer Prev. 2009;10:605-608.

Awick EA, Phillips SM, Lloyd GR, McAuley E. Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model. Psycho-Oncology. 2016;26(10):1625–1631. Available from: https://doi.org/10.1002/pon.4180

Yurt S, Saglam Aksut R, Kadioglu H. The effect of peer education on health beliefs about breast cancer screening. International Nursing Review. 2019;66(4):498–505. Available from: https://doi.org/10.1111/inr.12517

Mekuria M, Nigusse A, Tadele A. Breast Self-Examination practice and associated factors among secondary school female teachers in Gammo Gofa Zone, Southern, Ethiopia. Breast Cancer: Targets and Therapy. 2020;12:1–10. Available from: https://doi.org/10.2147/BCTT.S232021

Tuzcu A, Bahar Z, Gozum S. Effects of interventions based on health behavior models on breast cancer screening behaviors of migrant women in Turkey. Cancer Nursing. 2016;39(2):E40–E50. Available from: https://doi.org/10.1097/NCC.0000000000000268

Joyce C, Ssenyonga LVN, Iramiot JS. Breast self-examination among female clients in a tertiary hospital in Eastern Uganda. International Journal of Africa Nursing Sciences. 2020;12:100186. Available from: https://doi.org/10.1016/j.ijans.2019.100186

Tuyen DQ, Dung TV, Dong HV, Kien TT, Huong TT. Breast self-examination: knowledge and practice among female textile workers in Vietnam. Cancer Control. 2019;26(1):107327481986278. Available from: https://doi.org/10.1177/1073274819862788

Adamu H, Shuaibu K, Adamu AN. Knowledge, attitude and practice of breast self examination among female students of a tertiary institution in Sokoto, North-West Nigeria. Annals of International medical and Dental Research. 2016;2(4):74-79. Available from: https://doi.org/10.21276/aimdr.2016.2.4.23

Esen E, Aslan M, Sonbahar BÇ, Kerimoğlu RS. YouTube English videos as a source of information on breast self-examination. Breast Cancer Research and Treatment. 2018;173(3):629–635. Available from: https://doi.org/10.1007/s10549-018-5044-z

Alsaraireh A, Darawad MW. Impact of a breast cancer educational program on female university students’ knowledge, attitudes, and practices. Journal of Cancer Education. 2017;34(2):315–322. Available from: https://doi.org/10.1007/s13187-017-1304-6

Getu MA, Wudu Kassaw M, Tlaye KG, Gebrekiristos AF. Assessment of breast self-examination practice and its associated factors among female undergraduate students in Addis Ababa University, Addis Ababa, Ethiopia, 2016. Breast Cancer: Targets and Therapy. 2018;11:21–28. Available from: https://doi.org/10.2147/BCTT.S189023

Toraman A, Oksay A, Tas F. An examination on the knowledge level of breast self-examination of the patients who apply to a university hospital. Hacettepe University Faculty of Health Sciences Journal. 2019;6(2):82-94. Available from: https://doi.org/10.21020/husbfd.404727

Beydag KD, Yurugen B. The effect of breast self-examination (BSE) education given to midwifery students on their knowledge and attitudes. Asian Pac J Cancer Prev. 2010;11(6):1761-1764. Available from: https://pubmed.ncbi.nlm.nih.gov/21338229/

Alazmi SF, Alkhabbaz A, Almutawa HA, Ismaiel AE, Makboul G, El-Shazly MK. Practicing breast self-examination among women attending primary health care in Kuwait. Alexandria Journal of Medicine. 2013;49(3):281–6. Available from: https://doi.org/10.1016/j.ajme.2012.08.009

Ministry of Health of Turkey. BSE Brochure [cited 2 July 2022]. Available from: https://hsgm.saglik.gov.tr/tr/kanser-yayinlar/afis-brosur

Cuhadaroglu F. Self-esteem in adolescents. Ankara: Hacettepe University; 1986.

de Oliveira RDP, Santos MCL, Moreira CB, Fernandes AFC. Detection of breast cancer: knowledge, attitude, and practice of family health strategy women. Journal of Cancer Education. 2017;33(5):1082–1087. Available from: https://doi.org/10.1007/s13187-017-1209-4

Esfahani M, Taleghani F, Noroozi M, Tabtabaeian M. Role playing for improving women's knowledge of breast cancer screening and performance of breast self-examination. Asian Pac J Cancer Prev. 2017;18(9):2501-2505. Available from: https://doi.org/110.22034/APJCP.2017.18.9.2501

Ramya Ahmad S, Asmaa Ahmad A, Nesreen Abdullah A, Rana Ahmad Bin S, Shaimaa Amer A, Aisha T, et al. Awareness level, knowledge and attitude towards breast cancer between medical and non-medical university students in Makkah region: a cross sectional study. International Journal of Cancer and Clinical Research. 2019;6(1):106. Available from: https://doi.org/10.23937/2378-3419/1410106

Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model. BMC Public Health. 2019;19(1):1581. Available from: https://doi.org/10.1186/s12889-019-7951-2

Sohbet R, Karasu F. Investigation of the knowledge, behavior and applications of their women towards breast cancer. Gumushane University Journal Of Health Sciences. 2017;6(4):113-121.

Ayed A, Eqtait F, Harazneh L, Fashafsheh I, Nazzal S, Talahmeh B, et al. Breast Self-Examination in terms of knowledge, attitude, and practice among nursing students of Arab American University/Jenin. Journal of Education and Practice. 2015;6(4):37-47. Available from: https://files.eric.ed.gov/fulltext/EJ1083853.pdf

Minhat HS, Mustafa J, Zain NM. The practice of breast self-examination (BSE) among women living in an urban setting in Malaysia. International Journal of Public Health and Clinical Sciences. 2014;1(2):91-99.

Parsa P, Kandiah M, Parsa N. Factors associated with breast self-examination among Malaysian women teachers. Eastern Mediterranean Health Journal. 2011;17(06):509–516. Available from: https://doi.org/10.26719/2011.17.6.509

Sogut S, Cangol E. Application and belief of breast self-examination (BSE) in breast cancer in female studying in science and social sciences: the case of Turkey. International Journal of Health Services Research and Policy. 2020;5(3):229–240. Available from: https://doi.org/10.33457/ijhsrp.779831

Noroozi A, Jomand T, Tahmasebi R. Determinants of breast self-examination performance among iranian women: an application of the health belief model. Journal of Cancer Education. 2010;26(2):365–374. Available from: https://doi.org/10.1007/s13187-010-0158-y

Abd Allah AAM. Effect of an educational program in improving knowledge, attitude and practices of females towards breast cancer in Kasab Garby and Madinat Elsalam settings in Sinnar State, Sudan (2014-2017). Wad Madani: University of Gezira; 2018.

Noor S, Hardiyanti D, Nursalam, Yunitasari E, Tristiana RD. Analysis of factors relating to practice of breast self-examination (BSE) among women in Indonesia. Indian Journal of Public Health Research & Development. 2018;9(12):595. Available from: https://doi.org/10.5958/0976-5506.2018.01902.2

Trisina CG, Sadvika IGAS, Laksmi AAAW, Adiputra AT. 29P factors affecting breast self-examination (BSE) behaviour among female high school students in Denpasar City, Bali. Annals of Oncology. 2020;31:S1251–S1252. Available from: https://doi.org/10.1016/j.annonc.2020.10.049

Mahmoud MH, Sayed SH, Ibrahim HA-F, Abd-Elhakam EM. Effect of health belief model-based educational intervention about breast cancer on nursing students’ knowledge, health beliefs and breast self-examination practice. International Journal of Studies in Nursing. 2018;3(3):77-90. Available from: https://doi.org/10.20849/ijsn.v3i3.503

Ibitoye OF, Thupayegale-Tshwenegae G. The impact of education on knowledge attitude and practice of breast self-examination among adolescents girls at the Fiwasaye Girls Grammar School Akure, Nigeria. Journal of Cancer Education. 2019;36(1):39–46. Available from: https://doi.org/10.1007/s13187-019-01595-2

Malak A, Bektash M, Turgay A, Tuna A, Genc R. Effects of peer education, social support and self esteem on breast self examination performance and knowledge level. Asian Pacific J Cancer Prev. 2009;10:605-608. Available from: https://pubmed.ncbi.nlm.nih.gov/19827878/

Anggraeni S, Angraeini CN. Effectiveness of health education with peer education method on the attitude of student BSE (breast self-examination) in Senior High School 5 Kedir. Journal of Nursing Practice. 2019;2(2):136–142. Available from: https://doi.org/10.30994/jnp.v2i2.57

Sriyanti C. Relation of knowledge about breast cancer with breast self-examination (BSE) behavior implementation on childbearing age women in Bandung. SEAJOM: The Southeast Asia Journal of Midwifery. 2019;5(1):14–17. Available from: https://doi.org/10.36749/seajom.v5i1.41

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