DOI QR코드

DOI QR Code

Effectiveness of Online Education in Teaching Breast Self-Examination

  • Tuna, Arzu (School of Health, Onsekiz Mart University) ;
  • Avdal, Elif Unsal (Faculty of Health Science Izmir Katip Celebi University) ;
  • Yucel, Sebnem Cinar (Department of Fundamentals of Nursing, Faculty of Nursing, Ege University) ;
  • Dal, Nursel Alp (School of Health, Onsekiz Mart University) ;
  • Dicle, Aklime (Faculty of Health Science, Istanbul Sabahattin Zaim University) ;
  • Ozkan, Arife (School of Health, Onsekiz Mart University) ;
  • Sezgin, Handan (School of Health, Onsekiz Mart University) ;
  • Gumus, Aysun Babacan (School of Health, Onsekiz Mart University) ;
  • Turgay, Ayse San (School of Health, Onsekiz Mart University) ;
  • Degirmenci, Mustafa (Department of Medical Oncology, Izmir Tepecik Researc Hospital)
  • Published : 2014.04.01

Abstract

Background: This research evaluated the effectiveness of an online education model in teaching breast self-examination to university staff and students. Materials and Methods: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. Results: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). Conclusions: Online education is an effective method for teaching breast self-examination to women.

Keywords

Breast self-examination;online education program;women;university environment;Turkey

References

  1. American Cancer Society; Cancer Prevention and Early Detection Facts and Figures 2013.
  2. Tsangari H, Sharaa HM, Fouad NA, Petro W (2014). A cross-cultural comparison between Cypriot and Egyptian women, on their perceptions of breast self-examination as a screening method for breast cancer. World Appl Sci J, 31, 409-19.
  3. Yucel SC, Orgun F, Tokem Y, Avdal EU, Demir M (2014). Determining the factors that affect breast cancer and self breast examination beliefs of Turkish nurses in academia. Asian Pac J Cancer Prev, 15, 1275-80. https://doi.org/10.7314/APJCP.2014.15.3.1275
  4. Ozmen V (2013). Breast Cancer in Turkey. Turkiye Klinikleri J Gen Surg-Special Topics, 6, 1-6.
  5. Salama H, Elsebai N, Abdelfatah F, Shoma A, Elshamy K (2013). Effects of peer education on the knowledge of breast cancer and practice of breast self-examination among Mansoura University female students. J Am Sci, 10, 253-61.
  6. Shaffer VA, Owens J, Zikmund-Fisher BJ (2013). The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. J Med Internet Res, 15, 273. https://doi.org/10.2196/jmir.2784
  7. SPSS (2006). SPSS for Windows Version 15. SPSS Inc., Chicago, IL.
  8. Tsunematsu M, Kawasaki H, Masuoka Y, Kakehashi M (2013). Factors affecting breast cancer screening behavior in Japan--assessment using the health beliefmodel and conjoint analysis. Asian Pac J Cancer Prev, 14, 6041-8. https://doi.org/10.7314/APJCP.2013.14.10.6041
  9. Valero-Aguilera B, Bermudez-Tamayo C, Garcia-Gutierrez JF, et al (2014). Information needs and Internet use in urological and breast cancer patients. Supportive Care Cancer, 22, 545-52. https://doi.org/10.1007/s00520-013-2009-y
  10. Yi M, Kim J, Noh DY, et al (2008). Evaluation of the satisfaction and usefulness of a web-based educational program for breast cancer patients. Open Med Inform J, 2, 129-37. https://doi.org/10.2174/1874431100802010129
  11. Yilmaz D, Bebis H, Ortabag T (2013). Determining the awareness of and compliance with breast cancer screening among Turkish residential women. Asian Pac J Cancer Prev, 14, 3281-8. https://doi.org/10.7314/APJCP.2013.14.5.3281
  12. Karadag G, Gungormus Z, Surucu R, Savas E, Bicer F (2014). Awareness and practices regarding breast and cervical cancer among Turkish women in Gazientep. Asian Pac J Cancer Prev, 15, 1093-8. https://doi.org/10.7314/APJCP.2014.15.3.1093
  13. Fouladi N, Pourfarzi F, Mazaheri E, et al (2013). Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pac J Cancer Prev, 14, 6857-62. https://doi.org/10.7314/APJCP.2013.14.11.6857
  14. Heo J, Chun M, Lee KY, et al (2013). Effects of a smartphone application on breast self-examination: a feasibility study. Health Inform Res, 19, 250-60. https://doi.org/10.4258/hir.2013.19.4.250
  15. Isara AR, Ojedokun CI (2011). Knowledge of breast cancer and practice of breast self examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg, 52, 186-90. https://doi.org/10.1016/j.ypmed.2010.11.012
  16. Karayurt O, Dramali A (2007). Adaptation of Champion's health belief model scale for Turkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nurs, 30, 69-77. https://doi.org/10.1097/00002820-200701000-00013
  17. Kim HS, Kim E, Kim JW (2001). Development of a breast self-examination program for the internet: health information for Korean women. Cancer Nurs, 24, 156-61. https://doi.org/10.1097/00002820-200104000-00012
  18. Kratzke C, Wilson S (2013). Ethnic differences in breast cancer prevention information-seeking among rural women: will provider mobile messages work? J Cancer Educ, 28. [Epub ahead of print]
  19. Malak AT, Dicle A (2007). Assessing the efficacy of a peer education model in teaching breast self-examination to university students. Asian Pac J Cancer Prev, 8, 481-4.
  20. Miller AB, Wall C, Baines CJ, et al (2014). Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. BMJ, 348, 1-10.
  21. Bilge U, Keskin A (2014). Breast cancer screening knowledge in a Turkish population education is necessary. Procedia-Social and Behavioral Sciences, 116, 1861-3. https://doi.org/10.1016/j.sbspro.2014.01.484
  22. Baker L, Wagner TH, Singer S Bundorf MK (2003). Use of the internet and e-mail for health care information results from a national survey. JAMA, 289, 2400-6. https://doi.org/10.1001/jama.289.18.2400
  23. Baysal HY, Polat H (2012). Determination of the breast cancer risk levels and health beliefs of women with and without previous mammography in the eastern part of Turkey. Asian Pac J Cancer Prev, 13, 5213-7. https://doi.org/10.7314/APJCP.2012.13.10.5213
  24. Berland GK, Elliott MN, Morales LS, et al (2001). Health information on the internet accessibility, quality, and readability in English and Spanish. JAMA, 285, 2612-21. https://doi.org/10.1001/jama.285.20.2612
  25. Dang CM, Estrada S, Bresee C, Phillips EH (2013). Exploring potential use of internet, E-mail, and instant text messaging to promote breast health and mammogram use among immigrant Hispanic women in Los Angeles County. Am Surg, 79, 997-1000.
  26. DeSantis C, Ma J, Bryan L, Jemal A (2014). Breast cancer statistics, 2013. CA: Cancer J Clin, 64, 52-62. https://doi.org/10.3322/caac.21203
  27. Erbil N, Bolukbas N (2012). Beliefs, attitudes, and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale. Asian Pac J Cancer Prev, 13, 5823-8. https://doi.org/10.7314/APJCP.2012.13.11.5823
  28. Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI (2002). Internet use and social support in women with breast cancer. Health Psychol, 21, 398-404. https://doi.org/10.1037/0278-6133.21.4.398
  29. Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI (2002). Use of the Internet by women with breast cancer. J Med Internet Res, 4, 9. https://doi.org/10.2196/jmir.4.2.e9
  30. Avci IA, Kumcagiz H, Altinel B, Caloglu A (2014). Turkish female academician self-esteem and health beliefs for breast cancer screening. Asian Pac J Cancer Prev, 15, 155-60. https://doi.org/10.7314/APJCP.2014.15.1.155

Cited by

  1. Breast and Cervical Cancer Knowledge and Awareness among University Students vol.16, pp.5, 2015, https://doi.org/10.7314/APJCP.2015.16.5.1719
  2. Relationship between Knowledge, Attitude and Practice of Breast-Self Examination among Middle and High School Girls vol.23, pp.2, 2017, https://doi.org/10.4094/chnr.2017.23.2.147
  3. Impact of a Breast Cancer Educational Program on Female University Students’ Knowledge, Attitudes, and Practices pp.1543-0154, 2017, https://doi.org/10.1007/s13187-017-1304-6