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Improving breast self-examination compliance: a Southwest Oncology Group randomized trial of three interventions.

Authors :
Strickland CJ
Feigl P
Upchurch C
King DK
Pierce HI
Grevstad PK
Bearden JD 3rd
Dawson M
Loewen WC
Meyskens FL Jr
Source :
Preventive medicine [Prev Med] 1997 May-Jun; Vol. 26 (3), pp. 320-32.
Publication Year :
1997

Abstract

Background: Only 20-40% of U.S. women conduct breast self-examination (BSE). This Southwest Oncology Group experimental study compared the impact of three interventions on BSE compliance.<br />Methods: Subjects were randomly assigned to one of three arms: (1) physician message; (2) physician message and BSE class; or (3) physician message, BSE class, and reinforcement (phone and postcard). Compliance (frequency and accuracy) was measured by interview at intake and at 6 months and by phone contact at 1 year. Logistic and multiple regression were employed.<br />Results: This analysis included 2,233 subjects from six institutions. At 1 year the percentages of women doing BSE were 59, 62, and 78% for Arms 1-3, respectively; gains over intake frequency (27% average) were significant within each arm (P < or = 0.0001). At both 6 months and 1 year the differences between Arm 1 and Arm 2 average accuracy scores and the differences between Arm 2 and Arm 3 in the percentage of women doing BSE were significant (P < or = 0.0001). Findings within institutions were consistent with the overall findings.<br />Conclusions: The addition of a BSE class increased accuracy over physician message alone; physician message, BSE class, and reinforcement gave the highest percentage of women doing BSE.

Details

Language :
English
ISSN :
0091-7435
Volume :
26
Issue :
3
Database :
MEDLINE
Journal :
Preventive medicine
Publication Type :
Academic Journal
Accession number :
9144756
Full Text :
https://doi.org/10.1006/pmed.1997.0147