Breast Cancer Clinical Trial
Official title:
Theory-based Training to Promote Breast Cancer Screening Among Women With Breast Cancer Worries: Randomized Controlled Trial
BACKGROUND: Breast cancer worries are important determinants in relation to behavior favoring
breast cancer screening.
OBJECTIVE: To determine the effect of theory-based training to promote breast cancer
screening among women with high and low levels of breast cancer worries.
DESIGN AND SETTING: Randomized controlled trial, conducted in two family health centers.
METHODS: In total, 285 women were recruited. Women with low levels of breast cancer worries
were included in the first intervention group (112 women) and the first control group (112
women), while women with high levels of breast cancer worries were included in the second
intervention group (37 women) and the second control group (43 women). Theory-based training
to promote breast cancer screening was given to intervention groups. The women's willingness
to undergo breast cancer screening and breast cancer worry scores were evaluated at 1, 3 and
6 months.
Breast cancer is the most frequent type of cancer and the most common cause of cancer death
among gynecological cancers. One in every four women with cancer in the world has breast
cancer. The International Cancer Agency reported that there were around 2,088,849 new cases
and 626,679 deaths due to breast cancer worldwide in 2018. The incidence of breast cancer is
higher in developed countries than in developing countries, but the numbers of deaths due to
breast cancer are lower in developed countries than in developing countries.
It is known that breast self-examination, clinical breast examination and mammography play an
important role in making an early diagnosis of breast cancer. The uptake rate for mammography
performed on a regular basis is low because this is an expensive method, considering that not
all individuals have health insurance and public funding is inadequate, especially in
developing countries. Hence, breast self-examination (which has no cost) and clinical breast
examination (which only has low cost) remain important diagnostic methods. Moreover, during
clinical breast examination, healthcare professionals have the opportunity to advise on
breast cancer, risk factors, prevention methods and screening methods.
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