The Effect of Tailored Interventions on Breast Cancer Screening Behaviors and Health Perceptions in Women with Low Socioeconomic Levels

Öz

Introduction: Breast cancer is a prevalent and significant health issue among women both globally and in our country. The aim of this study is to systematically examine the effects of tailored interventions, such as group education and telephone counseling, on breast cancer screening behaviors and health perceptions among women with low socioeconomic status. The study seeks to evaluate how these interventions influence women's health awareness, their adoption of screening behaviors, and their access to healthcare services. Method: This study is a randomized controlled trial conducted at a family health center. Data were collected by using the Diagnostic Form, Breast Cancer Health Belief Model Scale, Mammography Self-efficacy Scale, and Breast Cancer Fear Scale. The study sample consisted of 123 women. The Tailored Interventions in Breast Cancer Screenings (TIBCS) included group education and telephone counseling. These tailored interventions were based on the health belief model. The study consisted of two experimental groups those receiving tailored group education (N=41) and those receiving tailored telephone counseling (N=41) and one control group receiving standard care (N=41). A pre-test and post-test control group design was used in the study, and the outcome variables were evaluated before the intervention and at the 3rd and 6th months after the intervention. Data were collected by using the Socioeconomic Status Scale, Diagnostic Form, Breast Cancer Health Belief Model Scale, Mammography Self-Efficacy Scale, Breast Cancer Fear Scale, and Breast Cancer Fatalism Scale. The NCSS (Number Cruncher Statistical System) program was used for statistical analysis. Data were evaluated by using descriptive statistical methods. Results: The study found that TIBCS increased the rates of regular self-breast examinations, clinical breast examinations, and mammography screenings (p<0.05). In the experimental groups of the TIBCS, it was observed that self-breast examination benefits, mammography benefits, confidence, and health motivation perceptions increased, while perceived barriers to self-breast examination and mammography decreased (p<0.05), with no change in susceptibility perception (p>0.05). Similarly, in both experimental groups, women's perceptions of mammography self-efficacy increased, while fear and fatalism perceptions showed a significant decrease (p<0.05). Conclusion: TIBCS applied to women with low socioeconomic status is effective in increasing the rate of breast cancer screening behaviors and improving health perceptions. Therefore, tailored interventions are considered to be beneficial in future studies.

Anahtar Kelimeler

• breast self-examination
• clinical breast examination
• mammography
• health perception
• tailored intervetion

Destekleyen Kurum

The authors received no financial support nor any sponsorship for research, authoeship or publication.

Etik Beyan

Approval for the study was obtained from the Ethics Committee of Istanbul Arel University (Approval date: May 31, 2018/number:69396709-050.01.01) and the Istanbul Provincial Health Directorate (Approval date: May 25, 2018/number:16867222-799). The purpose and process of the study were explained to the doctors and nurses working at the FHC. Women who agreed to participate in the study were asked to complete an informed consent form.

Teşekkür

We thank all the nurses, doctors, and other staff at the family health center for their contributions and support.

Sosyoekonomik Düzeyi Düşük Kadınlara Uygulanan Yapılandırılmış Girişimlerin Meme Kanseri Tarama Davranışlarına ve Sağlık Algılarına Etkisi

Öz

Giriş: Meme kanseri, hem dünyada hem de ülkemizde kadınlar arasında yaygın ve önemli bir sağlık sorunudur. Bu araştırmanın amacı, sosyoekonomik düzeyi düşük kadınlara yönelik yapılandırılmış müdahalelerin, özellikle grup eğitimi ve telefon danışmanlığı gibi stratejilerin, meme kanseri tarama davranışları ve sağlık algıları üzerindeki etkilerini sistematik bir şekilde incelemektir. Çalışma, bu müdahalelerin kadınların sağlık farkındalığı, tarama davranışlarını benimseme düzeyleri ve sağlık hizmetlerine erişimlerinde nasıl bir rol oynadığını değerlendirmeyi hedeflemektedir. Yöntem: Bu çalışma bir aile sağlığı merkezinde gerçekleştirilen randomize kontrollü bir çalışmadır. Çalışmanın örneklemini 123 kadın oluşturdu. Meme Kanseri Taramalarında Yapılandırılmış Girişimler (METYAG) grup eğitimi ve telefon danışmanlığından oluşmuştur. Yapılandırılmış girişimler Sağlık İnanç Modeline temellendirilmiştir. Çalışma grubu yapılandırılmış grup eğitimi alan (N:41), yapılandırılmış telefon danışmanlığı alanları (N:41) kapsayan iki deney grubundan ve standart bakım alan (N:41) bir kontrol grubundan oluşmuştur. Araştırmada, ön test-son test kontrol gruplu tasarım kullanılmış, girişim öncesi ve girişim sonrası 3. ve 6. ayda sonuç değişkenleri değerlendirilmiştir. Çalışmada veriler, Sosyo- Ekonomik Durum Skalası, Tanılama Formu, Meme Kanseri Sağlık İnanç Modeli Ölçeği, Mamografi Yeterlik Ölçeği, Meme Kanseri Korku Ölçeği ve Meme Kanseri Kadercilik Ölçeği ile toplanmıştır. İstatistiksel analizler için NCSS (Number Cruncher Statistical System) programı kullanılmış olup çalışmanın verileri tanımlayıcı istatistiksel yöntemler ile değerlendirilmiştir. Bulgular: Çalışmada METYAG’ın düzenli kendi kendine meme muayenesi yapma, klinik meme muayenesi yaptırma ve mamografi çektirme oranlarını arttığı belirlenmiştir (p<0,05). Çalışmada METYAG deney gruplarında kendi kendine meme muayenesi yarar, mamografi yarar, güven, sağlık motivasyonu algılarını arttırdığı, kendi kendine meme muayenesi ve mamografi engel algılarını azalttığı (p <0,05), yatkınlık algısını ise değiştirmediği (p>0,05) belirlenmiştir. Benzer şekilde, her iki deney grubundaki kadınların, mamografi yeterlilik algıları yükselir iken, korku ve kadercilik algılarında anlamlı azalma belirlenmiştir (p<0,05). Sonuç: Sosyoekonomik düzeyi düşük kadınlarda uygulanan METYAG’ın meme kanseri tarama davranışlarının sergilenme oranını ve sağlık algılarını artırmada etkilidir. Bu nedenle, konu ile ilgili yapılacak çalışmalarda yapılandırılmış girişimlerin faydalı olacağı düşünülmektedir.

Anahtar Kelimeler

• kendi kendine meme muayenesi
• klinik meme muayenesi
• mamografi
• sağlık algıları
• yapılandırılmış girişim

Destekleyen Kurum

The authors received no financial support nor any sponsorship for research, authoeship or publication.

Etik Beyan

Approval for the study was obtained from the Ethics Committee of Istanbul Arel University (Approval date: May 31, 2018/number:69396709-050.01.01) and the Istanbul Provincial Health Directorate (Approval date: May 25, 2018/number:16867222-799). The purpose and process of the study were explained to the doctors and nurses working at the FHC. Women who agreed to participate in the study were asked to complete an informed consent form.

Teşekkür

We thank all the nurses, doctors, and other staff at the family health center for their contributions and support.

Kaynakça

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