scholarly journals Effects of a WhatsApp-Delivered Education Intervention to Enhance Breast Cancer Knowledge in Women: Mixed-Methods Study

10.2196/17430 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e17430
Author(s):  
Antonio Augusto Claudio Pereira ◽  
Juliana Regina Destro ◽  
Marcelo Picinin Bernuci ◽  
Lucas França Garcia ◽  
Tiago Franklin Rodrigues Lucena
Keyword(s):  
Breast Cancer ◽  
Health Education ◽  
Early Detection ◽  
Risk Reduction ◽  
Educational Intervention ◽  
Qualitative Content Analysis ◽  
Clinical Manifestations ◽  
Female Population ◽  
Cancer Data ◽  
Before And After

Background Breast cancer is the leading cause of cancer-related death in the female population. Health education interventions based on the use of mobile technologies enable the development of health self-care skills and have emerged as alternative strategies for the control of breast cancer. In previous studies, WhatsApp has stood out as a useful tool in health education strategies; however, it has not yet been applied for breast cancer education. Objective This study aimed to analyze the potential of WhatsApp as a health education tool used to improve women's knowledge on the risk reduction of breast cancer. It also aimed to understand how women feel sensitized within the WhatsApp group throughout the intervention and how they incorporate information posted to improve knowledge about early detection and risk reduction methods. Methods The study involved a pre-post health educational intervention with 35 women (aged 45-69 years) included in a WhatsApp group to share information (audio, video, text, and images) over 3 weeks on the early detection and risk reduction of breast cancer. Data were collected through questionnaires on topics related to risk reduction, as well as qualitative content analysis of group interactions. Effectiveness and feasibility were analyzed through conversations and the comparison of the scores obtained in the questionnaires before and after the intervention. Results A total of 293 messages were exchanged (moderator 120 and users 173). The average scores of the participants were 11.21 and 13.68 points before and after the educational intervention, respectively, with sufficient sample evidence that the difference was significant (P<.001). The intervention enabled women to improve their knowledge on all topics addressed, especially “myths and truths,” “incidence,” “clinical manifestations,” and “protective factors.” Some themes emerged from the interactions in the group, including group dynamics, general doubts, personal narratives, religious messages, daily news, and events. Conclusions The use of groups for women in WhatsApp for health education purposes seems to be a viable alternative in strategies on breast cancer control, especially as it provides a space for the exchange of experiences and disinhibition. However, the need for a moderator to answer the questions and the constant distractions by members of the group represent important limitations that should be considered when improving this strategy.

scholarly journals Effects of a WhatsApp-Delivered Education Intervention to Enhance Breast Cancer Knowledge in Women: Mixed-Methods Study (Preprint)

2019 ◽  
Author(s):  
Antonio Augusto Claudio Pereira ◽  
Juliana Regina Destro ◽  
Marcelo Picinin Bernuci ◽  
Lucas França Garcia ◽  
Tiago Franklin Rodrigues Lucena
Keyword(s):  
Breast Cancer ◽  
Health Education ◽  
Early Detection ◽  
Risk Reduction ◽  
Educational Intervention ◽  
Qualitative Content Analysis ◽  
Clinical Manifestations ◽  
Female Population ◽  
Cancer Data ◽  
Before And After

BACKGROUND Breast cancer is the leading cause of cancer-related death in the female population. Health education interventions based on the use of mobile technologies enable the development of health self-care skills and have emerged as alternative strategies for the control of breast cancer. In previous studies, WhatsApp has stood out as a useful tool in health education strategies; however, it has not yet been applied for breast cancer education. OBJECTIVE This study aimed to analyze the potential of WhatsApp as a health education tool used to improve women's knowledge on the risk reduction of breast cancer. It also aimed to understand how women feel sensitized within the WhatsApp group throughout the intervention and how they incorporate information posted to improve knowledge about early detection and risk reduction methods. METHODS The study involved a pre-post health educational intervention with 35 women (aged 45-69 years) included in a WhatsApp group to share information (audio, video, text, and images) over 3 weeks on the early detection and risk reduction of breast cancer. Data were collected through questionnaires on topics related to risk reduction, as well as qualitative content analysis of group interactions. Effectiveness and feasibility were analyzed through conversations and the comparison of the scores obtained in the questionnaires before and after the intervention. RESULTS A total of 293 messages were exchanged (moderator 120 and users 173). The average scores of the participants were 11.21 and 13.68 points before and after the educational intervention, respectively, with sufficient sample evidence that the difference was significant (<i>P</i>&lt;.001). The intervention enabled women to improve their knowledge on all topics addressed, especially “myths and truths,” “incidence,” “clinical manifestations,” and “protective factors.” Some themes emerged from the interactions in the group, including group dynamics, general doubts, personal narratives, religious messages, daily news, and events. CONCLUSIONS The use of groups for women in WhatsApp for health education purposes seems to be a viable alternative in strategies on breast cancer control, especially as it provides a space for the exchange of experiences and disinhibition. However, the need for a moderator to answer the questions and the constant distractions by members of the group represent important limitations that should be considered when improving this strategy.

scholarly journals Perceived Barriers to Early Detection of Breast Cancer in Iranian Women: A Qualitative Content Analysis

2020 ◽  
Vol 13 (9) ◽  
Author(s):  
Fatemeh Hossaini ◽  
Mohammad Esmaeil Akbari ◽  
Hamid Soori ◽  
Ali Ramezankhani
Keyword(s):  
Breast Cancer ◽  
Content Analysis ◽  
Early Detection ◽  
Health Services ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Perceived Barriers ◽  
Access To Health Services ◽  
Iranian Women ◽  
Cancer Data

Background: Breast cancer is one of the most common cancers among Iranian women. The early diagnosis of this disease can decrease the mortality rate and promote patient survival. Objectives: This study aimed at identifying the barriers to early detection of breast cancer in Iranian women. Methods: In this qualitative study, which was extracted from a large research project, an exploratory sequential mixed-methods design was used, and conventional content analysis was carried out. Twenty-one participants were selected by purposeful sampling (ten health professionals and 11 female patients with breast cancer). Data were collected through in-depth, semi-structured interviews from July 2018 to June 2019. Results: The content analysis revealed three major themes related to delay in presentation: individual barriers (limited/lack of knowledge, other life preferences, negative reactions to the disease, and belief in fate), environmental barriers (insufficient social support, inaccurate information sources, and alternative therapy recommendations), and organizational barriers (poor quality of health services, inadequate access to health services, and role of media in informing people). Conclusions: Various perceived barriers, at different levels, play influential roles in the patients’ early detection. Therefore, collaboration between public health professionals, healthcare providers, and policymakers seems necessary for reducing delays in presentation among women.

AGE FEATURES OF MOLECULAR-BIOLOGICAL SUBTYPES OF BREAST CANCER IN THE REPUBLIC OF UZBEKISTAN

2018 ◽  
Vol 64 (2) ◽  
pp. 196-199
Author(s):  
Gulya Miryusupova ◽  
G. Khakimov ◽  
N. Shayusupov
Keyword(s):  
Breast Cancer ◽  
Cancer Care ◽  
Indigenous Women ◽  
Morbidity And Mortality ◽  
Breast Cancer Data ◽  
Female Population ◽  
Cancer Data ◽  
Age Related ◽  
The Republic ◽  
Age Features

According to the results of breast cancer data in the Republic of Uzbekistan in addition to the increase in morbidity and mortality from breast cancer among women the presence of age specific features among indigenous women in the direction of “rejuvenating” of the disease with all molecular-biological (phenotypic) subtypes of breast cancer were marked. Within the framework of age-related features the prevalence of the least favorable phenotypes of breast cancer was found among indigenous women: Her2/neu hyperexpressive and three times negative subtype of breast cancer. The data obtained made it possible to build a so-called population “portrait” of breast cancer on the territory of the Republic, which in turn would contribute to further improvement of cancer care for the female population of the country.

scholarly journals PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN KEPADATAN TIKUS DI SUMURBOTO, KECAMATAN BANYUMANIK, SEMARANG

2019 ◽  
Vol 11 (1) ◽  
pp. 47-52
Author(s):  
Martini Martini ◽  
Sri Yuliawati ◽  
Retno Hestiningsih ◽  
Nissa Kusariana ◽  
Sudjut Haryanto
Keyword(s):  
Health Education ◽  
Educational Intervention ◽  
Case Fatality ◽  
Knowledge Score ◽  
Capital City ◽  
Education Intervention ◽  
Research Subjects ◽  
Central Java ◽  
Health Education Intervention ◽  
Before And After

Semarang, the capital city of Central Java Province, is one of the endemic areas in Indonesia with increasing case fatality rate in the last three years. Accordingly, the educational intervention is fundamentally requested. The aim of the study was to evaluate the influence of health education intervention on  the community knowledge improvement and its implication for reducing the rat populations. The study was performed using field experiment with pretest and post test designs. A total of 55 cadres and housewives joining on the various education program at Sumurboto Village, Banyumanik Sub district, Semarang was used as research subjects. The health education interventions introduced in the study were counselling and mentoring. ,Data were analyzed using paired t-test. The results revealed that the knowledge of the subject research significantly increased and the rat populations significantly decreased after being given the educational intervention. The rat species identified in Sumurboto Village were Rattus norvegicus, R. tanezumi, R. exulans and Suncus murinus. The knowledge score before and after the intervention was 80.87 and 88.83 respectively. Meanwhile, the rat populations measured by trap success method reduced from 8% to 6% after the intervention. Nevertheless, the rat population in Sumurboto Village is considerably relative high indicating that the village possessed a high risk on leptospirosis attack. It is strongly suggested that the health education intervention in the community should be regularly maintained in order to accelerate the knowledge of leptospirosis and reduce the rat populations.   

Breast Cancer Stage at Presentation in Ohio: The Effect of Medicaid Expansion and the Affordable Care Act

2020 ◽  
Vol 86 (3) ◽  
pp. 195-199
Author(s):  
Dan Kirkpatrick ◽  
Margaret Dunn ◽  
Rebecca Tuttle
Keyword(s):  
Breast Cancer ◽  
Affordable Care Act ◽  
Advanced Disease ◽  
Disease Stage ◽  
Cancer Stage ◽  
Medicaid Expansion ◽  
Cancer Data ◽  
Before And After ◽  
The Affordable Care Act ◽  
The Impact

Patients presenting with localized breast cancer have a five-year survival of 99 per cent, whereas survival falls to 27 per cent in advanced disease. This obviates the importance of early diagnosis and treatment. Our study evaluates the impact of Ohio's Medicaid expansion and the passage of the Affordable Care Act (ACA) on the stage at which Ohioans were diagnosed with breast cancer. Data were collected for 3056 patients presenting with breast cancer between 2006 and 2016 in the Dayton area. Patients were divided into groups based on cancer stage. The percentage of patients presenting with advanced disease (stage 3 or 4) was compared both before and after ACA implementation and Ohio Medicaid expansion. These results were also compared with statewide data maintained by the Ohio Department of Health. Compared with pre-ACA, the number of uninsured patients post-ACA was noted to fall 83 per cent, the number of patients presenting with Medicaid increased by five times, and the proportion of patients younger than 65 years presenting with breast cancer increased by approximately 7 per cent. These changes notwithstanding, no difference was identified in the percentage of patients presenting with advanced breast cancer before and after ACA implementation or Ohio Medicaid expansion ( P = 0.56). Statewide data similarly demonstrated no change ( P = 0.88). Improved insurance access had a smaller-than-anticipated impact on the stage at which Ohioans presented with breast cancer. As significant morbidity and mortality can be avoided by earlier presentation, additional research is appropriate to identify factors affecting patients’ decision to seek breast cancer screening and care.

scholarly journals Effect of Health Education Demonstration Method and Leaflet Media about Consciousness on Knowledge and Attitude of Hormonal KB Acceptors

2019 ◽  
Vol 7 (1) ◽  
pp. 60-67
Author(s):  
Sri Mulyati ◽  
Winancy Winancy
Keyword(s):  
Breast Cancer ◽  
Health Education ◽  
Hormonal Contraception ◽  
Average Value ◽  
Knowledge And Attitudes ◽  
A Value ◽  
Before And After ◽  
The Difference ◽  
Knowledge And Attitude ◽  
Self Examination

Breast cancer is a disease with characterized by uncontrolled development of cells and breast tissue. Women who has to use acceptors Hormonal contraception (Hormonal KB) has a risk of developing breast cancer. Self Breast Examination (BSE) or Periksa Payudara Sendiri (SADARI) is one of the easier and more efficient ways to be able to detect breast abnormalities by yourself. The purpose of the study was to determine the effect of health education by demonstration methods and leaflet media on breast self-examination of the knowledge and attitudes of WUS hormonal family planning acceptors about SADARI. This study was a quasi experiment: pretest-posttest design. The population was divided into 3 groups, namely groups given health education with leaflets, with demonstration methods, and a combination of leaflets + demonstrations. The results showed that the knowledge and attitudes of respondents before and after health education with leaflet media, demonstration methods, and leaflet + demonstration media combinations experienced a significant increase with a value of p <0.05 (p = 0,000). The increase score in the value of the average rating of knowledge was statistically significant in the demonstration group better than the leaflet group. The difference in the average value of the demonstration and demonstration group rankings + leaflets is not meaningful.  

scholarly journals PEMBERIAN VIDEO TERHADAP SIKAP IBU BAYI TENTANG DETEKSI DINI PERTUMBUHAN DAN PERKEMBANGAN BAYI

2019 ◽  
Vol 1 (1) ◽  
pp. 19-24
Author(s):  
Vina Nurul Utami ◽  
Riza Amalia
Keyword(s):  
Health Education ◽  
Early Detection ◽  
Growth And Development ◽  
Health Workers ◽  
Wilcoxon Test ◽  
P Value ◽  
Cluster Sampling ◽  
Policy Makers ◽  
Maternal Attitudes ◽  
Before And After

Many children are found to experience growth and development delays caused by a lack of caring parents in the early detection of growth and development. Health education can make a change of attitude. The purpose of this study was to determine the effect of video on maternal attitudes regarding early detection of growth and development in infants. The method used is pre-experimental design with pretest-posttest. The sample of this study was mothers who had 30 babies with cluster sampling. One group first observes their attitude and then is given a video at the beginning of the meeting, the material is given through strength points, videos and leaflets after that every day using video via WhatsApp and observing again after 2 weeks. The results obtained are different test with Wilcoxon test obtained p-value 0.008, it means that there are differences in attitude before and after exposure to a video about early detection of growth and development of infants. And the conclusion in this study is the provision of health education, videos that can change the attitude of mothers regarding the early detection of growth and development in infants significantly. It is hoped that policy makers will provide training facilities for early detection of children's growth and development for health workers and cadres so that they can be widely applied to children, especially infants.

scholarly journals Early Detection and Investigation of Extracellular Vesicles Biomarkers in Breast Cancer

2021 ◽  
Vol 8 ◽  
Author(s):  
Erika Bandini ◽  
Tania Rossi ◽  
Emanuela Scarpi ◽  
Giulia Gallerani ◽  
Ivan Vannini ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Tumor Microenvironment ◽  
Early Detection ◽  
Extracellular Vesicles ◽  
Cancer Progression ◽  
Poor Prognosis ◽  
Cancer Death ◽  
Female Population ◽  
Flow Cytometric ◽  
Metastatic Development

Breast cancer (BC) is the most commonly diagnosed malignant tumor in women worldwide, and the leading cause of cancer death in the female population. The percentage of patients experiencing poor prognosis along with the risk of developing metastasis remains high, also affecting the resistance to current main therapies. Cancer progression and metastatic development are no longer due entirely to their intrinsic characteristics, but also regulated by signals derived from cells of the tumor microenvironment. Extracellular vesicles (EVs) packed with DNA, RNA, and proteins, are the most attractive targets for both diagnostic and therapeutic applications, and represent a decisive challenge as liquid biopsy-based markers. Here we performed a study based on a multiplexed phenotyping flow cytometric approach to characterize BC-derived EVs from BC patients and cell lines, through the detection of multiple antigens. Our data reveal the expression of EVs-related biomarkers derived from BC patient plasma and cell line supernatants, suggesting that EVs could be exploited for characterizing and monitoring disease progression.

scholarly journals Effectiveness of Health Education With Peer Education Method On The Attitude Of Student Bse (Breast Self-Examination) In Senior High School 5 Kedir

2019 ◽  
Vol 2 (2) ◽  
pp. 136-142
Author(s):  
Suci Anggraeni ◽  
Cahyu Novita Angraeini
Keyword(s):  
Breast Cancer ◽  
High School ◽  
Health Education ◽  
Early Detection ◽  
Student Attitudes ◽  
Positive Attitude ◽  
Peer Education ◽  
Senior High School ◽  
Breast Self Examination ◽  
Self Examination

Background: BSE (Breast Self-Examination) is one of the early detection steps to prevent breast cancer is more effective if done as early as possible when adolescents reach the age of reproduction. Purpose : The purpose of this research is to know the influence of health education with peer education method toward student attitude in do realize in Senior High School 5 Kediri. Methods :The research design in this research is pre experimental design with one group pre test approach - post test design. The Sampel is some female students of class XI in Senior High School 5 Kediri as many as 104 respondents taken with Simple Random Sampling technique. Variable dependent attitude of student, independent variable of health education with peer education method. The instrument used is a questionnaire. The results of analysis using Mc Nemar with α = 0,05. Result : The result of this research is that most respondents have positive attitude in doing BSE before giving health education as much 65 respondent (62,5%), while most of respondent have positive attitude in doing BSE after giving health education 96 responden (92,3%) . The result of Mc Nemar statistic test is obtained ρ value = 0,000 <α = (0,05), which means there is Effect of Health Education with Peer Education Method toward Student Attitudes In Conduct BSE in Senior High School 5 Kediri City. Conclusion : Peer education method has relationship with respondent attitude about BSE because counseling with peer education method about is very important for respondent and expected by giving counseling about BSE will increase knowledge and also ability to do BSE for early detection breast cancer

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