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.

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 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 Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

Indonesian clinical psychologists’ perceptions of complementary and alternative medicine research and knowledge: a content analysis study

2019 ◽  
Vol 14 (3) ◽  
pp. 164-173 ◽  
Author(s):  
Andrian Liem
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Clinical Psychologists ◽  
Content Type ◽  
Complementary And Alternative

Purpose As part of a nationwide research about knowledge, attitude, experiences and educational needs towards complementary and alternative medicine (CAM) among Indonesian clinical psychologists (CPs), the purpose of this paper is to explore CPs’ perceptions of CAM research and their interest in learning CAM. Design/methodology/approach A link to an online survey was e-mailed to all 1,045 CPs across Indonesia. At the end of the survey, two open-ended questions were asked: “What do you think about CAM research in Indonesia?” and “Why are you interested in learning about CAM?”, which were responded to by 127 participants (87 per cent of females; Mage=36.67, SD=9.02). Participants’ responses were analysed using inductive qualitative content analysis. Findings It was found that two global themes for CPs’ perceptions of CAM were to improve participants’ professionalism and as part of continuing education and development for mental health professionals. The favourable responses in this study may reflect participants’ willingness to be involved in collaborative CAM research and education. Moreover, CAM was perceived as part of Indonesian culture and participants viewed CAM research and knowledge as a chance to promote Indonesian local wisdom to complement conventional psychotherapy. Research limitations/implications These findings might call for stakeholders to integrate CAM knowledge into psychology education, facilitate CAM research in psychology settings and encourage collaborative CAM research. However, self-selection bias may limit the findings of this study. Originality/value This study explored perceptions of CAM research and interest in learning CAM that have rarely been investigated among mental health professionals and particularly, until now, have not been investigated in Indonesia.

scholarly journals Assessment of knowledge towards breast cancer early detection methods among female health professionals in Adigrat town public health institutions, Tigray, northern Ethiopia, 2018

2019 ◽  
Author(s):  
Amdehiwot Aynalem ◽  
Andualem Mebratu
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Health Professionals ◽  
Detection Method ◽  
Detection Methods ◽  
Northern Ethiopia ◽  
Breast Cancer Early Detection ◽  
Cancer Early Detection ◽  
Public Health Institutions ◽  
Health Institutions

Abstract Objective The main objective of the study to determine breast cancer early detection method knowledge among female health professional, Adigrat, town, Tigray, Ethiopia, 2018.Result The study assessed the knowledge of health professionals. Majority of the health professionals 55.7% (60) were founded knowledgeable and 44.3% (48) were not knowledgeable.

scholarly journals Qualitative exploration of the factors influencing the use of dietary supplements in Iranian women: introduction to areas of focus for developing interventions

2020 ◽  
Author(s):  
Akramsadat Hoseini ◽  
Tahereh Dehdari ◽  
Mahnaz Solhi ◽  
Seyedeh Tayebeh Rahideh ◽  
Leila Janani
Keyword(s):  
Content Analysis ◽  
Dietary Supplements ◽  
Qualitative Content Analysis ◽  
Personal Factors ◽  
Iranian Women ◽  
Factors Influencing ◽  
Effective Interventions ◽  
Data Saturation ◽  
History Of ◽  
Qualitative Exploration

Abstract Background: Literature shows that the consumption of Dietary Supplements (DS) is more common in Iran. This study aimed to explore the experiences of a sample of Iranian women regarding the factors influencing the use of DS.Methods: This qualitative content analysis study was conducted in Qods city, Tehran province, Iran from January to March 2020. Forty-two semi-structured in-depth interviews were performed with women. The participants were asked about their experiences about the determinants of the consumption of DS. After the first round of the interviews was done, we performed content analysis of the data and continued up to data saturation.Results: Two main themes including personal factors (with 5 subthemes including sociodemographic characteristics, perceived benefits of DS, history of illness, physiological conditions, and lifestyle factors) and socio-economic factors (with 3 subthemes including subjective norms, the price of food and commercial considerations of the sectors involved in the production and sale of DS) emerged as the experiences of the participants as to the intake of DS.Conclusions: These variables may suggest areas which need to be focused on for performing more effective interventions to affect appropriate consumption of DS in Iran.

The reported benefits of telehealth for rural Australians

2010 ◽  
Vol 34 (3) ◽  
pp. 276 ◽  
Author(s):  
Jennifer J. Moffatt ◽  
Diann S. Eley
Keyword(s):  
Professional Development ◽  
Cost Effectiveness ◽  
Health Services ◽  
Rural Health ◽  
Health Professionals ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Remote Locations ◽  
Access To Health

Objective.A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia. Data sources.Scopus and relevant journals and websites were searched using the terms: telemedicine, telehealth, telepsychiatry, teledermatology, teleradiology, Australia, and each state and territory. Publications since 1998 were included. Study selection.The initial search resulted in 176 articles, which was reduced to 143 when research reporting on Australian rural, regional or remote populations was selected. Data synthesis.A narrative review was conducted using an existing ‘benefits’ framework. Patients are reported to have benefited from: lower costs and reduced inconvenience while accessing specialist health services; improved access to services and improved quality of clinical services. Health professionals are reported to have benefited from: access to continuing education and professional development; provision of enhanced local services; experiential learning, networking and collaboration. Discussion.Rural Australians have reportedly benefited from telehealth. The reported improved access and quality of clinical care available to rural Australians through telemedicine and telehealth may contribute to decreasing the urban–rural health disparities. The reported professional development opportunities and support from specialists through the use of telehealth may contribute to improved rural medical workforce recruitment and retention. What is known about the topic?An extensive international literature has reported on the efficacy of telehealth, and to a lesser extent the clinical outcomes and cost-effectiveness of telemedicine. Systematic reviews conclude that the quality of the studies preclude definitive conclusions being drawn about clinical and cost-effectiveness, although there is some evidence of effective clinical outcomes and the potential for cost-benefits. Little attention has been paid to the benefits reported for people who live in rural and remote Australia, despite this being a rationale for the use of telehealth in rural and remote locations. What does this paper add?Patients in rural and remote locations in Australia are reported to benefit from telehealth by increased access to health services and up-skilled health professionals. Health professionals are reported to benefit from telehealth by up-skilling from increased contact with specialists and increased access to professional development. The review findings suggest that one strategy, the increased use of telehealth, has the potential to reduce the inequitable access to health services and the poorer health status that many rural Australians experience, and contribute to addressing the on-going problem of the recruitment and retention of the rural health workforce. What are the implications for practitioners?The use of telehealth appears to be a path to up-skilling for rural and remote practitioners.

Intelligent System for Early Detection and Classification of Breast Cancer: Data Driven Learning

2020 ◽  
pp. 593-605
Author(s):  
Praveen Kokkerapati ◽  
Abeer Alsadoon ◽  
SMN Arosha Senanayake ◽  
P. W. C. Prasad ◽  
Abdul Ghani Naim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Intelligent System ◽  
Data Driven ◽  
Breast Cancer Data ◽  
Cancer Data
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