Effects of a cognition-oriented breast self-examination intervention for Korean women and their spouses.
OBJECTIVE
This study evaluated the effectiveness of a cognition-oriented breast self-examination (BSE) intervention program that is based on the Transtheoretical Model and reflects individual characteristics according to BSE stage among Korean women and their spouses.


METHODS
A time-series nonequivalent control group design was used. SAMPLE AND MEASUREMENT: Twenty-four couples in each of 2 groups completed a preintervention test and were evaluated 1, 3, and 6 months later for their knowledge of breast cancer and BSE, spousal encouragement for BSE, perceived confidence in BSE methods, change in BSE stage, and perceived benefits and barriers to BSE. The intervention involved husbands as well as women, and consisted of lectures on breast cancer and BSE, demonstrations and practice with models while being videotaped, and feedback.


RESULTS
There were significant differences between the control and experimental groups for all variables. Change of BSE stage in experimental group showed significantly advancement over time.


CONCLUSIONS
This intervention program was effective in promoting regular BSE practice and in enhancing confidence in BSE. The intervention also raised awareness among husbands of the importance of breast health for their wives. Educational interventions for breast cancer prevention should be specified to an individual's stage of BSE.
Park
SoMi
S
Department of Nursing, Wonju College of Medicine, Yonsei University, Kang Won Do, South Korea.
Song
Hee-Young
HY
Hur
Hea Kung
HK
Kim
GiYon
G
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis; D016504:Breast Self-Examination / Q000523:psychology; D003479:Curriculum; D004521:Educational Measurement; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D008960:Models, Psychological; D015403:Nursing Evaluation Research; D015397:Program Evaluation; D020377:Self Efficacy; D012944:Social Support; D018454:Spouses / Q000193:education* / Q000523:psychology; D011795:Surveys and Questionnaires; D014930:Women / Q000193:education* / Q000523:psychology