title: Cognitive and dynamic effects of training given to women at risk of breast cancer.
abstract: BACKGROUND
  Breast cancer is an important public health problem. Although the disease is widespread, the prognosis is good, especially with early diagnosis. For this to occur, a consciousness of protection of breast health for all women is necessary, and risk groups need to be particularly targeted.
  
  
  OBJECTIVE
  This study was conducted to determine dynamic and cognitive effects of training given to women in a risk group.
  
  
  METHODS
  This study that is planned as an intervention study has been carried out in a city that is on the eastern part of Turkey between February and June in 2009. The data were gathered through a question form aimed at diagnosing the knowledge and applications of women about breast cancer, and hospital reports of women and control lists of BSE skills. The women in the risk group were given five sessions of training split into groups of 12-13 persons. For the purpose of realizing the cognitive effects of the training, pre-test and post test measures were assessed. The data were evaluated using number percentages and the McNemar test.
  
  
  RESULTS
  At the end of the training program, compared to previous training period, women's knowledge, at the cognitive level, related with the risk factors, symptoms and the early diagnosis methods of the breast cancer was seen to have been expressively increased. As for effects at the dynamic level, one month after the training program had been completed, women re-evaluated and 77.5% had conducted breast self-examination (BSE) at least one time, and 65.0% of them have passed through medical breast diagnosis and scanning tests by applying to hospital.
  
  
  CONCLUSIONS
  In a study aimed to increase the conscious level and awareness related with breast health in women, variation at both cognitive and dynamic levels were evident at the end of the training program.
authors.affiliation: School of Nursing, Kafkas University, Department, Faculty of Health Science, Hacettepe University, Turkey. gkaratay@gmail.com
authors.forename: Gülnaz
authors.initials: G
authors.lastname: Karatay
authors.forename: Fusun
authors.initials: F
authors.lastname: Terzioglu
authors.forename: Nihal Bostancı
authors.initials: NB
authors.lastname: Daştan
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology*; D016504:Breast Self-Examination / Q000523:psychology*; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D015996:Survival Rate; D014421:Turkey