Breast self-examination: The effects of autobiographical accounts and a multimedia support program on women's knowledge, beliefs and behaviour

Hdl Handle:
http://hdl.handle.net/10149/292759
Title:
Breast self-examination: The effects of autobiographical accounts and a multimedia support program on women's knowledge, beliefs and behaviour
Authors:
Smith, N. (Nicola)
Advisors:
van Wersch, A. (Anna); van Schaik, P. (Paul)
Citation:
Smith, N. (2012) Breast self-examination: The effects of autobiographical accounts and a multimedia support program on women’s knowledge, beliefs and behaviour. Unpublished PhD thesis. Teesside University.
Publisher:
Teesside University
Issue Date:
2012
URI:
http://hdl.handle.net/10149/292759
Abstract:
Each year more than 44,000 women are diagnosed with breast cancer and more than 12,000 of these die from the disease. These mortality rates are relatively high compared to the rest of Europe (Berrino et al., 2007; Mayor, 2003), which in part is due to the advanced stage of the disease at first presentation (McCready et al., 2005; Sant et al., 2003). Regular breast self-examination (BSE) can facilitate early detection (Cancer Research UK, 2008), yet it is not widespread. Identifying the motivational and contextual factors is likely to lead to the development of effective interventions as part of being ‘breast-aware’. This is particularly important given that mammography screening may not be effective (Crossing & Mansezewicz, 2003) or recommended for younger women (Cancer Research UK, 2008) and that BSE may be beneficial in offering women the opportunity to create a positive relationship with their body. This study considered the utility of a proposed Extended Health Belief Model (E-HBM) as a framework for understanding women’s knowledge, beliefs and behaviour. It sought to develop a new way to provide guidance and to encourage BSE by investigating the effect of autobiographical accounts of breast-cancer patients and a multimedia BSE support programme comparing video-enhanced or static guided instructions. The study adopted a 2x2 mixed methods design and 60 white British women aged between 19 and 67 participated. Analysis of Covariance revealed an interaction effect of autobiographical accounts and BSE support on BSE frequency and proficiency and regression analyses examined the utility of the E-HBM, with confidence being the main predictor. Moreover, thematic analysis elicited five themes; Previous Experience, BSE Irregularity, Perceived Susceptibility, Coping Style and The Usability of the 5 Step Model of BSE. The study concludes that the 5-step technique encourages BSE through creating a more pleasant experience, as women form an improved relationship with their breasts. Both the video-enhanced and static BSE supports are effective in terms of encouraging BSE and the effect of autobiographical accounts appears to be dependent on the type support. The practical implications and direction for future BSE interventions are discussed.
Type:
Thesis or dissertation
Language:
en
Keywords:
extended health belief model; breast cancer; BSE; self-examination; multimedia support

Full metadata record

DC FieldValue Language
dc.contributor.advisorvan Wersch, A. (Anna)en_GB
dc.contributor.advisorvan Schaik, P. (Paul)en_GB
dc.contributor.authorSmith, N. (Nicola)en_GB
dc.date.accessioned2013-05-24T14:35:17Z-
dc.date.available2013-05-24T14:35:17Z-
dc.date.issued2012-
dc.identifier.urihttp://hdl.handle.net/10149/292759-
dc.description.abstractEach year more than 44,000 women are diagnosed with breast cancer and more than 12,000 of these die from the disease. These mortality rates are relatively high compared to the rest of Europe (Berrino et al., 2007; Mayor, 2003), which in part is due to the advanced stage of the disease at first presentation (McCready et al., 2005; Sant et al., 2003). Regular breast self-examination (BSE) can facilitate early detection (Cancer Research UK, 2008), yet it is not widespread. Identifying the motivational and contextual factors is likely to lead to the development of effective interventions as part of being ‘breast-aware’. This is particularly important given that mammography screening may not be effective (Crossing & Mansezewicz, 2003) or recommended for younger women (Cancer Research UK, 2008) and that BSE may be beneficial in offering women the opportunity to create a positive relationship with their body. This study considered the utility of a proposed Extended Health Belief Model (E-HBM) as a framework for understanding women’s knowledge, beliefs and behaviour. It sought to develop a new way to provide guidance and to encourage BSE by investigating the effect of autobiographical accounts of breast-cancer patients and a multimedia BSE support programme comparing video-enhanced or static guided instructions. The study adopted a 2x2 mixed methods design and 60 white British women aged between 19 and 67 participated. Analysis of Covariance revealed an interaction effect of autobiographical accounts and BSE support on BSE frequency and proficiency and regression analyses examined the utility of the E-HBM, with confidence being the main predictor. Moreover, thematic analysis elicited five themes; Previous Experience, BSE Irregularity, Perceived Susceptibility, Coping Style and The Usability of the 5 Step Model of BSE. The study concludes that the 5-step technique encourages BSE through creating a more pleasant experience, as women form an improved relationship with their breasts. Both the video-enhanced and static BSE supports are effective in terms of encouraging BSE and the effect of autobiographical accounts appears to be dependent on the type support. The practical implications and direction for future BSE interventions are discussed.en_GB
dc.language.isoenen
dc.publisherTeesside Universityen
dc.subjectextended health belief modelen_GB
dc.subjectbreast canceren_GB
dc.subjectBSEen_GB
dc.subjectself-examinationen_GB
dc.subjectmultimedia supporten_GB
dc.titleBreast self-examination: The effects of autobiographical accounts and a multimedia support program on women's knowledge, beliefs and behaviouren_GB
dc.typeThesis or dissertationen
dc.publisher.departmentTeesside Universityen_GB
dc.type.qualificationnamePhDen
dc.type.qualificationlevelDoctoralen
or.citation.harvardSmith, N. (2012) Breast self-examination: The effects of autobiographical accounts and a multimedia support program on women’s knowledge, beliefs and behaviour. Unpublished PhD thesis. Teesside University.-
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