The effectiveness of training for breast cancer and breast self-examination in women aged 40 and over

Abstract

Background: Training on breast health is required to increase awareness of early detection of breast cancer, especially in countries with limited resources.

Methods: Of the 784 invited women, 462 participated in the study (58.9%). The training included both theoretical and breast self-examination (BSE) training between preeducation and posteducation tests. Following the theoretical presentation, breast examination training was performed using a breast simulator. The competency of the participants on breast examination was assessed by an evaluation guide.

Results: All breast cancer symptoms were stated at significantly higher rates compared to those before education (P < .05). The most commonly stated risk factor in both preeducation and posteducation tests was "no breast-feeding," with ratios of 15.2% and 56.3%, respectively. Early detection modalities for breast cancer were also stated more often in the posteducation test compared to the preeducation (P < .05). In the preeducation test, only 4.3% to 18.7% of the participant women could state most of the BSE steps. After BSE training, 85% to 92% of the participants were competent in BSE steps.

Conclusions: Theoretical education on breast cancer and BSE training in low-educated women, even illiterate, is highly effective.