Department of Community Health, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia.
Int J Environ Res Public Health. 2020 Feb 12;17(4):1167. doi: 10.3390/ijerph17041167.
Breast cancer is the most common cancer spread among women worldwide. Whereas many studies have discussed the significance of breast cancer screening among women in various countries, few have attempted to discuss this topic among female school teachers. As teachers educate and communicate with students, this may play an essential role in health education and in promoting healthy behavior, such as breast cancer screening. The primary goal of this study is to develop and implement an educational intervention of breast cancer screening and evaluate its effectiveness among Yemeni female school teachers in Malaysia. This was carried out as per the health belief model. A cluster-randomized controlled trial was conducted among 183 Yemeni female school teachers in twelve schools in Klang Valley, Malaysia. A random assignment of the target schools was made to include them within the intervention or control group. Participants in the intervention group were offered a 90-minute session for one-day educational intervention on breast cancer screening. On the other hand, participants in the control group were offered the same educational materials at the end of the study. Relevant data was collected at baseline, one month following the intervention, and then three- and six-months follow-up assessments. Analysis of such data was done via IBM SPSS software 25.0 by generalized estimating equations (GEE) to assess the differential changes over time. A primary outcome embodied in breast cancer screening practice uptake was expected. Secondary outcomes include the target group's knowledge on and beliefs of breast cancer screening. This study intends to contribute to the credibility and effectiveness of utilizing a theory-based breast cancer screening intervention in order to raise the awareness of women on conducting breast cancer screening.
乳腺癌是全球女性中最常见的癌症。尽管许多研究已经讨论了在不同国家的女性中进行乳腺癌筛查的意义，但很少有研究试图在女教师中讨论这个话题。由于教师教育和与学生交流，这可能在健康教育和促进健康行为方面发挥重要作用，如乳腺癌筛查。本研究的主要目的是制定和实施乳腺癌筛查教育干预措施，并评估其在马来西亚的也门女教师中的效果。这是根据健康信念模型进行的。在马来西亚克拉朗谷的 12 所学校中，对 183 名也门女教师进行了一项集群随机对照试验。对目标学校进行随机分组，将其纳入干预组或对照组。干预组的参与者接受了为期一天的乳腺癌筛查 90 分钟的教育干预。另一方面，对照组的参与者在研究结束时接受了相同的教育材料。在基线、干预后一个月以及随后的三个月和六个月随访评估时收集相关数据。通过 IBM SPSS 软件 25.0 中的广义估计方程 (GEE) 分析这些数据，以评估随时间的差异变化。预计将以乳腺癌筛查实践采用率为主要结果。次要结果包括目标群体对乳腺癌筛查的知识和信念。本研究旨在提高基于理论的乳腺癌筛查干预措施的可信度和有效性，以提高女性对进行乳腺癌筛查的认识。
