Catherine McCauley School of Nursing and Midwifery, University College Cork, Cork.
Department of Nursing and Healthcare Sciences, Institute of Technology Tralee, Tralee, Ireland.
Eur J Cancer Care (Engl). 2022 Jul;31(4):e13590. doi: 10.1111/ecc.13590. Epub 2022 Apr 7.
Following a review of the existing body of literature, this study aimed to explore the need for a breast cancer awareness intervention specifically targeted at women with mild/moderate levels of intellectual disability (ID) and provide perspectives on the preferred processes and content underpinning an intervention.
A qualitative, descriptive design using semi-structured, individual (n = 5) and focus group (n = 5) interviews were used to engage with a non-probability, purposive sample of key stakeholders (n = 25) including women with mild/moderate levels of ID, caregivers and healthcare professionals. Data were analysed using qualitative content analysis.
Findings highlighted that an educational intervention should focus on breast awareness as opposed to breast cancer awareness. Additionally, findings identified that a combined breast awareness and healthy living intervention could be effective. However, the intervention needs to have a multimodal, hands-on, person-centred approach to learning which is underpinned by theory. Furthermore, integrating the caregivers and healthcare professionals into the intervention is recommended.
Findings from this study provide a foundation for developing and implementing a theoretically underpinned, multimodal, breast awareness and healthy living educational intervention for women with mild/moderate levels of ID.
在回顾现有文献的基础上,本研究旨在探讨针对轻度/中度智力障碍(ID)女性的乳腺癌意识干预的必要性,并提供对干预所依据的首选过程和内容的观点。
采用定性、描述性设计,使用半结构式个体(n=5)和焦点小组(n=5)访谈,与包括轻度/中度 ID 女性、照顾者和医疗保健专业人员在内的利益相关者(n=25)进行非概率、目的性抽样。使用定性内容分析对数据进行分析。
研究结果强调,教育干预应侧重于乳房意识,而不是乳腺癌意识。此外,研究结果还确定,联合乳房意识和健康生活干预可能是有效的。然而,干预需要采用多模式、实践、以个人为中心的学习方法,并以理论为基础。此外,建议将照顾者和医疗保健专业人员纳入干预措施中。
本研究的结果为开发和实施针对轻度/中度 ID 女性的基于理论的、多模式的乳房意识和健康生活教育干预提供了基础。