Breast Health in Elder Populations: A Dual-Site Study Testing the Efficacy of Video Modeling to Promote Cancer Screening Practices in Older Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/163722
Category:
Abstract
Type:
Presentation
Title:
Breast Health in Elder Populations: A Dual-Site Study Testing the Efficacy of Video Modeling to Promote Cancer Screening Practices in Older Women
Author(s):
Wood, Robin
Author Details:
Robin Wood, EdD, President/Lecturer, Health Wood, Boston College, School of Nursing, Chestnut Hill, Massachusetts, USA, email: robin.wood.1@bc.edu
Abstract:
Although women over the age of sixty years have the highest rates of breast cancer, they do not engage in early detection screening practices at recommended frequencies. An innovative age and race-sensitive video kit was designed and tested by a team of nurse researchers in a dual-site study in Georgia and Massachusetts. Based on Bandura's Social Learning Theory, the interactive intervention uses video modeling to increase knowledge about risk and to foster desirable breast health practices including mammography use and proficient breast self-examination (BSE). The purpose of the study was to determine if women who used the video breast health kits had significantly better knowledge about breast health and greater BSE proficiency than those who did not use the kits. Methods: This pretest-posttest quasi-experimental study sample consisted of 328 women 60 years of age or older. Participants whose average age was 71.7 years were mostly African American (71%) with mean education of 10.8 years formal education completed and an annual income below $10,000 (59%). Results: The purpose was achieved through multiple analysis of covariance. Dependent variables were knowledge about breast health and BSE proficiency as measured by demonstration of inspection/palpation skills and detection of lumps in a simulation model. Covariates were age, educational level, perceived general health, cognitive status and pretest knowledge and BSE proficiency scores. After adjustment for significant covariate and interaction effects, the Intervention Group when compared to the Control Group had significantly higher knowledge about breast health scores (F=, 42.9, p> .000), BSE skills (F=91.4, p> .000) and lump detection scores (F=60.8, p> .000). Implications: Study results show the efficacy of this age- and race-sensitive educational intervention to improve knowledge and skills aimed at breast cancer screening in vulnerable populations. Future studies with more diverse multicultural groups are needed to improve understanding of how best to influence breast health of older women.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
ENRS 13th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Atlantic City, New Jersey, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBreast Health in Elder Populations: A Dual-Site Study Testing the Efficacy of Video Modeling to Promote Cancer Screening Practices in Older Womenen_GB
dc.contributor.authorWood, Robinen_US
dc.author.detailsRobin Wood, EdD, President/Lecturer, Health Wood, Boston College, School of Nursing, Chestnut Hill, Massachusetts, USA, email: robin.wood.1@bc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163722-
dc.description.abstractAlthough women over the age of sixty years have the highest rates of breast cancer, they do not engage in early detection screening practices at recommended frequencies. An innovative age and race-sensitive video kit was designed and tested by a team of nurse researchers in a dual-site study in Georgia and Massachusetts. Based on Bandura's Social Learning Theory, the interactive intervention uses video modeling to increase knowledge about risk and to foster desirable breast health practices including mammography use and proficient breast self-examination (BSE). The purpose of the study was to determine if women who used the video breast health kits had significantly better knowledge about breast health and greater BSE proficiency than those who did not use the kits. Methods: This pretest-posttest quasi-experimental study sample consisted of 328 women 60 years of age or older. Participants whose average age was 71.7 years were mostly African American (71%) with mean education of 10.8 years formal education completed and an annual income below $10,000 (59%). Results: The purpose was achieved through multiple analysis of covariance. Dependent variables were knowledge about breast health and BSE proficiency as measured by demonstration of inspection/palpation skills and detection of lumps in a simulation model. Covariates were age, educational level, perceived general health, cognitive status and pretest knowledge and BSE proficiency scores. After adjustment for significant covariate and interaction effects, the Intervention Group when compared to the Control Group had significantly higher knowledge about breast health scores (F=, 42.9, p> .000), BSE skills (F=91.4, p> .000) and lump detection scores (F=60.8, p> .000). Implications: Study results show the efficacy of this age- and race-sensitive educational intervention to improve knowledge and skills aimed at breast cancer screening in vulnerable populations. Future studies with more diverse multicultural groups are needed to improve understanding of how best to influence breast health of older women.en_GB
dc.date.available2011-10-27T11:12:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:12:40Z-
dc.conference.date2001en_US
dc.conference.nameENRS 13th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationAtlantic City, New Jersey, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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