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Published in: BMC Cancer 1/2018

Open Access 01-12-2018 | Study protocol

The ‘Be Cancer Alert Campaign’: protocol to evaluate a mass media campaign to raise awareness about breast and colorectal cancer in Malaysia

Authors: Désirée Schliemann, Michael Donnelly, Maznah Dahlui, Siew Yim Loh, Nor Saleha Binti Tamin Ibrahim, Saunthari Somasundaram, Conan Donnelly, Tin Tin Su

Published in: BMC Cancer | Issue 1/2018

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Abstract

Background

Breast and colorectal cancer are the two most common cancers in Malaysia. Low awareness coupled with stigma and erroneous beliefs delay help-seeking behaviours, lead to late presentation and contribute to poor detection rates. Promoting cancer awareness through mass media may be effective in improving cancer-related knowledge and uptake in screening tests. However, research is sparse regarding the cultural translation and implementation of mass media campaigns in Malaysia (and Asia) in terms of raising awareness about colorectal and breast cancer.

Methods

A collaborative partnership comprising researchers from Malaysia and the UK as well as policy makers, public health experts and non-government organisations from Malaysia was formed to design, deliver and evaluate the Be Cancer Alert Campaign. Each awareness-raising campaign will run for five weeks (Colorectal Cancer in April 2018, followed by Breast Cancer in October 2018). Evaluation of the campaigns will take place in Gombak district (Colorectal Cancer) and Petaling district (Breast Cancer) respectively, in the form of a pre-post randomly selected household survey and collection of service utilisation data. Occupants who are aged 40-years and above and are able to answer questions independently will be selected from each household. A sample of 730 with 80% power will detect a change of 6.09% in knowledge that unexplained lump or swelling is a symptom of breast cancer or changes in bowel habits is a symptom of colorectal cancer.

Discussion

Malaysia and most South-East Asian countries have a low middle-income economy, with limited resources for cancer control. Late-staged cancers impose a significant economic burden on patients, households, communities, employers, health systems and governments. Our proposed strategy for the implementation of the culturally sensitive mass media cancer awareness-raising campaign will serve as a blueprint for cancer prevention and control policy in South-East Asian countries where the burden of cancer is increasing and there are high cancer death rates.
Literature
1.
go back to reference Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893–917.CrossRefPubMed Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893–917.CrossRefPubMed
2.
go back to reference Azizah AM, Nor Saleha I, Noor Hashimah A, Asmah Z, Mastulu W. Malaysian National Cancer Registry Report 2007–2011. 2013. Azizah AM, Nor Saleha I, Noor Hashimah A, Asmah Z, Mastulu W. Malaysian National Cancer Registry Report 2007–2011. 2013.
3.
go back to reference Ho GF, Tho LM, Mastura MY, Taib NA, Yip CH, Aina EN, et al. What if all cancer patients in Malaysia had access to the best available care: how many deaths are avoidable? Glob J Health Sci. 2017;9:32–9.CrossRef Ho GF, Tho LM, Mastura MY, Taib NA, Yip CH, Aina EN, et al. What if all cancer patients in Malaysia had access to the best available care: how many deaths are avoidable? Glob J Health Sci. 2017;9:32–9.CrossRef
4.
go back to reference Leong BDK, Chuah JA, Kumar VM, Rohamini S, Siti ZS, Yip CH. Trends of breast cancer treatment in Sabah, Malaysia: a problem with lack of awareness. Singap Med J. 2009;50:772–6. Leong BDK, Chuah JA, Kumar VM, Rohamini S, Siti ZS, Yip CH. Trends of breast cancer treatment in Sabah, Malaysia: a problem with lack of awareness. Singap Med J. 2009;50:772–6.
5.
go back to reference Saxena N, Hartman M, Bhoo-Pathy N, Lim JNW, Aw TC, Iau P, et al. Breast cancer in South East Asia: comparison of presentation and outcome between a middle income and a high income country. World J Surg. 2012;36:2838–46.CrossRefPubMed Saxena N, Hartman M, Bhoo-Pathy N, Lim JNW, Aw TC, Iau P, et al. Breast cancer in South East Asia: comparison of presentation and outcome between a middle income and a high income country. World J Surg. 2012;36:2838–46.CrossRefPubMed
6.
go back to reference Al-Dubai SAR, Qureshi AM, Saif-Ali R, Ganasegeran K, Alwan MR, Hadi JIS. Awareness and knowledge of breast cancer and mammography among a group of malaysian women in Shah Alam. Asian Pacific J Cancer Prev. 2011;12:2531–8. Al-Dubai SAR, Qureshi AM, Saif-Ali R, Ganasegeran K, Alwan MR, Hadi JIS. Awareness and knowledge of breast cancer and mammography among a group of malaysian women in Shah Alam. Asian Pacific J Cancer Prev. 2011;12:2531–8.
7.
go back to reference Abdul Hadi M, Hassali MA, Shafie AA, Awaisu A. Knowledge and perception of breast cancer among women of various ethnic groups in the state of Penang: a cross-sectional survey. Med Princ Pract. 2010;19:61–7.CrossRefPubMed Abdul Hadi M, Hassali MA, Shafie AA, Awaisu A. Knowledge and perception of breast cancer among women of various ethnic groups in the state of Penang: a cross-sectional survey. Med Princ Pract. 2010;19:61–7.CrossRefPubMed
9.
go back to reference Hashim SM, Omar K, Fah TS, Rashid RA, Daud TI, Shah SA, et al. Factors influencing late consultation among patients with rectal bleeding in university Kebangsaan Malaysia medical Centre. Asian Pacific J Cancer Prev. 2010;11:1335–9. Hashim SM, Omar K, Fah TS, Rashid RA, Daud TI, Shah SA, et al. Factors influencing late consultation among patients with rectal bleeding in university Kebangsaan Malaysia medical Centre. Asian Pacific J Cancer Prev. 2010;11:1335–9.
10.
go back to reference Khan TM, Leong JPY, Ming LC, Khan AH. Association of knowledge and cultural perceptions of Malaysian women with delay in diagnosis and treatment of breast cancer: a systematic review. Asian Pacific J Cancer Prev. 2015;16:5349–57.CrossRef Khan TM, Leong JPY, Ming LC, Khan AH. Association of knowledge and cultural perceptions of Malaysian women with delay in diagnosis and treatment of breast cancer: a systematic review. Asian Pacific J Cancer Prev. 2015;16:5349–57.CrossRef
11.
go back to reference Yu FQ, Murugiah MK, Khan AH, Mehmood T. Meta-synthesis exploring barriers to health seeking behaviour among Malaysian breast cancer patients. Asian Pac J Cancer Prev. 2015;16:145–52.CrossRefPubMed Yu FQ, Murugiah MK, Khan AH, Mehmood T. Meta-synthesis exploring barriers to health seeking behaviour among Malaysian breast cancer patients. Asian Pac J Cancer Prev. 2015;16:145–52.CrossRefPubMed
12.
go back to reference Azeem E, Gillani SW, Poh V, Sulaiman SAS, Baig MR. Barriers to colorectal cancer screening in Asia: a systematic review. Trop J Pharm Res. 2016;15:1543–8.CrossRef Azeem E, Gillani SW, Poh V, Sulaiman SAS, Baig MR. Barriers to colorectal cancer screening in Asia: a systematic review. Trop J Pharm Res. 2016;15:1543–8.CrossRef
14.
go back to reference Kong CK, Roslani AC, Law CW, Law SCD, Arumugam K. Impact of socio-economic class on colorectal cancer patient outcomes in Kuala Lumpur and Kuching, Malaysia. Asian Pacific J Cancer Prev. 2010;11:969–74. Kong CK, Roslani AC, Law CW, Law SCD, Arumugam K. Impact of socio-economic class on colorectal cancer patient outcomes in Kuala Lumpur and Kuching, Malaysia. Asian Pacific J Cancer Prev. 2010;11:969–74.
15.
go back to reference Kanaga KC, Nithiya J, Noor Shatirah MFV. Awareness of breast cancer and screening procedures among Malaysian women. Asian Pacific J Cancer Prev. 2011;12:1965–7. Kanaga KC, Nithiya J, Noor Shatirah MFV. Awareness of breast cancer and screening procedures among Malaysian women. Asian Pacific J Cancer Prev. 2011;12:1965–7.
17.
go back to reference Hilmi I, Hartono JL, Goh KL. Negative perception in those at highest risk - potential challenges in colorectal cancer screening in an urban Asian population. Asian Pacific J Cancer Prev. 2010;11:815–22. Hilmi I, Hartono JL, Goh KL. Negative perception in those at highest risk - potential challenges in colorectal cancer screening in an urban Asian population. Asian Pacific J Cancer Prev. 2010;11:815–22.
18.
go back to reference Jorgensen C, Gelb C, Merritt T, Seeff L. CDC’s screen for life: a National Colorectal Cancer Action Campaign. J Women’s Heal Gender-based Med. 2001;10:417–22.CrossRef Jorgensen C, Gelb C, Merritt T, Seeff L. CDC’s screen for life: a National Colorectal Cancer Action Campaign. J Women’s Heal Gender-based Med. 2001;10:417–22.CrossRef
21.
go back to reference Power E, Wardle J. Change in public awareness of symptoms and perceived barriers to seeing a doctor following be clear on Cancer campaigns in England. Br J Cancer. 2015;112(Suppl):S22–6.CrossRefPubMedCentralPubMed Power E, Wardle J. Change in public awareness of symptoms and perceived barriers to seeing a doctor following be clear on Cancer campaigns in England. Br J Cancer. 2015;112(Suppl):S22–6.CrossRefPubMedCentralPubMed
24.
go back to reference Loh SY, Somasundaram S, Su TT. A review of Cancer awareness in Malaysia – what ’ s Next ? Open Access J Cancer Oncol. 2017;1:1–6. Loh SY, Somasundaram S, Su TT. A review of Cancer awareness in Malaysia – what ’ s Next ? Open Access J Cancer Oncol. 2017;1:1–6.
25.
go back to reference Oommen RM. A state-wide campaign for the early detection of cancer in Sabah. Aust N Z J Surg. 1994;64:22–3.CrossRefPubMed Oommen RM. A state-wide campaign for the early detection of cancer in Sabah. Aust N Z J Surg. 1994;64:22–3.CrossRefPubMed
27.
go back to reference Sankaranarayanan R, Boffetta P. Research on cancer prevention, detection and management in low- and medium-income countries. Ann Oncol. 2010;21:1935–43.CrossRefPubMed Sankaranarayanan R, Boffetta P. Research on cancer prevention, detection and management in low- and medium-income countries. Ann Oncol. 2010;21:1935–43.CrossRefPubMed
30.
go back to reference Netto G, Bhopal R, Lederle N, Khatoon J, Jackson A. How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions. Health Promot Int. 2010;25:248–57.CrossRefPubMed Netto G, Bhopal R, Lederle N, Khatoon J, Jackson A. How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions. Health Promot Int. 2010;25:248–57.CrossRefPubMed
32.
go back to reference Murray KE, Ermias A, Lung A, Mohamed AS, Ellis BH, Linke S, et al. Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity. Transl Behav Med. 2017;7:6–15.CrossRefPubMed Murray KE, Ermias A, Lung A, Mohamed AS, Ellis BH, Linke S, et al. Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity. Transl Behav Med. 2017;7:6–15.CrossRefPubMed
34.
go back to reference Department of Statistics Malaysia. Current Population Estimates, Malaysia, 2016–2017. 2017. Department of Statistics Malaysia. Current Population Estimates, Malaysia, 2016–2017. 2017.
39.
go back to reference Taylor M. Evaluation of the bowel Cancer awareness pilot in the South West and East of England. London: Department of Health; 2011. Taylor M. Evaluation of the bowel Cancer awareness pilot in the South West and East of England. London: Department of Health; 2011.
40.
go back to reference Saleh A, Yang Y-H, Wan Abd Ghani WMN, Abdullah N, Doss JG, Navonil R, et al. Promoting oral cancer awareness and early detection using a mass media approach. Asian Pac J Cancer Prev. 2012;13:1217–24.CrossRefPubMed Saleh A, Yang Y-H, Wan Abd Ghani WMN, Abdullah N, Doss JG, Navonil R, et al. Promoting oral cancer awareness and early detection using a mass media approach. Asian Pac J Cancer Prev. 2012;13:1217–24.CrossRefPubMed
41.
go back to reference Becker M. The health belief model and personal health behavior. Health Educ Monogr. 1974;2:324–508.CrossRef Becker M. The health belief model and personal health behavior. Health Educ Monogr. 1974;2:324–508.CrossRef
42.
go back to reference Rosenstock I. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35.CrossRef Rosenstock I. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35.CrossRef
43.
go back to reference Ahmadian M, Samah AA. Application of health behavior theories to breast Cancer screening among Asian women. Asian Pacific J Cancer Prev. 2013;14:4005–13.CrossRef Ahmadian M, Samah AA. Application of health behavior theories to breast Cancer screening among Asian women. Asian Pacific J Cancer Prev. 2013;14:4005–13.CrossRef
46.
go back to reference Mosdøl A, Ib L, Gh S, Ge V. Targeted mass media interventions promoting healthy behaviours to reduce risk of non-communicable diseases in adult , ethnic minorities (Review ). Cochrane Database Syst Rev. 2017;(2). Mosdøl A, Ib L, Gh S, Ge V. Targeted mass media interventions promoting healthy behaviours to reduce risk of non-communicable diseases in adult , ethnic minorities (Review ). Cochrane Database Syst Rev. 2017;(2).
47.
go back to reference Duong TV, Aringazina A, Baisunova G, Nurjanah, Pham TV, Truong TQ, et al. Measuring health literacy in Asia: Validation of the HLS-EUQ47 survey tool in six Asian countries. J Epidemiol. 2017;27:80-86. Duong TV, Aringazina A, Baisunova G, Nurjanah, Pham TV, Truong TQ, et al. Measuring health literacy in Asia: Validation of the HLS-EUQ47 survey tool in six Asian countries. J Epidemiol. 2017;27:80-86.
48.
go back to reference Sorensen C, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.CrossRefPubMedCentralPubMed Sorensen C, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.CrossRefPubMedCentralPubMed
51.
52.
53.
go back to reference Avci IA, Gozum S. Comparison of two different educational methods on teachers’ knowledge, beliefs and behaviors regarding breast cancer screening. Eur J Oncol Nurs. 2009;13:94–101.CrossRefPubMed Avci IA, Gozum S. Comparison of two different educational methods on teachers’ knowledge, beliefs and behaviors regarding breast cancer screening. Eur J Oncol Nurs. 2009;13:94–101.CrossRefPubMed
55.
go back to reference Parsa P, Mirmohammadi A, Khodakarami B, Soltani F. Effects of breast self-examination consultation based on the health belief model on knowledge and performance of Iranian women aged over 40 years. Asian Pacific J Cancer Prev. 2016;17:3849–54. Parsa P, Mirmohammadi A, Khodakarami B, Soltani F. Effects of breast self-examination consultation based on the health belief model on knowledge and performance of Iranian women aged over 40 years. Asian Pacific J Cancer Prev. 2016;17:3849–54.
56.
go back to reference Abdullah F, O’Rorke M, Murray L, Su TT. Evaluation of a worksite cervical screening initiative to increase pap smear uptake in Malaysia: a cluster randomized controlled trial. Biomed Res Int. 2013;2013:572126.PubMedCentralPubMed Abdullah F, O’Rorke M, Murray L, Su TT. Evaluation of a worksite cervical screening initiative to increase pap smear uptake in Malaysia: a cluster randomized controlled trial. Biomed Res Int. 2013;2013:572126.PubMedCentralPubMed
57.
go back to reference Rashid RMA, Mohamed M, Hamid ZA, Dahlui M. Is the phone call the most effective method for recall in cervical cancer screening? - results from a randomised control trial. Asian Pacific J Cancer Prev. 2013;14:5901–4.CrossRef Rashid RMA, Mohamed M, Hamid ZA, Dahlui M. Is the phone call the most effective method for recall in cervical cancer screening? - results from a randomised control trial. Asian Pacific J Cancer Prev. 2013;14:5901–4.CrossRef
58.
go back to reference Peacock O, Clayton S, Atkinson F, Tierney GM, Lund JN. “Be clear on Cancer”: the impact of the UK National Bowel Cancer Awareness Campaign. Color Dis. 2013;15:963–7.CrossRef Peacock O, Clayton S, Atkinson F, Tierney GM, Lund JN. “Be clear on Cancer”: the impact of the UK National Bowel Cancer Awareness Campaign. Color Dis. 2013;15:963–7.CrossRef
59.
go back to reference Ministry of Health Malaysia. National Strategic Plan For Cancer Control Programme 2016-2020. Putrajaya; 2017. Ministry of Health Malaysia. National Strategic Plan For Cancer Control Programme 2016-2020. Putrajaya; 2017.
Metadata
Title
The ‘Be Cancer Alert Campaign’: protocol to evaluate a mass media campaign to raise awareness about breast and colorectal cancer in Malaysia
Authors
Désirée Schliemann
Michael Donnelly
Maznah Dahlui
Siew Yim Loh
Nor Saleha Binti Tamin Ibrahim
Saunthari Somasundaram
Conan Donnelly
Tin Tin Su
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2018
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-018-4769-8

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