Skip to main content
Top
Published in: BMC Women's Health 1/2017

Open Access 01-12-2017 | Research article

Effect of structured training programme on the knowledge and behaviors of breast and cervical cancer screening among the female teachers in Turkey

Authors: Ayla Bayık Temel, Şafak Dağhan, Şenay Kaymakçı, Renginar Öztürk Dönmez, Zeynep Arabacı

Published in: BMC Women's Health | Issue 1/2017

Login to get access

Abstract

Background

Breast cancer and cervical cancer are the most common cancers among women in the world. Many studies on the early detection of cancer have been conducted among women worldwide, but few studies have been performed in the world on female teachers regarding breast self-examination (BSE), mammography (MMG) and Pap smear test (PST). As teachers interact with students, this could play an important role in health education and in developing healthy behavior such as cancer screening. The main objective of this study was to evaluate the effect of a structured teaching program on breast and cervical cancer screening on the knowledge and practice of teachers. The other objective was to encourage teachers to transfer this knowledge to the women who attended their courses.

Methods

Semi –experimental designs with pre-intervention, post-intervention and six month follow-up tests were used in this study. The data were collected from 37 volunteer teachers and their 64 volunteer students with a sociodemographic form, a questionnaire form for breast and cervical cancer, and a Transtheoretical Model of behavior change for BSE, MMG and PST. Behavior of the teachers related to BSE, MMG, PST was evaluated in pre-training and in the first, third and sixth months post-training, and the behavior of the students was evaluated with point follow-up in the sixth month.

Results

In post-training, it was determined that the teachers’ knowledge of breast cancer increased from 11.70 ± 2.80 to 14.81 ± 3.22 and their knowledge of cervical cancer increased from 7.75 ± 5.60 to 17.68 ± 3.79. For BSE behavior, 47.8% of teachers were in the action and maintenance stage in pre-training, but this ratio was 81.1% in the sixth month post-training. For MMG behavior, all of the teachers were in the precontemplation stage in pre-training, and 38.9% of them were in the action and maintenance stage in the sixth month post-training. For PST, while 24.3% were in the action and maintenance stage in pre-training, this ratio was 45.9% in the sixth month post-training.

Conclusion

It was determined that the behavior change for BSE, MMG, PST was positive. Similarly, knowledge transfer from teachers to students was also effective.
Appendix
Available only for authorised users
Literature
4.
go back to reference Mai V, Sullivan T, Chiarelli A. Breast cancer screening program in Canada, successes and challenges. Salud Publica Mex. 2009;51:228–35.CrossRef Mai V, Sullivan T, Chiarelli A. Breast cancer screening program in Canada, successes and challenges. Salud Publica Mex. 2009;51:228–35.CrossRef
5.
go back to reference Isara AR, Ojedokun CI. Knowledge of breast cancer and practice of breast self examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg. 2011;52(4):186–90.PubMed Isara AR, Ojedokun CI. Knowledge of breast cancer and practice of breast self examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg. 2011;52(4):186–90.PubMed
6.
go back to reference Faronbi J, Abolade J. Breast self examination practices among female secondary school teachers in a rural community in Oyo state, Nigeria. Open J Nurs. 2012; doi:10.4236/ojn.2012.22017. Faronbi J, Abolade J. Breast self examination practices among female secondary school teachers in a rural community in Oyo state, Nigeria. Open J Nurs. 2012; doi:10.​4236/​ojn.​2012.​22017.
7.
go back to reference Parsa P, Kandiah M, Parsa N. Factors associated with breast self-examination among Malaysian women teachers. EMHJ. 2011;17:509–16. Parsa P, Kandiah M, Parsa N. Factors associated with breast self-examination among Malaysian women teachers. EMHJ. 2011;17:509–16.
8.
go back to reference Sarfo AL, Awush-Peasah D, Asamoah EA. Knowledge, attitude, and practice of self-breast examination among female university students at Presbyterian university college, Ghana. Am J Res Commun. 2013;1(11):395–404. Sarfo AL, Awush-Peasah D, Asamoah EA. Knowledge, attitude, and practice of self-breast examination among female university students at Presbyterian university college, Ghana. Am J Res Commun. 2013;1(11):395–404.
9.
go back to reference Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States. Results from the 2000 national health interview survey. Cancer. 2003; doi:10.1002/cncr.11208. Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States. Results from the 2000 national health interview survey. Cancer. 2003; doi:10.​1002/​cncr.​11208.​
10.
go back to reference Akpınar YY, Baykan Z, Naçar M, Gün I, Çetinkaya F. Knowledge and practice of breast cancer screening among female health care professionals in Turkey. Asian Pacific J Cancer Prev. 2011;12:3063–8. Akpınar YY, Baykan Z, Naçar M, Gün I, Çetinkaya F. Knowledge and practice of breast cancer screening among female health care professionals in Turkey. Asian Pacific J Cancer Prev. 2011;12:3063–8.
11.
go back to reference Demirkiran N, Akdolun B, Memiş S, Türk G, Özvurmaz S, Tunçyürek P. How do nurses and teachers perform breast self-examination: are they reliable sources of information? BMC Public Health. 2007;7:96–104.CrossRefPubMedPubMedCentral Demirkiran N, Akdolun B, Memiş S, Türk G, Özvurmaz S, Tunçyürek P. How do nurses and teachers perform breast self-examination: are they reliable sources of information? BMC Public Health. 2007;7:96–104.CrossRefPubMedPubMedCentral
13.
go back to reference Seçginli S, Nahcivan N. Factors associated with breast cancer screening behaviors in a sample of Turkish women: a questionnaire survey. Int J Nurs Stud. 2006;43:161–71.CrossRefPubMed Seçginli S, Nahcivan N. Factors associated with breast cancer screening behaviors in a sample of Turkish women: a questionnaire survey. Int J Nurs Stud. 2006;43:161–71.CrossRefPubMed
14.
go back to reference Sadikoglu G, Ozcakir A, Dogan F, Gökgöz S, Bilgen N. Mammography utilization among Turkish women. Asian Pac J Cancer Prev. 2010;11(2):377–81.PubMed Sadikoglu G, Ozcakir A, Dogan F, Gökgöz S, Bilgen N. Mammography utilization among Turkish women. Asian Pac J Cancer Prev. 2010;11(2):377–81.PubMed
15.
go back to reference SY S, Huang J, Ho CC, Liaw YP. Evidence for cervical cancer mortality with screening program in Taiwan, 1981–2010: age-period-cohort model. BMC Public Health. 2013; doi:10.1186/1471-2458-13-13. SY S, Huang J, Ho CC, Liaw YP. Evidence for cervical cancer mortality with screening program in Taiwan, 1981–2010: age-period-cohort model. BMC Public Health. 2013; doi:10.​1186/​1471-2458-13-13.
18.
go back to reference Harry TK, Felicia MS, Ngugen SA. Needs assessment of barriers to cervical cancer screening in Vietnamese American health care providers. Californian J. Health Promotion. 2006;4:146–56. Harry TK, Felicia MS, Ngugen SA. Needs assessment of barriers to cervical cancer screening in Vietnamese American health care providers. Californian J. Health Promotion. 2006;4:146–56.
19.
go back to reference Rydström C, Törnberg S. Cervical cancer incidence and mortality in the best and worst of worlds. Scand J Public Health. 2006;34(3):295–303.PubMed Rydström C, Törnberg S. Cervical cancer incidence and mortality in the best and worst of worlds. Scand J Public Health. 2006;34(3):295–303.PubMed
21.
go back to reference Al-Meer FM, Aseel MT, Al-Khalaf J, Al-Kuwari MG, Ismail MF. Knowledge, attitude and practices regarding cervical cancer and screening among women visiting primary health care in Qatar. East Mediterr Health J. 2011;17(11):855–61.CrossRefPubMed Al-Meer FM, Aseel MT, Al-Khalaf J, Al-Kuwari MG, Ismail MF. Knowledge, attitude and practices regarding cervical cancer and screening among women visiting primary health care in Qatar. East Mediterr Health J. 2011;17(11):855–61.CrossRefPubMed
22.
go back to reference Erbil N, Tezcan Y, Gür NE, Yıldırım M, Aliş N. Factors affecting cervical screening among Turkish women. Asian Pacific. J Cancer Prev. 2010;11:1641–4. Erbil N, Tezcan Y, Gür NE, Yıldırım M, Aliş N. Factors affecting cervical screening among Turkish women. Asian Pacific. J Cancer Prev. 2010;11:1641–4.
23.
go back to reference Uysal A, Birsel A. Knowledge about cervical cancer risk factors and pap testing behavior among Turkish women. Asian Pacific. J Cancer Prev. 2009;10:345–50. Uysal A, Birsel A. Knowledge about cervical cancer risk factors and pap testing behavior among Turkish women. Asian Pacific. J Cancer Prev. 2009;10:345–50.
26.
go back to reference Rakowski W, Ehrich B, Dubé CE, Pearlman DN, Goldstein MG, Peterson KK, et al. Screening mammography and constructs from the transtheoretical model: associations using two definitions of the stages-of-adoption. Ann Behav Med. 1996; doi:10.1007/BF02909581. Rakowski W, Ehrich B, Dubé CE, Pearlman DN, Goldstein MG, Peterson KK, et al. Screening mammography and constructs from the transtheoretical model: associations using two definitions of the stages-of-adoption. Ann Behav Med. 1996; doi:10.​1007/​BF02909581.
27.
go back to reference Entisar AE, Om Ebrahiem AEE. Applying the transtheoretical model of change and the health belief model to breast self-examination in females undergraduate students in Faculty of Nursing Tanta University. J Am Sci. 2012;8(8):804–14. Entisar AE, Om Ebrahiem AEE. Applying the transtheoretical model of change and the health belief model to breast self-examination in females undergraduate students in Faculty of Nursing Tanta University. J Am Sci. 2012;8(8):804–14.
29.
30.
go back to reference TY W, West BT. Mammography stage of adoption and decision balance among Asian Indian and Filipino American women. Cancer Nurs. 2007;30(5):390–8.CrossRef TY W, West BT. Mammography stage of adoption and decision balance among Asian Indian and Filipino American women. Cancer Nurs. 2007;30(5):390–8.CrossRef
32.
go back to reference Bala D, Gameti H. An educational intervention study of breast self examination (BSE) in 250 women beneficiaries of urban health centers of west zone of Ahmedabad. Healthline. 2011;2(2):46–9. Bala D, Gameti H. An educational intervention study of breast self examination (BSE) in 250 women beneficiaries of urban health centers of west zone of Ahmedabad. Healthline. 2011;2(2):46–9.
33.
go back to reference Yousof SA. Breast cancer awareness among Saudi nursing students department of nursing, faculty of applied medical sciences king Abdulaziz university, Jeddah, Saudi Arabia. JKAU: Med Sci. 2010;17(3):67–78. Yousof SA. Breast cancer awareness among Saudi nursing students department of nursing, faculty of applied medical sciences king Abdulaziz university, Jeddah, Saudi Arabia. JKAU: Med Sci. 2010;17(3):67–78.
34.
go back to reference Ekaete AT, Okeowo P. Breast self examination among secondary school teachers in south-south, Nigeria: a survey of perception and practice. J Public Health Epidemiol. 2014;6(5):169–73.CrossRef Ekaete AT, Okeowo P. Breast self examination among secondary school teachers in south-south, Nigeria: a survey of perception and practice. J Public Health Epidemiol. 2014;6(5):169–73.CrossRef
35.
go back to reference Kayode FO, Akande TM, Osagbemi GK. Knowledge, attitude and practice of breast self examination among female secondary school teachers IIlorin, Nigeria. European. J Sci Res. 2005;10(3):42. Kayode FO, Akande TM, Osagbemi GK. Knowledge, attitude and practice of breast self examination among female secondary school teachers IIlorin, Nigeria. European. J Sci Res. 2005;10(3):42.
36.
go back to reference Geray C. Public education. İmaj Pub: Ankara; 2002. (in Turkish) Geray C. Public education. İmaj Pub: Ankara; 2002. (in Turkish)
37.
go back to reference Machin D, Campbell MJ, Tan SB, Tan SH. Sample size tables for clinical studies. UK: Wiley-Blackwell Publishing; 2007. Machin D, Campbell MJ, Tan SB, Tan SH. Sample size tables for clinical studies. UK: Wiley-Blackwell Publishing; 2007.
38.
go back to reference Esin N. Data collect methods and tools & validity and reliability of the data collect tools. In: Erdoğan S, Nahcivan N, Esin N, editors. Research in nursing, process, practice and critique. İstanbul: Nobel Pub; 2014. (in Turkish). Esin N. Data collect methods and tools & validity and reliability of the data collect tools. In: Erdoğan S, Nahcivan N, Esin N, editors. Research in nursing, process, practice and critique. İstanbul: Nobel Pub; 2014. (in Turkish).
39.
go back to reference Polit DF, Beck CT, Nursing research: generating and assessing evidence for nursing practice. 9th ed. China:Wolters Kluwer Health;2012. Polit DF, Beck CT, Nursing research: generating and assessing evidence for nursing practice. 9th ed. China:Wolters Kluwer Health;2012.
40.
go back to reference Prochaska JO, DiClimente CC. Stage and processes of self change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.CrossRefPubMed Prochaska JO, DiClimente CC. Stage and processes of self change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.CrossRefPubMed
41.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Association Pub; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Association Pub; 1988.
42.
go back to reference Ertem G. Awareness of cervical cancer risk factors and screening behavior among nurses in rural Turkey. Asian Pac J Cancer Prev. 2009;10:735–8.PubMed Ertem G. Awareness of cervical cancer risk factors and screening behavior among nurses in rural Turkey. Asian Pac J Cancer Prev. 2009;10:735–8.PubMed
43.
go back to reference Shekhar S, Sharma C, Thakur S, Raina N. Cervical cancer screening: knowledge, attitude and practices among nursing staff in a tertiary level teaching institution of rural India. Asian Pac J Cancer Prev. 2013;14(6):3641–5.CrossRefPubMed Shekhar S, Sharma C, Thakur S, Raina N. Cervical cancer screening: knowledge, attitude and practices among nursing staff in a tertiary level teaching institution of rural India. Asian Pac J Cancer Prev. 2013;14(6):3641–5.CrossRefPubMed
44.
go back to reference Sirin A, Atan S, Tasci E. Protection from cancer and early diagnosis applications in Izmir, Turkey. Cancer Nurs. 2006;29(3):207–13.CrossRefPubMed Sirin A, Atan S, Tasci E. Protection from cancer and early diagnosis applications in Izmir, Turkey. Cancer Nurs. 2006;29(3):207–13.CrossRefPubMed
46.
go back to reference Neeraja BP, Murff LH, Yong C, Hargreaves M, Fowke JH. Papanicolaou testing among women in the southern United States. J Women's Health (Larchmt). 2008; doi:10.1089/jwh.2007.0576. Neeraja BP, Murff LH, Yong C, Hargreaves M, Fowke JH. Papanicolaou testing among women in the southern United States. J Women's Health (Larchmt). 2008; doi:10.​1089/​jwh.​2007.​0576.
Metadata
Title
Effect of structured training programme on the knowledge and behaviors of breast and cervical cancer screening among the female teachers in Turkey
Authors
Ayla Bayık Temel
Şafak Dağhan
Şenay Kaymakçı
Renginar Öztürk Dönmez
Zeynep Arabacı
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2017
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-017-0478-8

Other articles of this Issue 1/2017

BMC Women's Health 1/2017 Go to the issue