The Effectiveness of Interventions for Improving Breast Self- examination Behaviours among Adult Women: A Systematic Review and Meta-analysis
Keywords:
Breast self-examination behaviors, adult women, systematic review, meta-analysisAbstract
This study aimed to evaluate the effectiveness of interventions to improve Breast self-examination (BSE) behavior among adult women through the analysis and synthesis method. A systematic review and meta-analysis methodology was used as the research design. The search of existing literature was performed using electronic databases. The search terms that were used were “Breast self-examination” and “self-breast examination”. Literature published between 2000 and 2018, comprising of eight articles which met inclusion criteria were selected.
The study showed eight full-text articles met the eligible criteria used for a systematic review and meta-analysis. The results of the meta-analysis found overall interventions which had a significant positive effect on improving BSE behaviours in adult women with a combined effect size 0.82 (95% CI = 0.24-1.40). The educational programe based on health belief model was the most effective intervention used to improve BSE behaviours of all interventions with the highest combined effect size 2.72 (95% CI = 2.17-3.27). The findings of subgroup analysis showed that the interventions cooperated with a reminder to BSE perform monthly which had a significant and overall effect on improving BSE with a combined effect size 0.83 (95% CI=0.13-1.52).
The findings of this research are useful for nurses and healthcare providers to choose an intervention to encourage adult women to perform BSE effectively.
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