The Effectiveness of Interventions for Improving Breast Self- examination Behaviours among Adult Women: A Systematic Review and Meta-analysis

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สายใหม - ตุ้มวิจิตร
สุลี ทองวิเชียร
สุดรัก จิตต์หทัยรัตน์
Abdulkareem S. Ibrasi


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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ตุ้มวิจิตรส-, ทองวิเชียรส, จิตต์หทัยรัตน์ส, Ibrasi AS. The Effectiveness of Interventions for Improving Breast Self- examination Behaviours among Adult Women: A Systematic Review and Meta-analysis. J Royal Thai Army Nurses [Internet]. 2019Dec.30 [cited 2020Feb.28];20(3):124-32. Available from:
Research Articles


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