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This quasi-experimental study aimed to examine the effects of self-efficacy enhancement with coaching technique program of health volunteer for breast cancer care and surveillance skills. There were 32 cases in the experimental group and 29 cases in the comparison group. The experimental group received 4-week activities of health education, group discussion, modeling procedure, videotape, and skills training on breast self-examination (BSE). Data were collected using self–administered questionnaires and checklist for technical skills before the intervention, immediately after the intervention, and follow-up period. Cronbach’s alpha coefficients were reported for perceived selfefficacy, skills of BSE, skills of breast cancer care, and surveillance and breast cancer prevention (0.87, 0.69, 0.74 and 0.69, respectively). The content validity index was 0.94. Data were analyzed using Independent t-test, and repeated measure ANOVA. Results revealed that immediately after the intervention and follow-up period, the experimental group, the mean scores of perceived self-efficacy of BSE, skills of BSE and skills of breast cancer care and surveillance were significantly higher than those before the intervention period and the comparison group (p<.001). However, the mean scores for behavior of breast cancer prevention was not significantly different, before the intervention, immediately after the intervention and follow-up period (p>.05). Behavior of BSE among the participants in the experimental group (84.40%) was significantly higher than those in the comparison group (6.90%) at the follow-up period.
This result of the study indicates that self-efficacy skills enhancement program with coaching and training technique may help improve the skill of breast cancer health and surveillance of public
health volunteer and might be applied to other groups.
Article published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals
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