Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
Development of the couple-focused program for breast self examination
Gi Yon Kim, RN, PhD1, YoungRo Yoon, DEE2, Hee-Young Song, RN, PhD1, and Hea Kung Hur, RN, PhD1. (1) Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, South Korea, (2) Department of Biomedical Engineering, Yonsei University, Wonju, South Korea
Learning Objective #1: provide the recognition of couple focused BSE program developed from couples'perception.
Learning Objective #2: inform the importance of spouse's role as a supporter that facilitate on BSE practicing behavior.

Purpose: To develop a couple-focused program for BSE with spouses participating as facilitators. Design: Methodological study to develop the program. Processes: step1; interviews with five focus groups depending on stages of BSE were conducted by asking cue questions; “What do you know about BSE and breast cancer?”, “What are your (your wife’s) reasons for not having practiced BSE?”, and “What do you think would help you (your wife) to practice BSE?”. Step2; literature review and discussion on these findings were conducted to develop the program. Finding: Most participants had incorrect knowledge on BSE skills; among women with no BSE experience, lack of sensitivity to breast cancer and information of BSE were indicated as barriers to BSE, while weak confidence were among women having practiced BSE. Health professionals and spouses were referred by all participants as facilitators. The investigators developed two programs; cognition-oriented and action-oriented. Programs consisted of lectures utilizing  multimedia presentations and models, BSE skill checks and feedback using video filming, reminders of BSE skill, and question and answer sessions. The cognition-oriented program for women with no BSE experience emphasized basic information on risks for breast cancer and BSE, applying strategies as following; BSE demonstration by the interventionist, step-by-step practice and rehearsal with breast models by participants, and feedbacks. For women with previous BSE experience, an action-oriented program was delivered to enhance participants’ confidence for BSE, with video-taping of participants’ demonstration, checkups of video-tape, and feedbacks for correction. For both programs spouses also involved and were highlighted their important roles as facilitators for persistent BSE and breast cancer prevention. Conclusion and Implication: Couple-focused BSE program was developed from couples' perceptions and cultural customs concerning breast cancer. Feedback with video-taping can be effective in achieving correct BSE skill. Future study should investigate the effect of this program.