doi> 10.24250/JPE/1/2020/AMS/MV

  • Adelina Mihaela Stefanut West University of Timisoara
  • Mona Vintila West University of Timisoara
Keywords: prevention; breast cancer; breast self-examination; BSE, review;


Early detection of breast cancer plays an essential role in reducing morbidity and mortality caused by the disease. This review is intended to summarize and outline the outcomes obtained as a result of the educational interventions focused on promoting breast cancer prevention by developing and effectively employing the ability involving breast self-examination procedure; these interventions are addressed by a series of studies centered on an individual randomization of participants and at least one control group. With that end in view, we carried out a systematic search in the PubMed and PsycInfo databases and we found 21 eligible studies which involved 5754 women. Most of these studies reported increases in breast self-examination frequency after the subjects' participation in interventions. Therefore, the conclusion of this review is that educational interventions may result in adopting new and efficient breast cancer prevention behaviors such as breast self-examination, which is an undeniable argument to increase the level of dissemination of such interventions among women.

Author Biographies

Adelina Mihaela Stefanut, West University of Timisoara

Department of Psychology, West University of Timisoara, Timisoara, Romania

Mona Vintila, West University of Timisoara

Department of Psychology, West University of Timisoara, Timisoara, Romania


Agide, F.D., Sadeghi, R., Garmaroudi, G., &Tigabu, B.M. (2018). A

systematic review of health promotion interventions to increase breast cancer

screening uptake: from the last 12 years. The European Journal of Public Health,

(6), 1149–1155.

Ajzen, I., &Fishbein, M. (eds) (1980). Understanding Attitudes and

Predicting Social Behavior. Prentice-Hall, Englewood Cliffs, NJ

Akhtari-Zavare, M., Juni, M.H., Said, S.M., Ismail, I.Z., Latiff, L.A.,

&Ataollahi, E. S. (2016). Result of randomized control trial to increase breast

health awareness among young females in Malaysia. BMC Public Health, 16, 738.

doi: 10.1186/s12889-016-3414-1

Alsaraireh, A., &Darawad, M.W. (2019). Impact of a Breast Cancer

Educational Program on Female University Students' Knowledge, Attitudes, and

Practices. J Cancer Educ. 34(2), 315-322. doi: 10.1007/s13187-017-1304-6.

American Cancer Society. (2009). Breast cancer fact and figure 2009–2010.

American Cancer Society, Atlanta

Audrain, J., Rimer, B., Cella, D., Stefanek, M., Garber, J., Pennanen, M.,

Helzlsouer, K., Vogel, V., Lin, T.H., &Lerman, C. (1999). The impact of a brief

coping skills intervention on adherence to breast self-examination among firstdegree

relatives of newly diagnosed breast cancer patients. Psychooncology,


Bandura, A., (1977). Social Learning Theory. Prentice-Hall, Englewood

Cliffs, NJ.

Bener, A., El Ayoubi, H.R., Moore, M.A., Basha, B., Joseph, S.,

&Chouchane, L. (2009). Do we need to maximise the breast cancer screening

awareness? Experience with an endogamous society with high fertility. Asian Pac J

Cancer Prev, 10(4):599–604.

Bodurtha, J., Quillin, J.M., Tracy, K.A., Borzelleca, J., McClish, D.,

Wilson, D.B., Jones, R.M., Quillin, J., &Bowen, D. (2009). Mammography

screening after risk-tailored messages: The women improving screening through

education and risk assessment (WISER) randomized, controlled trial. Journal of

Women's Health, 18(1), 41-47.

Champion V, &Scott C. (1993). Effects of a procedural/belief intervention

on breast self-examination performance. Res Nurs Health, 16(3), 163-70.

Cieślak, K. (2013). Professional psychological support and psychotherapy

methods for oncology patients. Basic concepts and issues, Reports of practical

oncology and radiotherapy, 18, 121-126.

Craun, Ann M., Deffenbacher, Jerry L. (1987). The effects of information,

behavioral rehearsal, and prompting on breast self-exams. Journal of Behavioral

Medicine, 10(4), 351-365.

Fitzgibbon, M.L., Gapstur, S.M., &Knight, S.J. (2003). Mujeres felices por

ser saludables: a breast cancer risk reduction program for Latino women. Prev

Med, 36(5), 536-46.

Glajchen, M. (2012). Physical Well-Being of Oncology Caregivers: An

Important Quality-ofLife Domain. Seminars in Oncology Nursing. 28, 226-235.

Gavrila-Ardelean, M. (2019). Politici sociale, asigurari de sanatate si

contributii la managementul serviciilor de sanatate, Ed. Eikon, Bucuresti.

Gavrila-Ardelean, M., Gavrila-Ardelean, L. (2016). Elemente de medicina

interna si sociala. Note de curs, Ed. Eikon, Bucuresti.

Gavrila-Ardelean, M., Gavrila-Ardelean, L. (2017). Review of Need for

Health Education in The Bio-Psycho-Social Approach of Mental Health, Journal

Plus Education, 17 (1), 276-285.

Goian, C. (2004). Deprinderi in Asistenta Sociala, Institutul European.

Goian, C. (2010). Zece categorii de inconsecvente semantice prezente in

limbajul asistentei sociale din spatula romanesc. Revista de Asistenta Sociala, nr


Goian.C. (2019). Parents Counseling for improving the capacity of

socialization of their preschool children. Journal Plus Education, XXV, no 2/2019,


Grady, K.E., Goodenow, C., &Borkin, J.R. (1988). The effect of reward on

compliance with breast self-examination. J Behav Med. 11(1), 43-57.

Hajian, S., Vakilian, K., Najabadi, K.M., Hosseini, J., &Mirzaei, H.R.

(2011). Effects of education based on the health belief model on screening behavior

in high risk women for breast cancer, Tehran, Iran. Asian Pac J Cancer Prev,

(1), 49-54.

Janda, M., Stanek, C., Newman, B., Obermair, A., &Trimmel, M. (2002).

Impact of videotaped information on frequency and confidence of breast selfexamination.

Breast Cancer Res Treat, 73(1):37-43.

Janz, N.K., Becker, M.H., Anderson, L.A., &Marcoux, B.C. (1990).

Interventions to enhance breast self-examination practice: a review. Public Health

Rev, 17(2-3), 89-163.

Kennedy, L.S., Bejarano, S.A., Onega, T.L., Stenquist, D.S., &Chamberlin,

M.D. (2016). Opportunistic breast cancer education and screening in rural

Honduras. J Glob Oncol, 2, 174-80.

Lauver, D. (1989). Instructional information and breast self-examination

practice. Res Nurs Health, 12(1):11-9.

Lindberg, N.M., Stevens, V.J., Smith, K.S., Glasgow, R.E., &Toobert, D.J.

(2009). A brief intervention designed to increase breast cancer self-screening. Am J

Health Promot, 23(5), 320-3. doi: 10.4278/ajhp.071009106

McLendon, M.S., Fulk, C.H., &Starnes, D.C. (1982). Effectiveness of

breast self-examination teaching to women of low socioeconomic class. JOGN

Nurs., 11(1), 7-10

McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An

Ecological Perspective on Health Promotion Programs. Health Education

Quarterly, 15, 351–377.

Mishra, S.I., Chavez, L.R., Magaña, J.R., Nava, P., Burciaga, V.R.,

&Hubbell, F.A. (1998). Improving breast cancer control among Latinas: evaluation

of a theory-based educational program. Health Educ Behav, 25(5), 653-70.

Naserian, N., Ansari, S., &Abedi, P. (2018). Comparison of Training via

Short Messages and Group Training on Level of Knowledge and Practice of

Middle-Aged Women About Breast Cancer Screening Tests. J Cancer Educ, 33(5),

-1042. doi: 10.1007/s13187-017-1203-x

Naz, M.S.G., Simbar, M., Fakari, F.R., &Ghasemi, V. (2018). Effects of

Model-Based Interventions on Breast Cancer Screening Behavior of Women: a

Systematic Review, Asian Pac J Cancer Prev, 19 (8), 2031-2041,


Glanz, K., Rimer, B.K., &Viswanath, K. (2008). The scope of health

behavior and health education in Health behavior and health education. Theory,

Research and Practice. John Wiley & Sons, Inc, San Francisco

Prestwich, A., Conner, M., Lawton, R., Bailey, W., Litman, J., &

Molyneaux, V. (2005). Individual and collaborative implementation intentions and

the promotion of breast self-examination. Psychology & Health, 20(6), 743-760.

Reis, J., Trockel, M., King, T., &Remmert, D. (2004). Computerized

training in breast self-examination: a test in a community health center. Cancer

Nurs, 27(2), 162-8.

Rosmawati, N. (2010). Knowledge, attitudes and practice of breast selfexamination

among women in a suburban area in Terengganu, Malaysia. Asian Pac

J Cancer Prev, 11(6), 1503–1508.

Savabi-Esfahani, M., Taleghani, F., Noroozi, M., &Tabatabaeian, M.

(2017). Role Playing for Improving Women’s Knowledge of Breast Cancer

Screening and Performance of Breast Self-Examination. Asian Pac J Cancer Prev,

(9), 2501-2505.

Secginli, S., &Nahcivan, N.O. (2011). The effectiveness of a nursedelivered

breast health promotion pr ogram on breast cancer screening behaviours

in non-adherent Turkish women: A randomized controlled trial. Int J Nurs Stud,

(1), 24-36. doi: 10.1016/j.ijnurstu.2010.05.016.

Simonds, S. (1976). Health Education in the Mid-1970s: State of the Art. In

Preventive Medicine USA. New York: Prodist, 1976.

Ştefănuţ, A., &Vintilă, M. (2019a). Exploring the depression, anxiety,

quality of life and self-efficacy of oncological patients and their caregivers: a

literature review. Social Research Reports, 11(1), 104-116

Ştefănuţ, A., &Vintilă, M. (2019b). The relationship between individual

coping, social support and quality of life of oncological patients: a systematic

review of the literature. Agora Psycho-Pragmatica, 13(2), 7-24.

Ştefănuţ, A., &Vintilă, M. (2019c). Effectiveness of psycho-oncological

interventions in increasing the self-efficacy of patients: a systematic review of

literature and meta-analysis. Agora Psycho-Pragmatica, 1(1)

Ştefănuţ, A., &Vintilă, M. (2020). Psycho-oncology – Between

achievments and challenges. Asistenta Sociala, nr.1/2020, 81-93.

Tuzcu, A., Bahar, Z., &Gözüm, S. (2016). Effects of Interventions Based

on Health Behavior Models on Breast Cancer Screening Behaviors of Migrant

Women in Turkey. Cancer Nurs, 39(2): E40-50. doi:


Vahidi, M., Mahdavi, N., Asghari, E., Ebrahimi, H., Ziaei, J.E.,

Hosseinzadeh, M., Areshtanab, H.N., Kermani, I.A. (2016). Other Side of Breast

Cancer: Factors Associated with Caregiver Burden. Asian Nursing Research. 10,


Vintilă, M., Ştefănuţ, A.M. & Sârbescu, P. Effectiveness of couple psychooncological

interventions in increasing patients and their partners’ adaptation to

disease: A systematic review and a meta-analysis. Curr Psychol (2019).

Visser, A., Bos, W.C., Prins, J.B., Hoogerbrugge, N., van Laarhoven, H.W.

(2015). Breast self-examination education for BRCA mutation carriers by clinical

nurse specialists. Clin Nurse Spec, 2