1,720,969 research outputs found

    Reliability and validity of the breast cancer screening belief scale among Turkish women

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    Breast cancer is the second leading cause of cancer deaths in Turkish women, and the use of breast self-examination (BSE) and mammography remains low in Turkey. Therefore, we need to identify the beliefs, influencing BSE and mammography, and a valid and reliable tool to measure constructs. The Champion's health belief model scale (CHBMS) is a valid and reliable tool to measure beliefs about breast cancer, BSE, and mammography in an English culture. The purpose of this study was to assess the psychometric characteristics of a Turkish version of the CHBMS related to breast cancer, BSE, and mammography. A convenience sample of 656 women was recruited from 3 health centers and 2 maternal and child health centers in Istanbul. The CHBMS was translated to Turkish, validated by professional judges, back translated, and tested. Factor analysis yielded 7 factors for BSE: confidence, seriousness, barriers-BSE, health motivation 1 and 2, susceptibility, and benefits-BSE. For mammography scale, 6 factors were identified: seriousness, benefits-mammography, barriers-mammography, health motivation 1 and 2, and susceptibility. All items on each factor were from the some construct. Cronbach alpha reliability coefficients ranged from .75 to .87 for the subscales. The Turkish version of the CHBMS showed adequate reliability and validity for use in Turkish women. It could easily be used to evaluate the health beliefs about breast cancer, BSE, and mammography. Further refinement is required to study Turkish women's health beliefs and breast cancer screening behaviors in various settings

    Mammography Self-Efficacy Scale and Breast Cancer Fear Scale

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    Background: Self-efficacy for mammography and breast cancer fear are important determinants to mammography use. No tools to measure these beliefs of Turkish women have been validated. Objective: The purpose of this study was to assess the psychometric characteristics of the Turkish versions of the Mammography Self-Efficacy Scale (MSS-T) and the Champion Breast Cancer Fear Scale (CBCFS-T). Methods: Mammography Self-Efficacy Scale and Champion Breast Cancer Fear Scale were translated to Turkish language, validated by an expert panel, back translated, and tested. Cronbach alpha coefficients and item-total correlations were measured to evaluate the reliability of the scales. Exploratory factor analysis was used to estimate construct validity of the scales. Independent t tests, chi(2) tests, and logistic regression analyses were used to test theoretical relationships. Results: Factor analysis yielded 1 factor for MSS-T and 2 factors for CBCFS-T with eigenvalues greater than 1. Internal consistency values presented acceptable Cronbach alpha levels of .90 for MSS-T and .90 for CBCFS-T, and test-retest reliability correlations were 0.56 for MSS-T and 0.60 for CBCFS-T. Conclusions: The MSS-T and CBCFS-T demonstrated acceptable preliminary values of reliability and validity. Further psychometric testing is recommended with women living in different regions of Turkey. Implications for Practice: The scales can offer insights to nurses and other healthcare professionals about mammography self-efficacy beliefs, emotional needs, and concerns of Turkish women related to breast cancer fear. The scales may be useful as process measures to assess the efficacy of interventions designed to alter self-efficacy and fear and subsequently improve the mammography rates

    Health beliefs related to breast self-examination in a sample of Turkish women

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    Purpose/Objectives: To examine health beliefs and sociodemographic and breast cancer-related variables influencing breast self-examination (BSE) practice

    Interventions Promoting Breast Cancer Screening Among Turkish Women With Global Implications: A Systematic Review

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    Background: Breast cancer is a major health concern and remains the most common malignancy in women worldwide and in Turkey. Mammography, clinical breast examination (CBE), and breast self-examination (BSE) are recommended methods to detect early breast cancer in women. Many strategies have been developed to increase the rates of mammography, CBE, and BSE among Turkish women. Despite the benefits of breast cancer screening, these modalities are still underutilized by the majority of Turkish women. Aim: To systematically review the scientific evidence on the effectiveness of various strategies aimed at improving screening behaviors for breast cancer in Turkish women. Methods: A systematic review of the literature published between 2000 and 2015 was conducted, searching 10 databases of Ovid MEDLINE, PubMed, Cochrane CENTRAL Register of Controlled Trials, CINAHL, PsycINFO, Web of Knowledge, Scopus, Google Scholar, ULAKBIM Turkish Medical Database, and Council of Higher Education Thesis Center. Results: Twenty-three studies were included in the final review. The majority of the studies investigated the effects of multiple strategies to improve BSE. Group education comprised educational sessions, printed and audiovisual materials, which significantly improved BSE, CBE, and mammography screening rates at 3 months, 6 months, and 12 months after the intervention. One-to-one education demonstrated no significant difference in BSE rates at 6-month and 12-month follow-up. However, one-to-one education demonstrated significant differences in CBE and mammography rates at the 3-month follow-up. Linking Evidence to Action: The use of group education comprising a multicomponent intervention demonstrated an increase in breast-screening behaviors among Turkish women. Further research investigating the duration of educational interventions is needed in order to suggest a dose response

    Factors associated with breast cancer screening behaviours in a sample of Turkish women: A questionnaire survey

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    The purpose of this descriptive correlational study was to identify breast self-examination (BSE) and mammography rates and to examine variables related to the breast cancer screening behaviours in a sample of Turkish women. Data were collected from a convenience sample of 656 women, attending three health centres and two maternal and health centres, using an adapted version of Champion's revised Health Belief Model Scale. Results showed that 17% of the women reported performing BSE on a regular basis. Women, over the age of 40, 25% reported at least one mammography. Higher susceptibility to breast cancer, higher confidence for BSE, lower barriers to BSE, and having heard/read about breast cancer and BSE were significantly associated with performing BSE. Higher seriousness of breast cancer, higher benefits of having mammography, having heard/read about mammography, and having a gynaecologist as a regular physician were significantly associated with having mammography. (c) 2005 Elsevier Ltd. All rights reserved

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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