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dc.contributor.authorIfediora, Chris O
dc.contributor.authorAzuike, Emmanuel C
dc.date.accessioned2019-05-29T12:42:35Z
dc.date.available2019-05-29T12:42:35Z
dc.date.issued2019
dc.identifier.issn1356-1294
dc.identifier.doi10.1111/jep.13101
dc.identifier.urihttp://hdl.handle.net/10072/382599
dc.description.abstractBackground: With limited government‐sponsored breast screening programmes in developing countries, breast awareness remains the only realistic survival hope for millions. Poor levels of knowledge and preventive practices remain in these countries, and early enlightenment to empower teenage high school girls has been advocated for, recently. This study evaluates ways to ensure sustainability for such an approach. Method: A 6‐month longitudinal, interventional cohort study of 432 high school female students in South‐eastern Nigeria. The efficacies of a video‐assisted face‐to‐face intervention, as well as the use of printed handouts, were evaluated. Results: A total of 317 (73.4%) and 301 (69.7%) valid responses were received from the pre‐intervention (16.8 ± 1.5 years) and post‐intervention (17.2 ± 1.6 years) surveys, respectively. Logistic regression revealed that participants who were “engaged” with the campaigns, either through symposium attendance or by reading handouts, showed significant improvements on most aspects of knowledge regarding the cancer's early symptoms and risk factors, as well as breast self‐examination (BSE). However, the monthly practice of BSE was not significantly increased (Attendees: OR = 1.44, P = 0.18; Handout‐readers: OR = 1.52; P = 0.17). Also, when “engagement” to the respective empowerment activities was disregarded, a chi‐squared analysis comparing the pre‐intervention and post‐intervention groups showed significant improvements on specific knowledge regarding risk factors and early symptoms of breast cancer, as well as BSE techniques and regular monthly practice: χ2 (1, N = 596) = 46.703, P < 0.001. Across multiple parameters, the impact of exclusive face‐to‐face participation was not different to that from the reading of handouts. Conclusion: Face‐to‐face and handout were both effective and of similar impact. However, sustained impact on monthly BSE is doubtful. To surmount this, strategies to ensure ongoing engagements are vital. Perhaps adjusting existing high school curricula to allow repeated yearly teachings on breast cancer and BSE, along with in‐built‐in evaluation systems like examinations and quizzes, are ways of ensuring engagement.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Online
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto11
dc.relation.ispartofjournalJournal of Evaluation in Clinical Practice
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchHealth promotion
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode420603
dc.titleSustainable and cost-effective teenage breast awareness campaigns: Insights from a Nigerian high school intervention study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Medicine
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Sustainable and cost‐effective teenage breast awareness campaigns: Insights from a Nigerian high school intervention study, Journal of Evaluation in Clinical Practice, Early View, which has been published in final form at 10.1111/jep.13101. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorIfediora, Chris O.


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