Predictors of proficient technique and successful lesion detection in breast self-examination.
Predictors of proficient technique and successful lesion detection in breast self-examination.
复制标题
乳房自检中熟练技术和成功病变检测的预测因素。
DOI：
10.1037//0278-6133.3.2.113
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
D. Reddy
中科院分区：
文献类型：
--
作者：
S. Alagna;D. Reddy
参加健康博览会的73名妇女完成了一份调查问卷，该问卷测量了人口统计学和健康史变量、知识和乳房自我检查（BSE）的当前实践、多维健康控制点（MHLC; Wallston，Wallston，DeVellis，1978）以及与乳腺癌和BSE相关的健康信念模型（HBM; Rosenstock，1974）的组成部分。这些变量形成了BSE行为的概念模型的基础，通过让每名女性参与乳房模型的行为试验来检查，其中评估了她的BSE技术和检测模拟肿瘤的能力。回归分析显示，对BSE疗效的自信是熟练BSE的最佳单一预测因子。强有力的其他HLC，正确的BSE行为的知识，和机会HLC，分别也显着的性能差异。正如预期的那样，在过去的六个月里，成功的病变检测与更熟练的BSE技术和更高的BSE实践频率密切相关。内部HLC评分不能预测任何一种行为指标。类似地，除了BSE的感知功效，HBM变量与观察到的行为没有很强的关系。
Seventy-three women attending a health fair completed a questionnaire that measured demographic and health history variables, knowledge, and current practice of breast self-examination (BSE), Multidimensional Health Locus of Control (MHLC; Wallston, Wallston, & DeVellis, 1978), and components of the Health Belief Model (HBM; Rosenstock, 1974) in relation to breast cancer and BSE. These variables formed the basis of a conceptual model of BSE behavior that was examined by having each woman participate in a behavioral trial with a breast model in which her BSE technique and ability to detect simulated tumors was assessed. Regression analyses revealed that self-confidence in the efficacy of BSE was the best single predictor of proficient BSE. Powerful others HLC, knowledge of correct BSE behaviors, and chance HLC, respectively, also contributed significantly to the variance in performance. As anticipated, successful lesion detection was most strongly associated with more proficient BSE technique and higher frequency of BSE practice in the past six months. Internal HLC scores were not predictive of either behavioral measure. Similarly, except for perceived efficacy of BSE, HBM variables showed no strong relationships to observed behavior.