BREAST SELF-EXAM EDUCATION ENLISTING SOCIAL INFLUENCE

开发有助于减少乳腺癌的方法 死亡率，乳房自我检查（BSE）教育计划， 将在整个社区实施和评估社会影响。 BSE的频率、质量和熟练程度将在 这些社区20岁以上的所有妇女， 将在两年期间内支持维持这些变化， 通过密集的集体教育计划，广泛的 参与，明确注意保持新的行为， 运用社会影响力的教育方法。 我们的完整计划将 包括通过自然社会单位安排小组会议， 提供BSE技能和规范的发展， 实践;个人提示材料; 目标群体和其他支持者;医生鼓励;和简介 一年后重复开会。 四个匹配的社区将从六个社区中选出， 最初的电话调查确定了目前的疯牛病实践水平。 一 随机分配的社区将获得两年的计划;第二个将 接受一年的计划;第三年将作为一个完整的测量 控制;第四个社区将是一个减少测量控制。 通过运用多种形式的教学方案， 招聘技巧，以及对社区卫生机构的赞助， 大约75%的合格妇女将接受面对面的指导 BSE技术。 每年两次的小组后续活动将结合联合收割机电话和个人 采访 BSE行为的测量将结合详细的 频率和质量的自我报告，以及使用 乳房模型。

To develop methods which will contribute to a reduction of breast cancer mortality, a Breast Self-Examination (BSE) education program which enlists social influences will be implemented and evaluated in whole communities. Levels of BSE frequency, quality, and proficiency will be raised in the entire population of women 20 years of older in these communities, and maintenance of these changes will be supported over a two year period, through a combination of intensive group education programs, broad participation, explicit attention to maintenance of the new behaviors, and use of educational methods of social influence. Our complete program will include group meetings arranged through natural social units, which will provide BSE skills and development of norms supportive of sustained practice; personal cuing materials; mass media messates for women in the target group and supportive others; physician encouragement; and brief repeat meetings after one year. Four matched communities will be selected from a pool of six after an initial telephone survey establishes current levels of BSE practice. One randomly allocated community will receive a two year program; a second will receive a one year program; a third will serve as a full-measurement control; and the fourth community will be a reduced measurement control. Through use of a variety of forms of the instructional program, tested recruitment techniques, and sponsorship of a community health agency, abouth 75% of the eligible women will receive person-to-person instruction in BSE techniques. Two annual follow-ups of the panels will combine phone and personal interviews. Measurement of BSE behaviors will combined detailed self-reports of frequency and quality, and tests of proficiency using breast models.