PROMOTION OF BREAST SELF-EXAMINATION AMONG COLLEGE WOMEN

促进女大学生乳房自查

• 批准号: 3437342
• 负责人: BARBARA JO HAILEY
• 金额: $ 5.82万
• 依托单位: UNIVERSITY OF SOUTHERN MISSISSIPPI
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-05 至 1990-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3437342
• 关键词: behavioral medicine; breast neoplasm /cancer diagnosis; cancer prevention; early diagnosis; female; human subject; psychological reinforcement; university student; workshop

Breast cancer is the leading cause of death among women 15 to 54, and it will strike one in ten American women. Early detection provides the best chance for successful treatment and survival. The American Cancer Society recommends monthly breast self- examination (BSE) for women 20 years and older as a major component of an effective early detection program. Although easy to learn and requiring minimal time investment, the vast majority of women fail to comply with recommendations for monthly BSE. Facilitation of BSE compliance can be approached from several directions. One possible focus is on the consequences of BSE for the women engaging in it and their effect on subsequent performance. One of the basic psychological principles is that a behavior that is reinforced is more likely to occur again. Performance of BSE has no intrinsic reward (the optimal result is to find nothing), and, in fact, it may be punished (by the experience of negative emotions, e.g., anxiety, that accompanies it). Thus, developing methods of operating on the environment which enhance positive reinforcement of the practice of BSE appears to be a useful direction in which to proceed. The proposed project will test the hypotheses that college women who are reinforced for performing BSE will be more likely to continue to practice it than similar women who receive no reinforcement, and that peer-delivered reinforcement will be more effective than self-delivered reinforcement. Women will attend workshops where they will learn proper BSE technique and will be asked to do monthly BSE for a nine month reporting period. One group will sign a contract with the experimenter to provide themselves a specified reward following each BSE, a second group will sign a contract with the experimenter and a "buddy" who will provide the reward, and a third group won't be reinforced. At the end of the 9-month period, the compliance rates among groups will be compared.

乳腺癌是15岁至15岁女性的主要死亡原因 54岁，这将影响十分之一的美国女性。早期发现 为成功治疗和存活提供了最好的机会。 美国癌症协会建议每月进行乳房自我检查 20岁及以上女性考试(BSE)为专业 是有效的早期检测计划的组成部分。虽然 简单易学，只需最少的时间投资， 大多数女性没有遵守关于 每月的疯牛病。促进BSE合规性的工作可以通过 从几个方向。一个可能的焦点是 疯牛病对从事疯牛病的妇女和她们的影响 对后续性能的影响。最基本的心理学之一 原则是被强化的行为更有可能 再次发生。疯牛病的表现没有内在的奖励( 最好的结果是一无所获)，事实上，它可能会受到惩罚 (通过经历负面情绪，例如焦虑， 与之相伴)。因此，开发在 促进积极强化的环境 BSE的实践似乎是一个有用的方向，在这个方向上 继续吧。拟议中的项目将检验以下假设 为表演疯牛病而增援的女大学生将被 与类似的女性相比，更有可能继续这样做 没有得到增援，而同行提供的增援 将比自我增援更有效。女人 将参加研讨会，在那里他们将学习适当的疯牛病技术 并将被要求进行为期九个月的每月BSE报告 句号。一组将与实验者签署合同，以 在每次疯牛病后为自己提供指定的奖励，一个 第二组将与实验者签署合同，并 谁将提供奖励，而第三组将不会 加强了。在9个月期限结束时，合规性 将比较不同群体之间的比率。

项目成果

The effects of self-reinforcement and peer-reinforcement on the practice of breast self-examination.

自我强化和同伴强化对乳房自我检查实践的影响。

• DOI: 10.1093/her/7.2.165
• 发表时间: 1992
• 期刊: Health education research
• 影响因子: 2.4
• 作者: Hailey,BJ;Lalor,KM;Byrne,HA;Starling,LM
• 通讯作者: Starling,LM