BREAST SELF-EXAM EDUCATION ENLISTING SOCIAL INFLUENCE

开发有助于减少乳腺癌的方法 死亡率，这是一个乳房自我检查(BSE)教育项目，它招募了 将在整个社区实施和评估社会影响。 疯牛病的频率、质量和熟练程度将在 这些社区中年龄在20岁以上的全部妇女，以及 这些变化的维护将在两年内得到支持， 通过密集的团体教育计划相结合，BREAD 参与，明确注意保持新的行为，以及 运用教育方法产生社会影响。我们的完整节目将 包括通过自然社会单位安排小组会议，这将 提供BSE技能和制定支持持续的规范 实践；个人提示材料；大众媒体为妇女在 目标群体和支持性他人；医生鼓励；和简要 一年后重复开会。 之后，将从六个社区中选出四个匹配的社区 最初的电话调查确定了疯牛病实践的当前水平。一 随机分配的社区将获得两年的计划；第二个将 接受为期一年的课程；第三年课程将作为全面评估 控制；而第四个社区将减少测量控制。 通过使用多种形式的教学方案，经过测试 招募技巧，以及对社区卫生机构的赞助， 大约75%的符合条件的女性将接受面对面的指导 在疯牛病技术中。 小组的两次年度跟踪将结合电话和个人 采访。BSE行为的测量将结合详细的 自我报告频率和质量，以及熟练使用 乳房模特。

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.