engleski

SUSTAINED POSITIVE EFFECT OF EDUCATIONAL INTERVENTION ON BREAST CANCER CHEMOPREVENTION KNOWLEDGE AND ATTITUDES

A non-RCT on 249 healthy women was conducted to investigate the effect of educational intervention (EI) on knowledge and attitudes towards primary breast cancer (BC) chemoprevention. Health Literacy Survey Questionnaire and a questionnaire which was designed and validated for the purpose of this study were used. EI in form of a lecture was conducted and information leaflet was given to the participants. Knowledge of chemoprevention significantly improved after the EI across all health literacy levels and was mostly maintained one and four weeks later (Friedman’s test (Post hoc Conover), P<0.001). One week after the EI 45% of participants had positive attitude towards chemoprevention in comparison to 17% of them at the baseline survey (Marginal Homogeneity Test, P<0.001). Similarly, four weeks after the EI 47% of women expressed positive attitudes. At baseline survey, immediately and one week after the EI participants had mostly neutral chemoprevention attitude, while later, at four weeks post EI positive attitude was dominant (Marginal Homogeneity Test ; McNemar-Bowker Test). Conclusion: The EI significantly improved knowledge about BC and chemoprevention and it shifted the attitude towards more positive. This effect was sustained at 4 weeks after the intervention.

breast cancer risk ; beliefs about medicines ; chemoprevention ; educational intervention ; health literacy

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