Evaluation of Breast Health Promotion Intervention Among Catholic Nuns in Lake Zone 'Tanzania.

IF 1.3 Q4 ONCOLOGY
Gotfrida Marandu, Kija Malale, Rose Laisser, Joseph Mwanga, Paul Alikado Sabuni, P. Rambau
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Abstract

Objective Despite facing unique barriers, Catholic nuns in Tanzania require accessible breast health promotion. This study explores interventions to empower nuns through knowledge, improved attitudes, and positive practices, ultimately promoting well-being and early detection for better breast cancer outcomes. Materials and Methods A quasi-experimental design study guided by the Health Belief Model was conducted to monitor the implementation of a breast health intervention program aimed at increasing breast cancer screening knowledge among 385 Catholic nuns aged 20 to over 60 years old within Lake Zone, Tanzania. Data were collected at two-time points: pre-intervention (baseline) and implementation phase intervention (after three months). The intervention consisted of a 2-hour educational session. Participants had opportunities to ask questions and provide feedback. Results The breast health promotion intervention was well-received by Catholic nuns, with 339 (88%) expressing strong motivation to learn and promote awareness. The training effectively increased knowledge and positive attitudes towards breast cancer screening. Researcher assistants successfully delivered the program, and 354 (92%) of participants expressed interest in continued education and support. The intervention addressed cultural barriers and empowered nuns to take charge of their health, though some challenges remain meanwhile 158 (41%) had limited prior knowledge, 81 (21%) hesitated to discuss breast health due to religious beliefs, and some faced difficulty applying the learnings. Conclusion Overall, the breast health promotion intervention had a positive outcome on the Catholic nuns' awareness and knowledge of breast health. However, addressing the identified barriers and challenges is crucial to further enhance the intervention's effectiveness and sustainability.
坦桑尼亚湖区天主教修女乳房健康促进干预评估。
尽管面临独特的障碍,坦桑尼亚的天主教修女仍需要获得乳房健康促进服务。本研究探讨了通过知识、改善态度和积极实践来增强修女能力的干预措施,最终促进她们的健康和早期发现,从而改善乳腺癌的治疗效果。材料与方法在健康信念模型的指导下开展了一项准实验设计研究,以监测乳房健康干预计划的实施情况,该计划旨在提高坦桑尼亚湖区 385 名年龄在 20 岁至 60 岁以上的天主教修女的乳腺癌筛查知识。数据在两个时间点收集:干预前(基线)和干预实施阶段(三个月后)。干预包括 2 小时的教育课程。结果乳房健康促进干预受到了天主教修女们的欢迎,339 名修女(88%)表达了强烈的学习动机和促进意识。培训有效地提高了对乳腺癌筛查的认识和积极态度。研究人员助理成功实施了该计划,354 名参与者(92%)表示有兴趣继续接受教育和支持。这项干预措施消除了文化障碍,增强了修女对自身健康负责的能力,但仍存在一些挑战:158 名修女(41%)的先前知识有限,81 名修女(21%)因宗教信仰而在讨论乳房健康问题时犹豫不决,还有一些修女在应用所学知识时遇到困难。然而,解决已发现的障碍和挑战对于进一步提高干预的有效性和可持续性至关重要。
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