” The Union of Thrace Universities V. International Health Sciences (UTUC 2022) Congress, , Balıkesir, Türkiye, 1 - 02 Aralık 2022, ss.173
Aim: The purpose of this study was to create a study protocol for evaluating the effect of the Breast Cancer Risk Reduction Program (BrCaRRP) on the participation of women at risk in screening, and on their health beliefs and risk reduction behaviors.
Methods: The research was planned as a single site, single-blind randomized controlled experimental study with a parallel group. It was registered on https://clinicaltrials.gov (Trial number: NCT04304404). Participants will be assigned to intervention and control groups using the Stratified Permuted Block Randomization method. The BrCaRRP will be applied to the intervention group within the theoretical framework of the Health Belief Model (HBM) and the Health Promotion Model (HPM). BrCaRRP is a 12-week program that encompasses six meetings, where the first is a face-to-face, 60-minute session, and the others are held by phone at Weeks 2, 3, 6, 9 and 12. The interventions made according to HBM and HPM were categorized in line with the OMAHA system of classification (education, counseling, consultancy, case management and surveillance). Multidisciplinary experts calculated the Content Validity Index of BrCaRRP as being 0.954 (high); its Weighted Kappa statistic is 0.70 (high). The main outcome measures created in line with the hypotheses of the study were measuring participation in breast cancer screenings, sensitivity, health motivation, fear of breast cancer, health responsibility, healthy eating behaviors, monitoring physical action, and appropriate referrals to genetic counseling.
Results: The difference in the likelihood of participation in breast cancer screening between the BrCaRRP and control groups will be evaluated after the interventions. Findings will be presented in terms of our hypotheses.
Conclusions: BrCaRRP is a nurse-led program based on the HBM and the HPM. BrCaRRP has high content validity and inter-rater reliability.
Keywords: Relatives of women with breast cancer, breast cancer screening, health beliefs, health behaviors, genetic counseling.