Risk Reduction Program for Women Having High Risk of Breast Cancer
Condition: Cancer Screening; Early Detection of Cancer; Breast Cancer; Preventive Health Care; Health Behavior
MeSH terms: Breast Neoplasms
Study type: Interventional

Summary: 
      An intervention program involving education, guidance, counseling, case management and
      surveillance based on the Health Belief Model will be implemented on women with high risk of
      breast cancer. The impact of the breast cancer risk reduction program on participation in
      breast cancer screenings, health beliefs (health motivation, sensitivity, fear of breast
      cancer) and behaviors (physical activity, nutrition, health responsibility, genetic
      counseling) will be evaluated in the study.
    

Detailed description: 
      In women with family history of breast cancer, cancer risk increases at least twice as
      compared to the population of the same age. The aim of this study is to evaluate the impact
      of the intervention program based on the Health Belief Model involving education, guidance,
      counseling, case management and surveillance, on participation in breast cancer screenings,
      health beliefs and behaviors in women with high risk of breast cancer.

      This study protocol describes a randomized controlled trial with parallel group design. First
      degree biological relatives (mother, daughter, sister) of breast cancer patients who are
      diagnosed with breast cancer at or under the age of 50 and who apply to the Oncology
      Department will be randomly assigned to the intervention and control group.

      The content of the Breast Cancer Risk Reduction Program created for the Intervention Group
      was planned according to the Health Belief Model (HBM) theoretical framework. The
      interventions based on HBM were carried out according to the OMAHA nursing interventions
      categories used in the field of Public Health Nursing (training, guidance, counseling, case
      management and surveillance). Breast Cancer Risk Reduction Program (BirCarrePro) is a 12-week
      program that includes six interviews. The first intervention in this group will begin with a
      60-minute face-to-face individual training. After the first face-to-face interview, phone
      calls will be made in the second, third, sixth, ninth, and twelfth weeks. Pre-tests and
      post-tests will be completed by the participants via electronic questionnaires. Follow-up
      questionnaires will be applied by repeating the post-test at the 24th week. In the control
      group, post-test will be applied 12 weeks after the pre-test, and follow-up questionnaires
      will be applied 24 weeks after the pre-test.
    

Intervention name(s): Breast Cancer Risk Reduction Program (BrCaRRP)
Intervention type(s): Behavioral
Intervention description(s): Women in the intervention group will complete the pre-tests electronically, and a 12-week intervention program will be implemented. The first meeting will be face-to-face individual training. In this training session, the risk of developing breast cancer will be calculated with each participant using breast cancer risk assessment tools. Modifiable and non-modifiable factors that increase breast cancer risk will be explained. With the participant, it will be decided which of the modifiable risk factors will be improved. Guidance will be given on topics such as genetic counseling, breast cancer screenings, increasing physical activity, healthy nutrition, weight control, smoking and alcohol use. The interventions will continue with phone calls and the 12-week program will be completed.
Other intervention name(s): İntervention Group (BrCaRRP)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Screening