The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial
Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that...
Gespeichert in:
| Veröffentlicht in: | PloS one 2023-10, Vol.18 (10), p.e0288437-e0288437 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0288437 |
|---|---|
| container_issue | 10 |
| container_start_page | e0288437 |
| container_title | PloS one |
| container_volume | 18 |
| creator | Schliemann, Désirée Jamil, Aminatul Saadiah Abdul Mohan, Devi Tan, Min Min Cardwell, Christopher R Ismail, Roshidi Taib, Nur Aishah Su, Tin Tin Donnelly, Michael |
| description | Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that used mHealth and community health workers to educate women about BC screening and navigate them to clinical breast examination (CBE) services in the context of the COVID-19 pandemic.
Women aged 40-74 years, from Segamat, Malaysia, with a mobile phone number, who participated in the South East Asian Community Observatory health survey, (2018) were randomized to an intervention (IG) or comparison group (CG). The IG received a multi-component mHealth intervention, i.e. information about BC was provided through a website, and telephone calls and text messages from community health workers (CHWs) were used to raise BC awareness and navigate women to CBE services. The CG received no intervention other than the usual option to access opportunistic screening. Regression analyses were conducted to investigate between-group differences over time in uptake of screening and variable influences on CBE screening participation.
We recruited 483 women in total; 122/225 from the IG and 144/258 from the CG completed the baseline and follow-up survey. Uptake of CBE by the IG was 45.8% (103/225) whilst 3.5% (5/144) of women from the CG who completed the follow-up survey reported that they attended a CBE during the study period (adjusted OR 37.21, 95% CI 14.13; 98.00, p |
| doi_str_mv | 10.1371/journal.pone.0288437 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2873244416</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A767847114</galeid><doaj_id>oai_doaj_org_article_a2985192937d4b6684bca97da09c20b4</doaj_id><sourcerecordid>A767847114</sourcerecordid><originalsourceid>FETCH-LOGICAL-c642t-db4de8258bba8eb6cbc971ff3930d1059752fa1ae7be4deeeb34bf41ca00b3683</originalsourceid><addsrcrecordid>eNqNk99qFDEUxgdRbK2-gWigIAruOpNk5483UoraQqVgq7fhJHNmNzWTrElmaR_OdzOzuy1d6YXkYpLM7_tOzklOlr0s8mnBquLDlRu8BTNdOovTnNY1Z9WjbL9oGJ2UNGeP7833smchXOX5jNVl-TTbY1XVlHXO9rM_lwskLa7QuGWPNhKwLcEVmAGidpa4jgDpTxBMXLwnyvX9YHW8IdgOakOMAgsrPd8stY3oV8lpXERHdL_0boVEGW21AkOkRwiR4DX02m40wzLCL0xScoFz6CGSb2DgJmj4SI6ITxFcrwO2Kb6N3hmTptFrMM-zJx2YgC-234Psx5fPl8cnk7Pzr6fHR2cTVXIaJ63kLdZ0VksJNcpSSdVURdexhuVtkc-aakY7KAAriYlElIzLjhcK8lyysmYH2euN79K4ILaVD4LWFaOc86JMxOmGaB1ciaXXPfgb4UCL9YbzcwE-amVQAG3qWdHQhlUtl2VZc6mgqVrIG0VzyZPXp220QfbYqlRMD2bHdPeP1QsxdyuRUpkxSmlyeLt18O73gCGKVD-FxoBFN6wPzmmZxoge_oM-nN6WmkPKQNvOpcBqNBVHVVnVvCqK8eDTB6g0Wux1ujvsdNrfEbzbEYz3i9dxDkMI4vTi-_-z5z932Tf32MX69QZnhvG1hV2Qb0DlXQgeu7sqF7kY2-y2GmJsM7FtsyR7df-G7kS3fcX-AmIcJ7o</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2873244416</pqid></control><display><type>article</type><title>The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Schliemann, Désirée ; Jamil, Aminatul Saadiah Abdul ; Mohan, Devi ; Tan, Min Min ; Cardwell, Christopher R ; Ismail, Roshidi ; Taib, Nur Aishah ; Su, Tin Tin ; Donnelly, Michael</creator><contributor>Gizaw, Abraham Tamirat</contributor><creatorcontrib>Schliemann, Désirée ; Jamil, Aminatul Saadiah Abdul ; Mohan, Devi ; Tan, Min Min ; Cardwell, Christopher R ; Ismail, Roshidi ; Taib, Nur Aishah ; Su, Tin Tin ; Donnelly, Michael ; Gizaw, Abraham Tamirat</creatorcontrib><description>Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that used mHealth and community health workers to educate women about BC screening and navigate them to clinical breast examination (CBE) services in the context of the COVID-19 pandemic.
Women aged 40-74 years, from Segamat, Malaysia, with a mobile phone number, who participated in the South East Asian Community Observatory health survey, (2018) were randomized to an intervention (IG) or comparison group (CG). The IG received a multi-component mHealth intervention, i.e. information about BC was provided through a website, and telephone calls and text messages from community health workers (CHWs) were used to raise BC awareness and navigate women to CBE services. The CG received no intervention other than the usual option to access opportunistic screening. Regression analyses were conducted to investigate between-group differences over time in uptake of screening and variable influences on CBE screening participation.
We recruited 483 women in total; 122/225 from the IG and 144/258 from the CG completed the baseline and follow-up survey. Uptake of CBE by the IG was 45.8% (103/225) whilst 3.5% (5/144) of women from the CG who completed the follow-up survey reported that they attended a CBE during the study period (adjusted OR 37.21, 95% CI 14.13; 98.00, p<0.001). All IG women with a positive CBE attended a follow-up mammogram (11/11). Attendance by IG women was lower among women with a household income ≥RM 4,850 (adjusted OR 0.48, 95% CI 0.20; 0.95, p = 0.038) compared to participants with a household income <RM 4,850.
The results suggested that the bespoke multicomponent mHealth intervention may be used to address the significant public health problem of low uptake of BC screening in rural Malaysia.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0288437</identifier><identifier>PMID: 37796803</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Breast cancer ; Breast Neoplasms - epidemiology ; Cancer ; Care and treatment ; Cell phones ; Cellular telephones ; Community health aides ; Community health care ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - epidemiology ; Data collection ; Diagnosis ; Education ; Evaluation ; Female ; Health aspects ; Health Education ; Health services ; Humans ; Immunoglobulins ; Intervention ; Malaysia ; Mammography ; Medical care ; Medical personnel ; Medical prognosis ; Medical screening ; Medicine and Health Sciences ; Minority & ethnic groups ; Mortality ; Pandemics ; People and Places ; Public health ; Quality management ; Regression analysis ; Research and Analysis Methods ; Rural areas ; Rural communities ; Short message service ; Surveys ; Telemedicine ; Women ; Womens health</subject><ispartof>PloS one, 2023-10, Vol.18 (10), p.e0288437-e0288437</ispartof><rights>Copyright: © 2023 Schliemann et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Schliemann et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Schliemann et al 2023 Schliemann et al</rights><rights>2023 Schliemann et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c642t-db4de8258bba8eb6cbc971ff3930d1059752fa1ae7be4deeeb34bf41ca00b3683</cites><orcidid>0000-0002-5965-9171 ; 0000-0002-8746-3002</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553222/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553222/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23868,27926,27927,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37796803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gizaw, Abraham Tamirat</contributor><creatorcontrib>Schliemann, Désirée</creatorcontrib><creatorcontrib>Jamil, Aminatul Saadiah Abdul</creatorcontrib><creatorcontrib>Mohan, Devi</creatorcontrib><creatorcontrib>Tan, Min Min</creatorcontrib><creatorcontrib>Cardwell, Christopher R</creatorcontrib><creatorcontrib>Ismail, Roshidi</creatorcontrib><creatorcontrib>Taib, Nur Aishah</creatorcontrib><creatorcontrib>Su, Tin Tin</creatorcontrib><creatorcontrib>Donnelly, Michael</creatorcontrib><title>The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that used mHealth and community health workers to educate women about BC screening and navigate them to clinical breast examination (CBE) services in the context of the COVID-19 pandemic.
Women aged 40-74 years, from Segamat, Malaysia, with a mobile phone number, who participated in the South East Asian Community Observatory health survey, (2018) were randomized to an intervention (IG) or comparison group (CG). The IG received a multi-component mHealth intervention, i.e. information about BC was provided through a website, and telephone calls and text messages from community health workers (CHWs) were used to raise BC awareness and navigate women to CBE services. The CG received no intervention other than the usual option to access opportunistic screening. Regression analyses were conducted to investigate between-group differences over time in uptake of screening and variable influences on CBE screening participation.
We recruited 483 women in total; 122/225 from the IG and 144/258 from the CG completed the baseline and follow-up survey. Uptake of CBE by the IG was 45.8% (103/225) whilst 3.5% (5/144) of women from the CG who completed the follow-up survey reported that they attended a CBE during the study period (adjusted OR 37.21, 95% CI 14.13; 98.00, p<0.001). All IG women with a positive CBE attended a follow-up mammogram (11/11). Attendance by IG women was lower among women with a household income ≥RM 4,850 (adjusted OR 0.48, 95% CI 0.20; 0.95, p = 0.038) compared to participants with a household income <RM 4,850.
The results suggested that the bespoke multicomponent mHealth intervention may be used to address the significant public health problem of low uptake of BC screening in rural Malaysia.</description><subject>Breast cancer</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Cell phones</subject><subject>Cellular telephones</subject><subject>Community health aides</subject><subject>Community health care</subject><subject>COVID-19</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - epidemiology</subject><subject>Data collection</subject><subject>Diagnosis</subject><subject>Education</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Education</subject><subject>Health services</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Intervention</subject><subject>Malaysia</subject><subject>Mammography</subject><subject>Medical care</subject><subject>Medical personnel</subject><subject>Medical prognosis</subject><subject>Medical screening</subject><subject>Medicine and Health Sciences</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Pandemics</subject><subject>People and Places</subject><subject>Public health</subject><subject>Quality management</subject><subject>Regression analysis</subject><subject>Research and Analysis Methods</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Short message service</subject><subject>Surveys</subject><subject>Telemedicine</subject><subject>Women</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99qFDEUxgdRbK2-gWigIAruOpNk5483UoraQqVgq7fhJHNmNzWTrElmaR_OdzOzuy1d6YXkYpLM7_tOzklOlr0s8mnBquLDlRu8BTNdOovTnNY1Z9WjbL9oGJ2UNGeP7833smchXOX5jNVl-TTbY1XVlHXO9rM_lwskLa7QuGWPNhKwLcEVmAGidpa4jgDpTxBMXLwnyvX9YHW8IdgOakOMAgsrPd8stY3oV8lpXERHdL_0boVEGW21AkOkRwiR4DX02m40wzLCL0xScoFz6CGSb2DgJmj4SI6ITxFcrwO2Kb6N3hmTptFrMM-zJx2YgC-234Psx5fPl8cnk7Pzr6fHR2cTVXIaJ63kLdZ0VksJNcpSSdVURdexhuVtkc-aakY7KAAriYlElIzLjhcK8lyysmYH2euN79K4ILaVD4LWFaOc86JMxOmGaB1ciaXXPfgb4UCL9YbzcwE-amVQAG3qWdHQhlUtl2VZc6mgqVrIG0VzyZPXp220QfbYqlRMD2bHdPeP1QsxdyuRUpkxSmlyeLt18O73gCGKVD-FxoBFN6wPzmmZxoge_oM-nN6WmkPKQNvOpcBqNBVHVVnVvCqK8eDTB6g0Wux1ujvsdNrfEbzbEYz3i9dxDkMI4vTi-_-z5z932Tf32MX69QZnhvG1hV2Qb0DlXQgeu7sqF7kY2-y2GmJsM7FtsyR7df-G7kS3fcX-AmIcJ7o</recordid><startdate>20231005</startdate><enddate>20231005</enddate><creator>Schliemann, Désirée</creator><creator>Jamil, Aminatul Saadiah Abdul</creator><creator>Mohan, Devi</creator><creator>Tan, Min Min</creator><creator>Cardwell, Christopher R</creator><creator>Ismail, Roshidi</creator><creator>Taib, Nur Aishah</creator><creator>Su, Tin Tin</creator><creator>Donnelly, Michael</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5965-9171</orcidid><orcidid>https://orcid.org/0000-0002-8746-3002</orcidid></search><sort><creationdate>20231005</creationdate><title>The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial</title><author>Schliemann, Désirée ; Jamil, Aminatul Saadiah Abdul ; Mohan, Devi ; Tan, Min Min ; Cardwell, Christopher R ; Ismail, Roshidi ; Taib, Nur Aishah ; Su, Tin Tin ; Donnelly, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-db4de8258bba8eb6cbc971ff3930d1059752fa1ae7be4deeeb34bf41ca00b3683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast cancer</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Cell phones</topic><topic>Cellular telephones</topic><topic>Community health aides</topic><topic>Community health care</topic><topic>COVID-19</topic><topic>COVID-19 - diagnosis</topic><topic>COVID-19 - epidemiology</topic><topic>Data collection</topic><topic>Diagnosis</topic><topic>Education</topic><topic>Evaluation</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Education</topic><topic>Health services</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Intervention</topic><topic>Malaysia</topic><topic>Mammography</topic><topic>Medical care</topic><topic>Medical personnel</topic><topic>Medical prognosis</topic><topic>Medical screening</topic><topic>Medicine and Health Sciences</topic><topic>Minority & ethnic groups</topic><topic>Mortality</topic><topic>Pandemics</topic><topic>People and Places</topic><topic>Public health</topic><topic>Quality management</topic><topic>Regression analysis</topic><topic>Research and Analysis Methods</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>Short message service</topic><topic>Surveys</topic><topic>Telemedicine</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schliemann, Désirée</creatorcontrib><creatorcontrib>Jamil, Aminatul Saadiah Abdul</creatorcontrib><creatorcontrib>Mohan, Devi</creatorcontrib><creatorcontrib>Tan, Min Min</creatorcontrib><creatorcontrib>Cardwell, Christopher R</creatorcontrib><creatorcontrib>Ismail, Roshidi</creatorcontrib><creatorcontrib>Taib, Nur Aishah</creatorcontrib><creatorcontrib>Su, Tin Tin</creatorcontrib><creatorcontrib>Donnelly, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schliemann, Désirée</au><au>Jamil, Aminatul Saadiah Abdul</au><au>Mohan, Devi</au><au>Tan, Min Min</au><au>Cardwell, Christopher R</au><au>Ismail, Roshidi</au><au>Taib, Nur Aishah</au><au>Su, Tin Tin</au><au>Donnelly, Michael</au><au>Gizaw, Abraham Tamirat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-10-05</date><risdate>2023</risdate><volume>18</volume><issue>10</issue><spage>e0288437</spage><epage>e0288437</epage><pages>e0288437-e0288437</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that used mHealth and community health workers to educate women about BC screening and navigate them to clinical breast examination (CBE) services in the context of the COVID-19 pandemic.
Women aged 40-74 years, from Segamat, Malaysia, with a mobile phone number, who participated in the South East Asian Community Observatory health survey, (2018) were randomized to an intervention (IG) or comparison group (CG). The IG received a multi-component mHealth intervention, i.e. information about BC was provided through a website, and telephone calls and text messages from community health workers (CHWs) were used to raise BC awareness and navigate women to CBE services. The CG received no intervention other than the usual option to access opportunistic screening. Regression analyses were conducted to investigate between-group differences over time in uptake of screening and variable influences on CBE screening participation.
We recruited 483 women in total; 122/225 from the IG and 144/258 from the CG completed the baseline and follow-up survey. Uptake of CBE by the IG was 45.8% (103/225) whilst 3.5% (5/144) of women from the CG who completed the follow-up survey reported that they attended a CBE during the study period (adjusted OR 37.21, 95% CI 14.13; 98.00, p<0.001). All IG women with a positive CBE attended a follow-up mammogram (11/11). Attendance by IG women was lower among women with a household income ≥RM 4,850 (adjusted OR 0.48, 95% CI 0.20; 0.95, p = 0.038) compared to participants with a household income <RM 4,850.
The results suggested that the bespoke multicomponent mHealth intervention may be used to address the significant public health problem of low uptake of BC screening in rural Malaysia.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37796803</pmid><doi>10.1371/journal.pone.0288437</doi><tpages>e0288437</tpages><orcidid>https://orcid.org/0000-0002-5965-9171</orcidid><orcidid>https://orcid.org/0000-0002-8746-3002</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-10, Vol.18 (10), p.e0288437-e0288437 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2873244416 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Breast cancer Breast Neoplasms - epidemiology Cancer Care and treatment Cell phones Cellular telephones Community health aides Community health care COVID-19 COVID-19 - diagnosis COVID-19 - epidemiology Data collection Diagnosis Education Evaluation Female Health aspects Health Education Health services Humans Immunoglobulins Intervention Malaysia Mammography Medical care Medical personnel Medical prognosis Medical screening Medicine and Health Sciences Minority & ethnic groups Mortality Pandemics People and Places Public health Quality management Regression analysis Research and Analysis Methods Rural areas Rural communities Short message service Surveys Telemedicine Women Womens health |
| title | The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T07%3A45%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20development%20and%20evaluation%20of%20a%20mHealth,%20community%20education%20and%20navigation%20intervention%20to%20improve%20clinical%20breast%20examination%20uptake%20in%20Segamat%20Malaysia:%20A%20randomised%20controlled%20trial&rft.jtitle=PloS%20one&rft.au=Schliemann,%20D%C3%A9sir%C3%A9e&rft.date=2023-10-05&rft.volume=18&rft.issue=10&rft.spage=e0288437&rft.epage=e0288437&rft.pages=e0288437-e0288437&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0288437&rft_dat=%3Cgale_plos_%3EA767847114%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2873244416&rft_id=info:pmid/37796803&rft_galeid=A767847114&rft_doaj_id=oai_doaj_org_article_a2985192937d4b6684bca97da09c20b4&rfr_iscdi=true |