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Korean J Women Health Nurs > Volume 15(1); 2009 > Article
Korean Journal of Women Health Nursing 2009;15(1):54-63.
DOI: https://doi.org/10.4069/kjwhn.2009.15.1.54   
Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women
Hea Kung Hur, So Mi Park, Chang Hee Kim, Jong Ku Park, Sang Baek Koh, Gi Yon Kim
1Department of Nursing, Yonsei University Wonju College of Medicine, Korea. gykim@yonsei.ac.kr
2Department of Nursing, Hyejeon College, Korea.
3Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Korea.
This study was done to develop an integrated breast health program for prevention and early detection of breast cancer, integrating primary and secondary prevention factors using cognitive-behavioral strategies.
This methodological study conducted as follows; Selection of components for the program through a literature review, survey to identify women's knowledge and risk perception of breast cancer and diet, and building prototype for the program using discussion based on findings. Using structured questionnaires, interviews were done with 130 women aged 40-59 who lived in a rural area.
Primary prevention (diet pattern, knowledge about breast cancer, and risk perception) and secondary prevention (early detection behaviors) factors were identified through the literature review. The survey showed that women lack knowledge and awareness about the risks of breast cancer, and have a low compliance rate for early detection behavior. Based on these results, a program was developed utilizing counseling and models to provide education and practice related to diet, breast cancer, and early detection behaviors.
Use of this integrated and tailored breast health program with women at risk will contribute to better breast health, but further study is needed to verify the effects.
Key Words: Breast neoplasm; Prevention; Program development

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