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.
<h4>Introduction</h4>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 stu...
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2023-01-01
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| author | Désirée Schliemann Aminatul Saadiah Abdul Jamil Devi Mohan Min Min Tan Christopher R Cardwell Roshidi Ismail Nur Aishah Taib Tin Tin Su Michael Donnelly |
| author_facet | Désirée Schliemann Aminatul Saadiah Abdul Jamil Devi Mohan Min Min Tan Christopher R Cardwell Roshidi Ismail Nur Aishah Taib Tin Tin Su Michael Donnelly |
| author_sort | Désirée Schliemann |
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| description | <h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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. |
| format | Article |
| id | doaj-art-a2985192937d4b6684bca97da09c20b4 |
| institution | Kabale University |
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| language | English |
| publishDate | 2023-01-01 |
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| spelling | doaj-art-a2985192937d4b6684bca97da09c20b42025-08-20T03:44:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e028843710.1371/journal.pone.0288437The development and evaluation of a mHealth, community education and navigation intervention to improve clinical breast examination uptake in Segamat Malaysia: A randomised controlled trial.Désirée SchliemannAminatul Saadiah Abdul JamilDevi MohanMin Min TanChristopher R CardwellRoshidi IsmailNur Aishah TaibTin Tin SuMichael Donnelly<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288437&type=printable |
| spellingShingle | Désirée Schliemann Aminatul Saadiah Abdul Jamil Devi Mohan Min Min Tan Christopher R Cardwell Roshidi Ismail Nur Aishah Taib Tin Tin Su Michael Donnelly 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. PLoS ONE |
| 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_full | 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_fullStr | 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_full_unstemmed | 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_short | 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_sort | 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://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288437&type=printable |
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