Effectiveness of breast self-examination prompts on oral contraceptive packaging

Daron Gale Ferris, Neville H. Golden, L. Jeannine Petry, Mark S. Litaker, Marcia Nackenson, Lisa D. Woodward

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background. The purpose of this study was to determine if a breast self- examination (BSE) 'prompt' on oral contraceptive pill (OCP) packages would improve the frequency and timing of BSE among women who use OCPs. Methods. Women between 13 and 40 years of age who were initiating, restarting, or continuing use of OCPs completed a baseline survey that assessed health behavior and practices. All received BSE education and then were randomized to take either OCPs with a BSE prompt or regularly packaged OCPs (without BSE prompt) for three cycles. Three months later, subjects completed a follow-up survey that assessed BSE frequency and timing. A telephone survey of randomly selected subjects conducted 6 months after the baseline survey assessed BSE compliance after discontinuation of the prompt. Results. Of the 907 subjects at baseline, 49.3% performed BSE monthly but only 24.5% performed BSE during the correct the correct time of the menstrual cycle. Among subjects who never performed BSE, prior to the study, 40.3% of prompt subjects and 36.4% of the education-only subjects began BSE by the 3-month survey. Among subjects who performed BSE less than once per month at baseline, 50.9% of prompt subjects and 45.5% of education-only subjects increased the frequency of BSEs to a monthly basis by the 3-month survey. More women performed BSE during the correct time of the menstrual cycle at the 3 month follow-up survey (68.1% prompt, 62.2% education only) and 6-month survey (57.4% prompt, 48.9% education only) when compared with the baseline survey (24.7% prompt, 24.1% education only). Ninety-one percent of women in this study expressed a preference for a BSE prompt on OCP packaging. Conclusions. An increased frequency of BSE was observed when women were exposed to an OCP package prompt, particularly for women who at baseline were already partially compliant with performing monthly BSE. A small but significant improvement was observed for correct BSE timing and this effect continued after the prompt was removed, although at a reduced level. The innovative BSE prompt was overwhelmingly well received by women in this study.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalJournal of Family Practice
Volume42
Issue number1
StatePublished - Jan 1 1996

Fingerprint

Breast Self-Examination
Product Packaging
Oral Contraceptives
Education
Menstrual Cycle
Surveys and Questionnaires

Keywords

  • Cancer
  • breast
  • breast self-examination
  • health promotion
  • reminder system

ASJC Scopus subject areas

  • Family Practice

Cite this

Ferris, D. G., Golden, N. H., Petry, L. J., Litaker, M. S., Nackenson, M., & Woodward, L. D. (1996). Effectiveness of breast self-examination prompts on oral contraceptive packaging. Journal of Family Practice, 42(1), 43-48.

Effectiveness of breast self-examination prompts on oral contraceptive packaging. / Ferris, Daron Gale; Golden, Neville H.; Petry, L. Jeannine; Litaker, Mark S.; Nackenson, Marcia; Woodward, Lisa D.

In: Journal of Family Practice, Vol. 42, No. 1, 01.01.1996, p. 43-48.

Research output: Contribution to journalArticle

Ferris, DG, Golden, NH, Petry, LJ, Litaker, MS, Nackenson, M & Woodward, LD 1996, 'Effectiveness of breast self-examination prompts on oral contraceptive packaging', Journal of Family Practice, vol. 42, no. 1, pp. 43-48.
Ferris DG, Golden NH, Petry LJ, Litaker MS, Nackenson M, Woodward LD. Effectiveness of breast self-examination prompts on oral contraceptive packaging. Journal of Family Practice. 1996 Jan 1;42(1):43-48.
Ferris, Daron Gale ; Golden, Neville H. ; Petry, L. Jeannine ; Litaker, Mark S. ; Nackenson, Marcia ; Woodward, Lisa D. / Effectiveness of breast self-examination prompts on oral contraceptive packaging. In: Journal of Family Practice. 1996 ; Vol. 42, No. 1. pp. 43-48.
@article{b899534b720f4355ac0326eca39a52e8,
title = "Effectiveness of breast self-examination prompts on oral contraceptive packaging",
abstract = "Background. The purpose of this study was to determine if a breast self- examination (BSE) 'prompt' on oral contraceptive pill (OCP) packages would improve the frequency and timing of BSE among women who use OCPs. Methods. Women between 13 and 40 years of age who were initiating, restarting, or continuing use of OCPs completed a baseline survey that assessed health behavior and practices. All received BSE education and then were randomized to take either OCPs with a BSE prompt or regularly packaged OCPs (without BSE prompt) for three cycles. Three months later, subjects completed a follow-up survey that assessed BSE frequency and timing. A telephone survey of randomly selected subjects conducted 6 months after the baseline survey assessed BSE compliance after discontinuation of the prompt. Results. Of the 907 subjects at baseline, 49.3{\%} performed BSE monthly but only 24.5{\%} performed BSE during the correct the correct time of the menstrual cycle. Among subjects who never performed BSE, prior to the study, 40.3{\%} of prompt subjects and 36.4{\%} of the education-only subjects began BSE by the 3-month survey. Among subjects who performed BSE less than once per month at baseline, 50.9{\%} of prompt subjects and 45.5{\%} of education-only subjects increased the frequency of BSEs to a monthly basis by the 3-month survey. More women performed BSE during the correct time of the menstrual cycle at the 3 month follow-up survey (68.1{\%} prompt, 62.2{\%} education only) and 6-month survey (57.4{\%} prompt, 48.9{\%} education only) when compared with the baseline survey (24.7{\%} prompt, 24.1{\%} education only). Ninety-one percent of women in this study expressed a preference for a BSE prompt on OCP packaging. Conclusions. An increased frequency of BSE was observed when women were exposed to an OCP package prompt, particularly for women who at baseline were already partially compliant with performing monthly BSE. A small but significant improvement was observed for correct BSE timing and this effect continued after the prompt was removed, although at a reduced level. The innovative BSE prompt was overwhelmingly well received by women in this study.",
keywords = "Cancer, breast, breast self-examination, health promotion, reminder system",
author = "Ferris, {Daron Gale} and Golden, {Neville H.} and Petry, {L. Jeannine} and Litaker, {Mark S.} and Marcia Nackenson and Woodward, {Lisa D.}",
year = "1996",
month = "1",
day = "1",
language = "English (US)",
volume = "42",
pages = "43--48",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "1",

}

TY - JOUR

T1 - Effectiveness of breast self-examination prompts on oral contraceptive packaging

AU - Ferris, Daron Gale

AU - Golden, Neville H.

AU - Petry, L. Jeannine

AU - Litaker, Mark S.

AU - Nackenson, Marcia

AU - Woodward, Lisa D.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Background. The purpose of this study was to determine if a breast self- examination (BSE) 'prompt' on oral contraceptive pill (OCP) packages would improve the frequency and timing of BSE among women who use OCPs. Methods. Women between 13 and 40 years of age who were initiating, restarting, or continuing use of OCPs completed a baseline survey that assessed health behavior and practices. All received BSE education and then were randomized to take either OCPs with a BSE prompt or regularly packaged OCPs (without BSE prompt) for three cycles. Three months later, subjects completed a follow-up survey that assessed BSE frequency and timing. A telephone survey of randomly selected subjects conducted 6 months after the baseline survey assessed BSE compliance after discontinuation of the prompt. Results. Of the 907 subjects at baseline, 49.3% performed BSE monthly but only 24.5% performed BSE during the correct the correct time of the menstrual cycle. Among subjects who never performed BSE, prior to the study, 40.3% of prompt subjects and 36.4% of the education-only subjects began BSE by the 3-month survey. Among subjects who performed BSE less than once per month at baseline, 50.9% of prompt subjects and 45.5% of education-only subjects increased the frequency of BSEs to a monthly basis by the 3-month survey. More women performed BSE during the correct time of the menstrual cycle at the 3 month follow-up survey (68.1% prompt, 62.2% education only) and 6-month survey (57.4% prompt, 48.9% education only) when compared with the baseline survey (24.7% prompt, 24.1% education only). Ninety-one percent of women in this study expressed a preference for a BSE prompt on OCP packaging. Conclusions. An increased frequency of BSE was observed when women were exposed to an OCP package prompt, particularly for women who at baseline were already partially compliant with performing monthly BSE. A small but significant improvement was observed for correct BSE timing and this effect continued after the prompt was removed, although at a reduced level. The innovative BSE prompt was overwhelmingly well received by women in this study.

AB - Background. The purpose of this study was to determine if a breast self- examination (BSE) 'prompt' on oral contraceptive pill (OCP) packages would improve the frequency and timing of BSE among women who use OCPs. Methods. Women between 13 and 40 years of age who were initiating, restarting, or continuing use of OCPs completed a baseline survey that assessed health behavior and practices. All received BSE education and then were randomized to take either OCPs with a BSE prompt or regularly packaged OCPs (without BSE prompt) for three cycles. Three months later, subjects completed a follow-up survey that assessed BSE frequency and timing. A telephone survey of randomly selected subjects conducted 6 months after the baseline survey assessed BSE compliance after discontinuation of the prompt. Results. Of the 907 subjects at baseline, 49.3% performed BSE monthly but only 24.5% performed BSE during the correct the correct time of the menstrual cycle. Among subjects who never performed BSE, prior to the study, 40.3% of prompt subjects and 36.4% of the education-only subjects began BSE by the 3-month survey. Among subjects who performed BSE less than once per month at baseline, 50.9% of prompt subjects and 45.5% of education-only subjects increased the frequency of BSEs to a monthly basis by the 3-month survey. More women performed BSE during the correct time of the menstrual cycle at the 3 month follow-up survey (68.1% prompt, 62.2% education only) and 6-month survey (57.4% prompt, 48.9% education only) when compared with the baseline survey (24.7% prompt, 24.1% education only). Ninety-one percent of women in this study expressed a preference for a BSE prompt on OCP packaging. Conclusions. An increased frequency of BSE was observed when women were exposed to an OCP package prompt, particularly for women who at baseline were already partially compliant with performing monthly BSE. A small but significant improvement was observed for correct BSE timing and this effect continued after the prompt was removed, although at a reduced level. The innovative BSE prompt was overwhelmingly well received by women in this study.

KW - Cancer

KW - breast

KW - breast self-examination

KW - health promotion

KW - reminder system

UR - http://www.scopus.com/inward/record.url?scp=0030070029&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030070029&partnerID=8YFLogxK

M3 - Article

VL - 42

SP - 43

EP - 48

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 1

ER -