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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

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dc.contributor.authorDe´sire´e Schliemanen_US
dc.contributor.authorAminatul Saadiah Abdul Jamilen_US
dc.contributor.authorDevi Mohanen_US
dc.contributor.authorMin Min Tanen_US
dc.contributor.authorChristopher R. Cardwellen_US
dc.contributor.authorRoshidi Ismailen_US
dc.contributor.authorNur Aishah Taiben_US
dc.contributor.authorTin Tin Suen_US
dc.contributor.authorMichael Donnellyen_US
dc.date.accessioned2024-05-29T02:03:27Z
dc.date.available2024-05-29T02:03:27Z
dc.date.issued2023
dc.date.submitted2023-11-9
dc.description.abstractIntroduction 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. Methods 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. Results 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. Conclusion 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.en_US
dc.identifier.citationSchliemann D, Jamil ASA, Mohan D, Tan MM, Cardwell CR, Ismail R, et al. (2023) 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 18(10): e0288437. https://doi.org/ 10.1371/journal.pone.0288437en_US
dc.identifier.doi10.1371/journal.pone.0288437
dc.identifier.epage20
dc.identifier.issn1932-6203
dc.identifier.issue10
dc.identifier.spage1
dc.identifier.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288437
dc.identifier.urihttps://www.scopus.com/record/display.uri?eid=2-s2.0-85173333524&origin=resultslist&sort=plf-f&src=s&sid=d1567b8e4720aea655dd080f7109d50a&sot=b&sdt=b&s=TITLE-ABS-KEY%28The+Development+and+Evaluation+of+A+Mhealth%2C+Community+Education+and+Navigation+Intervention+to+Improve+Clinical+Breast+Examination+Uptake+in+Segamat+Malaysia%29&sl=173&sessionSearchId=d1567b8e4720aea655dd080f7109d50a
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/10258
dc.identifier.volume18
dc.language.isoen_USen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.ispartofPlos Oneen_US
dc.titleThe Development and Evaluation of A Mhealth, Community Education and Navigation Intervention to Improve Clinical Breast Examination Uptake in Segamat Malaysia: A Randomised Controlled Trialen_US
dc.typeArticleen_US
dspace.entity.typePublication

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