A protocol for a cluster-randomized controlled trial of a self-help psycho-education programme to reduce diagnosis delay in women with breast cancer symptoms in Indonesia
| Autor: | Drajat R. Suardi, Sawitri S. Sadarjoen, Marit Sijbrandij, Dharmayanti F. Badudu, Aulia Iskandarsyah, Joke A. M. Hunfeld, Jan Passchier, Hari Setyowibowo |
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| Přispěvatelé: | Psychiatry, Clinical Psychology, APH - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Research design
Cancer Research Pediatrics medicine.medical_specialty Delayed Diagnosis Breast Neoplasms Health Promotion Disease cluster Self-help lcsh:RC254-282 law.invention Time-to-Treatment 03 medical and health sciences Diagnostic Self Evaluation Study Protocol 0302 clinical medicine Breast cancer Randomized controlled trial Quality of life SDG 3 - Good Health and Well-being Surgical oncology law Delay in diagnosis Genetics medicine Humans 030212 general & internal medicine Gynecology Cross-Over Studies Consumer Health Information business.industry Mortality rate Cancer medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens 3. Good health Human Health and Life Sciences Oncology Research Design Indonesia 030220 oncology & carcinogenesis Quality of Life Women's Health Female business Psycho-education |
| Zdroj: | BMC Cancer, Vol 17, Iss 1, Pp 1-8 (2017) BMC Cancer BMC Cancer, 17:284. BioMed Central Ltd. BMC Cancer, 17(1):284, 1-8. BioMed Central Setyowibowo, H, Sijbrandij, M, Iskandarsyah, A, Hunfeld, J A M, Sadarjoen, S S, Badudu, D, Suardi, D R & Passchier, J 2017, ' A protocol for a cluster-randomized controlled trial of a self-help psycho-education programme to reduce diagnosis delay in women with breast cancer symptoms in Indonesia ', BMC Cancer, vol. 17, no. 1, 284, pp. 1-8 . https://doi.org/10.1186/s12885-017-3268-7 |
| ISSN: | 1471-2407 |
| Popis: | Background Breast cancer (BC) is the most frequent cancer occurring in women across the world. Its mortality rate in low-middle income countries (LMICs) is higher than in high-income countries (HICs), and in Indonesia BC is the leading cause of cancer deaths among women. Delay in breast cancer diagnosis negatively impacts cancer prognosis. Only about 30% of patients who come to the hospital to check on their breast abnormalities, continue thorough examination to biopsy to get a diagnosis based on the results of anatomical pathology. Many Indonesian women with breast cancer were already in an advanced stage when starting treatment. Therefore, delay in diagnosis is a serious problem that needs to be addressed. The present study will investigate whether our newly developed self-help psycho-educational programme, “PERANTARA”, for women with breast cancer symptoms is effective to reduce patient diagnosis delay in Indonesia. Methods A cluster-randomized controlled trial will be conducted in 106 patients in four hospitals in Bandung, West Java, Indonesia. Data will be collected at baseline (pre-assessment), 7 days after the intervention (post-assessment), and at 3 months (follow-up assessments). The primary outcome is delay in diagnosis and treatment. Secondary outcomes are breast cancer knowledge, anxiety and depression, and quality of life. Exploratively, adherence with treatment will be measured too. Data will be analysed by hierarchical linear modelling (HLM) to assess differential change over time. Discussion If proven effective, PERANTARA will be evaluated and implemented in a diversity of settings for local cares (such as in POSYANDU, PUSKESMAS) that provide health education/psycho-education for women with breast symptoms. Trial registration ISRCTN12570738. Date: November 19th, 2016. Electronic supplementary material The online version of this article (doi:10.1186/s12885-017-3268-7) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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