Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Sapsis KF[original query] |
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Young women's perceptions regarding communication with healthcare providers about breast cancer, risk, and prevention
Lunsford NB , Sapsis KF , Smither B , Reynolds J , Wilburn B , Fairley T . J Womens Health (Larchmt) 2018 27 (2) 162-170 BACKGROUND: Women younger than 45 years old have lower rates of breast cancer, but higher risk of recurrence and mortality after a cancer diagnosis. African American women are at risk for early onset and increased mortality; Ashkenazi Jewish women are at risk for genetic mutations leading to breast and ovarian cancer. Although younger women are encouraged to talk to doctors about their family history, little is known about these discussions. MATERIALS AND METHODS: In 2015, 167 women aged 18-44 years participated in 20 focus groups segmented by geographic location, age, race/ethnicity, and family history of breast and ovarian cancer. Transcript data were analyzed using NVivo 10 software. RESULTS: Although the majority of women talked to their doctor about breast and ovarian cancer, these conversations were brief and unsatisfying due to a lack of detail. Topics included family history, breast cancer screening, and breast self-examination. Some women with and without family history reported that healthcare providers offered screening and early detection advice based on their inquiries. However, few women took action or changed lifestyle behaviors with the intent to reduce risk as a result of the conversations. CONCLUSIONS: Conversations with young women revealed missed opportunities to: enhance patient-provider communication and increase knowledge about breast cancer screening and surveillance for higher risk patients. Physicians, allied health professionals, and the public health community can better assist women in getting accurate and timely information about breast and ovarian cancer, understanding their family history to determine risk, and increasing healthy behaviors. |
Parental attitudes toward human papillomavirus vaccination: evaluation of an educational intervention, 2008
Kennedy A , Sapsis KF , Stokley S , Curtis CR , Gust D . J Health Commun 2010 16 (3) 1-14 The authors' objectives were to improve human papillomavirus (HPV) vaccine educational materials and to determine whether parents who received those materials had improved attitudes about the vaccine. Pretests were sent to 411 parents of girls 11-18 years of age who had not yet received the HPV vaccine. The authors then randomly assigned 270 respondents to an intervention (educational flyer and posttest) or comparison (posttest only) group. The authors conducted a mixed-method analysis of intervention group feedback on improving the flyer and used paired t tests and analysis of covariance to describe within- and between-group attitude changes. The overall posttest response rate was 76%. Among intervention group respondents (n = 131), 88% had a positive impression of the flyer, and 43% reported that it made them more likely to vaccinate their daughters with HPV vaccine in the future. Parents who received the flyer also showed a statistically significant increase in mean attitude scores regarding perceived HPV vaccine safety and access to HPV vaccine information; mean scores also increased among the comparison group, but the changes were not statistically significant. Educational materials improved HPV vaccine knowledge and attitudes among parents and might have helped motivate some parents to have their daughters vaccinated. |
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