Shravan Rameshbabu
Research Mentor: Tsu-Yin Wu
Mentor Department: Eastern Michigan University Center for Health Disparities Innovations and Stud, Other
Author(s): Shravan Rameshbabu, Tsu-Yin Wu
Session: Session 5 (2:00 PM – 2:50 PM)
Presentation Type: Poster 82
Abstract
Breast cancer remains a leading cause of mortality among women globally and poses a significant burden in the Philippines. National cancer statistics reported 20,267 new breast cancer cases in a single year, accounting for approximately 33% of all cancers among women, with 7,348 related deaths. More than half of cases are diagnosed at advanced stages, and the absence of a nationwide population-based mammography screening program contributes to delayed detection and poorer outcomes. Limited early detection infrastructure highlights the need for culturally responsive educational initiatives adaptable to diverse community contexts. This study evaluated a culturally tailored breast cancer education training designed for nurses, physicians, and health-affiliated individuals preparing to provide breast cancer education within Asian community settings. Participants completed a 13-item knowledge assessment immediately before and after the training. Of the 20 individuals who completed the pretest, 16 completed both assessments and were included in the paired analyses. Knowledge scores were calculated as the number of correct responses (range 0–13). Changes in scores were assessed using a paired t-test, and effect size was estimated using Cohen’s d. Results demonstrated a statistically significant increase in knowledge following the training. Mean scores improved from 7.88 (SD = 3.18) at pretest to 10.69 (SD = 1.96) at posttest (t(15) = 4.30, p = 0.0005), corresponding to a large effect size (Cohen’s d = 1.10). Qualitative feedback further supported these findings. Participants reported that the training served as a valuable refresher of prior knowledge, improved recognition of breast cancer symptoms and prevention strategies, and increased confidence in teaching self-breast examination (SBE). Many participants indicated that they would apply the information by educating patients, family members, and community groups, as well as incorporating breast health education into outreach efforts such as medical missions and community health teaching. These findings indicate that structured, culturally grounded educational content can substantially improve breast cancer knowledge among health-affiliated participants. Strengthening the capacity of trained health professionals to deliver culturally appropriate education may represent an important strategy for enhancing early detection efforts and addressing disparities in breast cancer outcomes in low-resource settings.
