{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T15:28:08Z","timestamp":1772206088991,"version":"3.50.1"},"reference-count":75,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":297,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007249","name":"University of Minnesota","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007249","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Breast Cancer"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> Early detection through screening could improve breast cancer (BC) outcomes in sub\u2010Saharan Africa (SSA). We explored women\u2019s preferences for BC\u2010related mobile health text messaging, described the development of a mobile\u2010health text messaging platform, and examined the enablers and barriers to BC screening.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A concurrent mixed\u2010method study of women aged 40\u201359 years was conducted. Four essential actions were carried out: (i) a baseline survey of 130 women, (ii) five focus group discussions (FGDs), (iii) a stakeholder meeting with BC research and clinical treatment specialists, and (iv) text message pretesting. The survey and FGD findings were used to create a culturally appropriate SMS platform for BC screening.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Thirty\u2010five text messages were developed and evaluated with the following communication goals in mind: 15 addressed BC awareness, six emphasized the importance of early detection, five alleviated anxieties as a barrier to BC screening, seven encouraged women to prioritize their health, and three indicated screening locations and costs. The majority (92.6%) of survey respondents who had heard of mammography (54\/130) said screening was necessary. Fear of the screening procedure, receiving a positive diagnosis, and other testing\u2010related worries (40.7%) were identified as potential barriers to BC screening, along with low income (18.5%), a lack of BC\u2010related indicators (9.3%), insufficient breast awareness education (9.3%), and time restrictions (7.4%). The presence of BC\u2010related symptoms (27.8%), breast awareness education (24.1%), and doctor\u2019s advice (16.7%) were all potential facilitators of BC screening uptake. The majority of FGD participants favored brief texts, with 42.3% preferring one text message per day.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Several factors limit women from accessing BC screening services; nevertheless, specific barriers such as a lack of BC education, time constraints, and disease fears can be successfully targeted through SMS messaging interventions to encourage women to use BC screening programs.<\/jats:p>","DOI":"10.1155\/2024\/5587515","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T14:49:02Z","timestamp":1729781342000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of a Culturally Appropriate Text Messaging Platform for Improving Breast Cancer Screening Uptake Among Ghanaian Women in Metropolitan Areas"],"prefix":"10.1155","volume":"2024","author":[{"given":"Ransford Paul Selasi","family":"Sefenu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8852-7189","authenticated-orcid":false,"given":"Adolphina Addoley","family":"Addo-Lartey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0069-3241","authenticated-orcid":false,"given":"Harriet Affran","family":"Bonful","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7958-076X","authenticated-orcid":false,"given":"Adanna","family":"Nwameme","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy Agandah","family":"Abagre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-4514","authenticated-orcid":false,"given":"Adolf Kofi","family":"Awua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8417-8161","authenticated-orcid":false,"given":"Kofi","family":"Agyabeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwabena Oteng","family":"Birimpong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0787-1637","authenticated-orcid":false,"given":"Nii Armah","family":"Adu-Aryee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6806-9256","authenticated-orcid":false,"given":"Florence","family":"Dedey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard Mawuena Kofi","family":"Adanu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kolawole Stephen","family":"Okuyemi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_14_2_2","volume-title":"Breast Cancer: WHO Fact Sheets","author":"WHO","year":"2021"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13174287"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-020-05679-2"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100985"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21262"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.2139\/ssrn.3486109"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0243551"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-11825-6"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.4236\/oalib.1102145"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70179-7"},{"key":"e_1_2_14_12_2","first-page":"36","article-title":"Context-relevant guidelines in cancer care: breast cancer early detection, diagnosis, and treatment in low and middle income countries","volume":"16","author":"Anderson B. 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