{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:27:29Z","timestamp":1777663649670,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1983,6,1]],"date-time":"1983-06-01T00:00:00Z","timestamp":423273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Education Quarterly"],"published-print":{"date-parts":[[1983,6]]},"abstract":"<jats:p>Interest in a free breast self-examination (BSE) teaching program offered to a patient population (n=1590) was assessed, and a follow-up survey of refusers undertaken to determine difference between participants and refusers. Fifty-one percent of the known, eligible women patients expressed interest in the program and 24% ultimately had the teaching. Participants differed from refusers most notably in terms of less previous experience with BSE, more family history of cancer, a longer relationship with their physicians, and different health beliefs. They state more confidence in the effectiveness of breast cancer detection and treatment, less fear and embarrassment, and more personal and physician responsibility for health outcomes, as measured by the Health Locus of Control Scales. Self-selection thus seems rationally based on the kind of program and the needs of the women. Such self-selection can be cost- effective in delivering health education to the people most in need of it and most likely to benefit from it.<\/jats:p>","DOI":"10.1177\/109019818301000201","type":"journal-article","created":{"date-parts":[[2007,2,13]],"date-time":"2007-02-13T18:51:22Z","timestamp":1171392682000},"page":"79-94","source":"Crossref","is-referenced-by-count":16,"title":["Who Volunteers for a Breast Self-Examination Program? Evaluating the Bases for Self-Selection"],"prefix":"10.1177","volume":"10","author":[{"given":"Kathleen E.","family":"Grady","sequence":"first","affiliation":[{"name":"Department of Behavioral Sciences and Community Health, University of Connecticut Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Stephen","family":"Kegeles","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Community Health, University of Connecticut Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian K.","family":"Lund","sequence":"additional","affiliation":[{"name":"Insurance Institute for Highway Safety, Watergate 600, Suite 300, Washington, D. C. 20037"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia H.","family":"Wolk","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Community Health, University of Connecticut Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil J.","family":"Farber","sequence":"additional","affiliation":[{"name":"Hahnemann Medical College and Hospital, Division of General Internal Medicine, 230 North Broad Street, Philadelphia, PA 19102"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1983,6,1]]},"reference":[{"key":"atypb1","first-page":"179","volume":"102","author":"Gowen GH","year":"1952","journal-title":"Illinois Med J"},{"key":"atypb2","unstructured":"Bond B.: A study in health education methods Int J Health Edu 1:41-46, 1958."},{"key":"atypb3","unstructured":"Hobbs P.: Evaluation of a teaching programme of breast self-examination Int \/ Health Educ 14:189-195, 1971"},{"key":"atypb4","volume-title":"A study of factors influencing practice of breast self-examination Presented at the Second Annual American Society of Preventive Oncology, 1978","author":"Crosson KE"},{"key":"atypb5","volume-title":"A study of the effectiveness of alternative breast cancer","author":"Lieberman Associates","year":"1977"},{"key":"atypb6","series-title":"The art of empirical investigation In Basic Research Methods in Social Science","year":"1969"},{"key":"atypb7","series-title":"Fundamentals of Clinical Trials","year":"1981"},{"key":"atypb8","unstructured":"Rosenthal R, Rosnow RL (Eds): The volunteer subject. In Artifact in Behavioral Research. New York . Academic Press, 1969, pp 59-118"},{"key":"atypb9","doi-asserted-by":"crossref","unstructured":"Wilhelmsen L. , Ljungberg S., Wedel H., et al: A comparison between participants and non-participants in a primary trial \/ Chronic Dis 29:331-339, 1976.","DOI":"10.1016\/0021-9681(76)90093-X"},{"key":"atypb10","unstructured":"Adams M., Kerner )F.: Evaluation of promotional strategies to solve the problem of underutilization of breast examination\/education center in a New York City black community In C Mettlin and GP Murphy (Eds), Issues in Cancer Screening and Communications. New York: Alan R Liss, 1982, p. 151-161."},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Greenwald P., Nasca PC, Lawrence CE, et al: Estimated effect of breast self-examination and routine physician examinations on breast-cancer mortality. N Engl \/ Med 299(6) 271-273, 1978","DOI":"10.1056\/NEJM197808102990602"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.2307\/4593330"},{"key":"atypb13","unstructured":"Grady KE, Kegeles SS, Lund AK Experimental studies to increase BSE\u2014Preliminary findings In C Mettlin and GP Murphy (Eds), Issues in Cancer Screening and Communications. New York: Alan R Liss Inc , 1982, pp 91-105"},{"key":"atypb14","series-title":"The Health Belief Model and Personal Health Behavior","year":"1974"},{"key":"atypb15","unstructured":"Rosenstock IM Historical origins of the health belief model In MH Becker (Ed), The Health Belief Model and Personal Health Behavior. New Jersey Charles B Slack, Inc , 1974, pp. 1 - 8."},{"key":"atypb16","first-page":"161","volume":"6","author":"Wallston KA","year":"1978","journal-title":"Scales Health Educ Monogr"},{"key":"atypb17","unstructured":"Klecka WR: Discriminant analysis In NH Nie, CH Hull, JG Jenkins, et al (Eds), Statistical Package for the Social Sciences. New York : McGraw-Hill, Inc. 1975. pp 434-467"},{"key":"atypb18","series-title":"Cancer Epidemiology and Prevention","volume-title":"Behavioral dimensions in cancer control","author":"Kegeles, SS","year":"1982"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1007\/BF00846561"}],"container-title":["Health Education Quarterly"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/109019818301000201","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/109019818301000201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:33:10Z","timestamp":1777447990000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/109019818301000201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,6]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1983,6]]}},"alternative-id":["10.1177\/109019818301000201"],"URL":"https:\/\/doi.org\/10.1177\/109019818301000201","relation":{},"ISSN":["0195-8402"],"issn-type":[{"value":"0195-8402","type":"print"}],"subject":[],"published":{"date-parts":[[1983,6]]}}}