xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT06005025</url>
    </required_header>
    <id_info>
      <org_study_id>TU-BOZKUL-003</org_study_id>
      <nct_id>NCT06005025</nct_id>
    </id_info>
    <brief_title>Examination of the Effect of Counselling and Follow-up After Breast Cancer Awareness Training</brief_title>
    <official_title>The Effect of Counselling and Follow-up After Breast Cancer Awareness Training on Early Diagnosis and Healthy Lifestyle Behaviours: 'Reduce Risks, Increase Life Chances'</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Tarsus University</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
      <collaborator>
        <agency>Mersin University</agency>
        <agency_class>Other</agency_class>
      </collaborator>
    </sponsors>
    <source>Tarsus University</source>
    <oversight_info>
      <has_dmc>No</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        The aim of the study was to examine the effect of counselling and follow-up after education&#xD;
        on the risks and prevention methods of breast cancer on early diagnosis behaviours and&#xD;
        healthy lifestyle behaviours. The population of the study will consist of female&#xD;
        administrative staff working at Mersin University. The sample of the study will consist of&#xD;
        160 people. A total of 160 personnel determined by randomisation will be divided into group A&#xD;
        (study) and group B (control) formed by the independent researcher in the computer&#xD;
        environment. All participants will be given a one-hour training on breast cancer and will be&#xD;
        practised with a model as well as a presentation. Group A will be counselled for 6 months&#xD;
        after the training and a reminder message will be sent via SMS on Monday every week as &quot;Check&#xD;
        your modifiable risk factors for breast cancer&quot; and their feedback will be received. In group&#xD;
        B, no additional application will be made except for the training. The data of the study will&#xD;
        be collected before and 6 months after the training by using the Descriptive Characteristics&#xD;
        Form, Breast Cancer Early Diagnosis Behaviours Form, Counselling Form and Healthy Lifestyle&#xD;
        Behaviours Scale II. The data obtained from the study will be analysed in a computer&#xD;
        environment. Number, percentage, mean and standard deviation will be used as descriptive&#xD;
        statistics in the evaluation of the data.&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        The study was a prospective, parallel, two-arm (1:1), randomised controlled experimental&#xD;
        study. The aim of the study was to examine the effect of counselling and follow-up after&#xD;
        education on the risks and prevention methods of breast cancer on early diagnosis behaviours&#xD;
        and healthy lifestyle behaviours. The population of the study will consist of female&#xD;
        administrative staff working at Mersin University. The sample of the study will consist of&#xD;
        160 people with an effect size of 0.23, 80% power maximum 5% type 1 error and drop out rate&#xD;
        of 10%. The sample determined by randomisation A total of 160 personnel in the group will be&#xD;
        divided into group A (study) and group B (control) formed by the independent researcher in&#xD;
        the computer environment. All participants will be given one-hour training on breast cancer,&#xD;
        modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer,&#xD;
        screening programmes and breast self-examination. Group A will be counselled for 6 months&#xD;
        after the training and a reminder message will be sent via SMS on Monday every week as &quot;Check&#xD;
        your Changeable Risk Factors for Breast Cancer&quot; and their feedback will be received. In group&#xD;
        B, no additional application will be made except for the training. The data of the study will&#xD;
        be collected before and 6 months after the training by using the Descriptive Characteristics&#xD;
        Form, Breast Cancer Early Diagnosis Behaviours Form, Counselling Form and Healthy Lifestyle&#xD;
        Behaviours Scale II. The data obtained from the study will be analysed in a computer&#xD;
        environment. Number, percentage, mean and standard deviation will be used as descriptive&#xD;
        statistics in the evaluation of the data.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Recruiting</overall_status>
    <start_date type="Actual">April 1, 2023</start_date>
    <completion_date type="Anticipated">March 1, 2024</completion_date>
    <primary_completion_date type="Anticipated">September 1, 2023</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <intervention_model_description>The study was a prospective, parallel, two-arm (1:1), randomised controlled experimental study.</intervention_model_description>
      <primary_purpose>Supportive Care</primary_purpose>
      <masking>Triple (Participant, Investigator, Outcomes Assessor)</masking>
      <masking_description>Firstly, the names of the personnel will be listed alphabetically. A number will be written opposite each personnel and the number of 160 personnel will be determined from the total number of administrative personnel with high risk level by randomisation generated by an independent researcher in the computer environment. The sequence number of the personnel determined by randomisation will be divided into group A (study) and group B (control) in the computer environment and the information showing that they are assigned to group A and B according to the randomisation table will be placed in an opaque envelope. This envelope will be kept by the coordinator researcher and when the staff is approached for training, it will be learnt which group the staff is in. Since all personnel will be trained, the personnel will be blinded. The data will be computerised by the researcher and a biostatistician independent of the research will blind the groups unknowingly</masking_description>
    </study_design_info>
    <primary_outcome>
      <measure>Behaviours for Early Diagnosis of Breast Cancer</measure>
      <time_frame>6 months</time_frame>
      <description>Breast Cancer Early Diagnosis Behaviours Form: It is a form consisting of 5 questions about the frequency of early diagnosis behaviours such as breast self-examination, clinical breast examination and mammography.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Counselling</measure>
      <time_frame>6 months</time_frame>
      <description>Counselling Form: This is a 5-question form that includes information on the subject consulted, the number of consultations, what was recommended in the consultation, the status of referral to a health institution after the consultation and what the outcome was if referred to a health institution.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Healthy Lifestyle Behaviours</measure>
      <time_frame>6 months</time_frame>
      <description>Healthy Lifestyle Behaviours Scale II; The scale consists of six subscales under the titles of 'health responsibility', 'physical activity', 'nutrition', 'spiritual development', 'interpersonal relationships' and 'stress management'. The higher score obtained from the scale indicates more appropriate lifestyle behaviour.</description>
    </primary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Anticipated">160</enrollment>
    <condition>Breast Cancer</condition>
    <condition>Nurse</condition>
    <condition>Education</condition>
    <condition>Counselling</condition>
    <condition>Follow-up</condition>
    <arm_group>
      <arm_group_label>REMİNDER MESSAGE</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>All participants will be given one-hour training on breast cancer, modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer, screening programmes and breast self-examination. In addition to the presentation, breast self-examination will be applied one-to-one with a breast examination model. This group will be counselled for 6 months after the training and a reminder message will be sent via SMS on Monday every week as &quot;Check your modifiable risk factors for breast cancer&quot; and their feedback will be received.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>CONTROL GROUP</arm_group_label>
      <arm_group_type>No Intervention</arm_group_type>
      <description>All participants will be given one-hour training on breast cancer, modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer, screening programmes and breast self-examination. In addition to the presentation, breast self-examination will be applied one-to-one with a breast examination model. There will be no additional practice outside the training.</description>
    </arm_group>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Reminder message</intervention_name>
      <description>Experimental group will be counselled for 6 months after the training and a reminder message will be sent via SMS on Monday every week as &quot;Check your modifiable risk factors for breast cancer&quot; and their feedback will be received.</description>
      <arm_group_label>REMİNDER MESSAGE</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  35 years and older,&#xD;
  &#xD;
            -  No visual impairment and no physical problems that would prevent breast&#xD;
               self-examination,&#xD;
  &#xD;
            -  Not previously diagnosed with breast cancer,&#xD;
  &#xD;
            -  Accepted to participate in the research,&#xD;
  &#xD;
            -  Female administrative staff working at Mersin University&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  35 and under,&#xD;
  &#xD;
            -  Visually impaired and have a physical problem that would prevent them from performing&#xD;
               breast self-examination,&#xD;
  &#xD;
            -  Previously diagnosed with breast cancer,&#xD;
  &#xD;
            -  Willing did not agree to participate in the research,&#xD;
  &#xD;
            -  Female administrative staff not working at Mersin University&#xD;
        </textblock>
      </criteria>
      <gender>Female</gender>
      <minimum_age>35 Years</minimum_age>
      <maximum_age>N/A</maximum_age>
      <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
    </eligibility>
    <overall_official>
      <last_name>Seher Gürdil Yılmaz, Lecturer Dr.</last_name>
      <role>Principal Investigator</role>
      <affiliation>Mersin University</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Gamze Bozkul, Res. Ass</last_name>
      <role>Principal Investigator</role>
      <affiliation>Tarsus University</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Gülay Altun Uğraş, Assoc.Dr.</last_name>
      <role>Study Director</role>
      <affiliation>Mersin University</affiliation>
    </overall_official>
    <overall_contact>
      <last_name>Gülay Altun UĞRAŞ, Assoc. Dr.</last_name>
      <phone>03243610001</phone>
      <phone_ext>14224</phone_ext>
      <email>gulaltun@mersin.edu.tr</email>
    </overall_contact>
    <location>
      <facility>
        <name>Gamze Bozkul</name>
        <address>
          <city>Mersin</city>
          <zip>33400</zip>
          <country>Turkey</country>
        </address>
      </facility>
      <status>Recruiting</status>
      <contact>
        <last_name>Gamze Bozkul, Res. Ass.</last_name>
        <phone>(0324) 600 00 33</phone>
        <email>gamze.bozkul@gmail.com</email>
      </contact>
      <investigator>
        <last_name>Seher Gürdil Yılmaz, Lecturer Dr.</last_name>
        <role>Principal Investigator</role>
      </investigator>
      <investigator>
        <last_name>Gülay Altun Uğraş, Assoc. Dr.</last_name>
        <role>Principal Investigator</role>
      </investigator>
    </location>
    <location_countries>
      <country>Turkey</country>
    </location_countries>
    <reference>
      <citation>Guo W, Fensom GK, Reeves GK, Key TJ. Physical activity and breast cancer risk: results from the UK Biobank prospective cohort. Br J Cancer. 2020 Mar;122(5):726-732. doi: 10.1038/s41416-019-0700-6. Epub 2020 Jan 10.</citation>
      <PMID>31919405</PMID>
    </reference>
    <reference>
      <citation>Gui Y, Pan Q, Chen X, Xu S, Luo X, Chen L. The association between obesity related adipokines and risk of breast cancer: a meta-analysis. Oncotarget. 2017 May 13;8(43):75389-75399. doi: 10.18632/oncotarget.17853. eCollection 2017 Sep 26.</citation>
      <PMID>29088874</PMID>
    </reference>
    <reference>
      <citation>Niehoff NM, Nichols HB, Zhao S, White AJ, Sandler DP. Adult Physical Activity and Breast Cancer Risk in Women with a Family History of Breast Cancer. Cancer Epidemiol Biomarkers Prev. 2019 Jan;28(1):51-58. doi: 10.1158/1055-9965.EPI-18-0674. Epub 2018 Oct 17.</citation>
      <PMID>30333218</PMID>
    </reference>
    <reference>
      <citation>De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients. 2019 Jul 3;11(7):1514. doi: 10.3390/nu11071514.</citation>
      <PMID>31277273</PMID>
    </reference>
    <reference>
      <citation>Skouroliakou M, Grosomanidis D, Massara P, Kostara C, Papandreou P, Ntountaniotis D, Xepapadakis G. Serum antioxidant capacity, biochemical profile and body composition of breast cancer survivors in a randomized Mediterranean dietary intervention study. Eur J Nutr. 2018 Sep;57(6):2133-2145. doi: 10.1007/s00394-017-1489-9. Epub 2017 Jun 20.</citation>
      <PMID>28634625</PMID>
    </reference>
    <reference>
      <citation>Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81.</citation>
      <PMID>3644262</PMID>
    </reference>
    <reference>
      <citation>Sonkaya Z.İ, Günay O. The impact of education given to obese and preobese university students according to the health promotion model on nutrition and physical activities. Cukurova Medical Journal. 2020;45(3):795-806.</citation>
    </reference>
    <reference>
      <citation>Global Cancer Observatory. https://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf , Erişim</citation>
    </reference>
    <reference>
      <citation>Promoting Cancer Early Diagnosis. https://www.who.int/activities/promoting-cancer-early-diagnosis</citation>
    </reference>
    <reference>
      <citation>Dell, D. (2020). Breast disorders. In: M.M. Harding, J. Kwong, D. Roberts, D. Hagler, C. Reinisch (Eds.) Lewis's Medical Surcigal Nursing Assesment and Management of Clinical Problems. (11th ed). St. Louis Missouri: Elsevier;1190-1211.</citation>
    </reference>
    <reference>
      <citation>Ozmen V. Breast Cancer in Turkey: Clinical and Histopathological Characteristics (Analysis of 13.240 Patients). J Breast Health. 2014 Apr 1;10(2):98-105. doi: 10.5152/tjbh.2014.1988. eCollection 2014 Apr.</citation>
      <PMID>28331652</PMID>
    </reference>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>August 8, 2023</study_first_submitted>
    <study_first_submitted_qc>August 14, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 22, 2023</study_first_posted>
    <last_update_submitted>August 25, 2023</last_update_submitted>
    <last_update_submitted_qc>August 25, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 29, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Principal Investigator</responsible_party_type>
      <investigator_affiliation>Tarsus University</investigator_affiliation>
      <investigator_full_name>Gamze BOZKUL</investigator_full_name>
      <investigator_title>Principal Investigator (Research Assistant)</investigator_title>
    </responsible_party>
    <condition_browse>
      <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
      <mesh_term>Breast Neoplasms</mesh_term>
    </condition_browse>
    <patient_data>
      <sharing_ipd>No</sharing_ipd>
    </patient_data>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT06005025
  org study id: TU-BOZKUL-003
  nct id: NCT06005025
  lead sponsor: 
  collaborator: 
  has dmc: No
  is fda regulated drug: No
  is fda regulated device: No
  The aim of the study was to examine the effect of counselling and follow-up after education
        on the risks and prevention methods of breast cancer on early diagnosis behaviours and
        healthy lifestyle behaviours. The population of the study will consist of female
        administrative staff working at Mersin University. The sample of the study will consist of
        160 people. A total of 160 personnel determined by randomisation will be divided into group A
        (study) and group B (control) formed by the independent researcher in the computer
        environment. All participants will be given a one-hour training on breast cancer and will be
        practised with a model as well as a presentation. Group A will be counselled for 6 months
        after the training and a reminder message will be sent via SMS on Monday every week as "Check
        your modifiable risk factors for breast cancer" and their feedback will be received. In group
        B, no additional application will be made except for the training. The data of the study will
        be collected before and 6 months after the training by using the Descriptive Characteristics
        Form, Breast Cancer Early Diagnosis Behaviours Form, Counselling Form and Healthy Lifestyle
        Behaviours Scale II. The data obtained from the study will be analysed in a computer
        environment. Number, percentage, mean and standard deviation will be used as descriptive
        statistics in the evaluation of the data.
  The study was a prospective, parallel, two-arm (1:1), randomised controlled experimental
        study. The aim of the study was to examine the effect of counselling and follow-up after
        education on the risks and prevention methods of breast cancer on early diagnosis behaviours
        and healthy lifestyle behaviours. The population of the study will consist of female
        administrative staff working at Mersin University. The sample of the study will consist of
        160 people with an effect size of 0.23, 80% power maximum 5% type 1 error and drop out rate
        of 10%. The sample determined by randomisation A total of 160 personnel in the group will be
        divided into group A (study) and group B (control) formed by the independent researcher in
        the computer environment. All participants will be given one-hour training on breast cancer,
        modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer,
        screening programmes and breast self-examination. Group A will be counselled for 6 months
        after the training and a reminder message will be sent via SMS on Monday every week as "Check
        your Changeable Risk Factors for Breast Cancer" and their feedback will be received. In group
        B, no additional application will be made except for the training. The data of the study will
        be collected before and 6 months after the training by using the Descriptive Characteristics
        Form, Breast Cancer Early Diagnosis Behaviours Form, Counselling Form and Healthy Lifestyle
        Behaviours Scale II. The data obtained from the study will be analysed in a computer
        environment. Number, percentage, mean and standard deviation will be used as descriptive
        statistics in the evaluation of the data.
  allocation: Randomized
  intervention model: Parallel Assignment
  intervention model description: The study was a prospective, parallel, two-arm (1:1), randomised controlled experimental study.
  primary purpose: Supportive Care
  masking: Triple (Participant, Investigator, Outcomes Assessor)
  masking description: Firstly, the names of the personnel will be listed alphabetically. A number will be written opposite each personnel and the number of 160 personnel will be determined from the total number of administrative personnel with high risk level by randomisation generated by an independent researcher in the computer environment. The sequence number of the personnel determined by randomisation will be divided into group A (study) and group B (control) in the computer environment and the information showing that they are assigned to group A and B according to the randomisation table will be placed in an opaque envelope. This envelope will be kept by the coordinator researcher and when the staff is approached for training, it will be learnt which group the staff is in. Since all personnel will be trained, the personnel will be blinded. The data will be computerised by the researcher and a biostatistician independent of the research will blind the groups unknowingly
  measure: Behaviours for Early Diagnosis of Breast Cancer
  time frame: 6 months
  description: Breast Cancer Early Diagnosis Behaviours Form: It is a form consisting of 5 questions about the frequency of early diagnosis behaviours such as breast self-examination, clinical breast examination and mammography.
  measure: Counselling
  time frame: 6 months
  description: Counselling Form: This is a 5-question form that includes information on the subject consulted, the number of consultations, what was recommended in the consultation, the status of referral to a health institution after the consultation and what the outcome was if referred to a health institution.
  measure: Healthy Lifestyle Behaviours
  time frame: 6 months
  description: Healthy Lifestyle Behaviours Scale II; The scale consists of six subscales under the titles of 'health responsibility', 'physical activity', 'nutrition', 'spiritual development', 'interpersonal relationships' and 'stress management'. The higher score obtained from the scale indicates more appropriate lifestyle behaviour.
  arm group label: REMİNDER MESSAGE
  arm group type: Experimental
  description: All participants will be given one-hour training on breast cancer, modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer, screening programmes and breast self-examination. In addition to the presentation, breast self-examination will be applied one-to-one with a breast examination model. This group will be counselled for 6 months after the training and a reminder message will be sent via SMS on Monday every week as "Check your modifiable risk factors for breast cancer" and their feedback will be received.
  arm group label: CONTROL GROUP
  arm group type: No Intervention
  description: All participants will be given one-hour training on breast cancer, modifiable and non-modifiable risk factors for breast cancer, symptoms of breast cancer, screening programmes and breast self-examination. In addition to the presentation, breast self-examination will be applied one-to-one with a breast examination model. There will be no additional practice outside the training.
  intervention type: Other
  intervention name: Reminder message
  description: Experimental group will be counselled for 6 months after the training and a reminder message will be sent via SMS on Monday every week as "Check your modifiable risk factors for breast cancer" and their feedback will be received.
  arm group label: REMİNDER MESSAGE
  criteria: 
  gender: Female
  minimum age: 35 Years
  maximum age: N/A
  healthy volunteers: Accepts Healthy Volunteers
  last name: Seher Gürdil Yılmaz, Lecturer Dr.
  role: Principal Investigator
  affiliation: Mersin University
  last name: Gamze Bozkul, Res. Ass
  role: Principal Investigator
  affiliation: Tarsus University
  last name: Gülay Altun Uğraş, Assoc.Dr.
  role: Study Director
  affiliation: Mersin University
  last name: Gülay Altun UĞRAŞ, Assoc. Dr.
  phone: 03243610001
  phone ext: 14224
  email: gulaltun@mersin.edu.tr
  facility: 
  status: Recruiting
  contact: 
  investigator: 
  investigator: 
  country: Turkey
  citation: Guo W, Fensom GK, Reeves GK, Key TJ. Physical activity and breast cancer risk: results from the UK Biobank prospective cohort. Br J Cancer. 2020 Mar;122(5):726-732. doi: 10.1038/s41416-019-0700-6. Epub 2020 Jan 10.
  PMID: 31919405
  citation: Gui Y, Pan Q, Chen X, Xu S, Luo X, Chen L. The association between obesity related adipokines and risk of breast cancer: a meta-analysis. Oncotarget. 2017 May 13;8(43):75389-75399. doi: 10.18632/oncotarget.17853. eCollection 2017 Sep 26.
  PMID: 29088874
  citation: Niehoff NM, Nichols HB, Zhao S, White AJ, Sandler DP. Adult Physical Activity and Breast Cancer Risk in Women with a Family History of Breast Cancer. Cancer Epidemiol Biomarkers Prev. 2019 Jan;28(1):51-58. doi: 10.1158/1055-9965.EPI-18-0674. Epub 2018 Oct 17.
  PMID: 30333218
  citation: De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients. 2019 Jul 3;11(7):1514. doi: 10.3390/nu11071514.
  PMID: 31277273
  citation: Skouroliakou M, Grosomanidis D, Massara P, Kostara C, Papandreou P, Ntountaniotis D, Xepapadakis G. Serum antioxidant capacity, biochemical profile and body composition of breast cancer survivors in a randomized Mediterranean dietary intervention study. Eur J Nutr. 2018 Sep;57(6):2133-2145. doi: 10.1007/s00394-017-1489-9. Epub 2017 Jun 20.
  PMID: 28634625
  citation: Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81.
  PMID: 3644262
  citation: Sonkaya Z.İ, Günay O. The impact of education given to obese and preobese university students according to the health promotion model on nutrition and physical activities. Cukurova Medical Journal. 2020;45(3):795-806.
  citation: Global Cancer Observatory. https://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf , Erişim
  citation: Promoting Cancer Early Diagnosis. https://www.who.int/activities/promoting-cancer-early-diagnosis
  citation: Dell, D. (2020). Breast disorders. In: M.M. Harding, J. Kwong, D. Roberts, D. Hagler, C. Reinisch (Eds.) Lewis's Medical Surcigal Nursing Assesment and Management of Clinical Problems. (11th ed). St. Louis Missouri: Elsevier;1190-1211.
  citation: Ozmen V. Breast Cancer in Turkey: Clinical and Histopathological Characteristics (Analysis of 13.240 Patients). J Breast Health. 2014 Apr 1;10(2):98-105. doi: 10.5152/tjbh.2014.1988. eCollection 2014 Apr.
  PMID: 28331652
  responsible party type: Principal Investigator
  investigator affiliation: Tarsus University
  investigator full name: Gamze BOZKUL
  investigator title: Principal Investigator (Research Assistant)
  mesh term: Breast Neoplasms
  sharing ipd: No