Evidence map›Paper›PMID 39566941›Full record

ArticleBMJ open2024

Enablers and barriers to the implementation of breast self-examination (BSE) education programmes among adolescent girls in Sub-Saharan Africa (SSA): an integrative systematic review protocol.

Benedictus Atsu Hlormenu, Emmanuel Osei Bonsu, Caleb Boadi, William Dormechele, Mercy Oseiwah Adams, Bright Boatey Bossman, Stephen Kwakye Addo, Isaac Yeboah Addo

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benedictus Atsu HlormenuIndependent Scholar, Ho, Volta Region, Ghana atsub004@gmail.com.ORCID 0009-0002-8871-5934
Emmanuel Osei BonsuDepartment of Epidemiology and Biostatistics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0001-8956-8839
Caleb BoadiDepartment of Operations and Management Information Systems, University of Ghana, Legon, Greater Accra, Ghana.
William DormecheleNavrongo Health Research Centre, Navrongo, Ghana.ORCID 0000-0003-4041-2555
Mercy Oseiwah AdamsAsesewa Government Hospital, Ghana Health Service Council, Asesewa, Ghana.
Bright Boatey BossmanInformation Technology Directorate, Aspire International, Accra, Ghana.
Stephen Kwakye AddoIndependent Scholar, Accra, Ghana.
Isaac Yeboah AddoUniversity of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-8603-8306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is emerging as a leading cause of mortality among women and adolescent girls in Sub-Saharan Africa (SSA). However, there is a lack of clarity on the enablers and barriers associated with the implementation of preventive strategies, such as breast self-examination (BSE), particularly among adolescent girls.

objectiveThis paper presents a protocol for conducting a systematic review aiming to synthesise studies on the enablers and barriers to implementing BSE education programmes among adolescent girls in SSA. METHODS AND ANALYSIS: The systematic review will be conducted from December 2024 to August 2025, following the predefined methodological framework outlined in the PRISMA guidelines. To gather relevant studies, a comprehensive search will be conducted across four main online databases, namely PubMed, Scopus, Cochrane Library and EMBASE, along with other relevant grey literature sources, such as Google Scholar, to identify pertinent literature on this topic. The screening process will involve an initial review of titles and abstracts to quickly identify relevant studies, followed by a thorough assessment of the full-text versions of selected studies. Two reviewers, working independently, will extract data and evaluate the risk of bias in the included studies using either the Joana Briggs Institute's Critical Appraisal tool or Cochrane's Risk of Bias tool V.2 (RoB 2). The focus of the included studies will be on BSE among adolescents aged 10 to 19 years of age. Depending on the results of the literature search and the characteristics of the findings in the selected studies, we will conduct a meta-analysis if possible. Alternatively, a narrative synthesis will be conducted. The review will provide empirical evidence to inform health promoters and policymakers in advocating for BSE, particularly, among adolescent girls in SSA, with the ultimate goal of mitigating the risk of breast cancer. ETHICS AND DISSEMINATION: Since this study is based on the analysis of already published research articles, ethical approval is not required. The results will be disseminated through peer-reviewed academic publications and presentations, informing further research and practice regarding BSE education programmes.

Indexed as

Breast NeoplasmsBreast Self-ExaminationAdolescentAfrica South of the SaharaFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansResearch DesignSystematic Reviews as TopicAdolescentBreast tumoursEducation & Training (see Medical Education & Training)Physical Examination

Identifiers

PMID39566941
PMCPMC11580305

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.