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1

&NA;. "TESTICULAR SELF-EXAMINATION." American Journal of Nursing 99, no. 7 (July 1999): 49. http://dx.doi.org/10.1097/00000446-199907000-00036.

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2

Tugwell, Moray. "Testicular self-examination." Primary Health Care 6, no. 5 (May 1988): 18–21. http://dx.doi.org/10.7748/phc.6.5.18.s13.

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3

SANDEMAN, T. F. "Testicular self-examination." Journal of Paediatrics and Child Health 24, no. 1 (February 1988): 3–4. http://dx.doi.org/10.1111/j.1440-1754.1988.tb01323.x.

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4

Rudberg, Lennart, Sten Nilsson, Karin Wikblad, and Marianne Carlsson. "Testicular Cancer and Testicular Self-examination." Cancer Nursing 28, no. 4 (July 2005): 256???262. http://dx.doi.org/10.1097/00002820-200507000-00003.

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5

Fadich, Ana, Salvatore J. Giorgianni, Michael J. Rovito, Gregory A. Pecchia, Jean J. Bonhomme, Wesley B. Adams, Colin L. Stephenson, Felipe E. Mesa-Morales, and Justin Scott Sparkes. "USPSTF Testicular Examination Nomination–Self-Examinations and Examinations in a Clinical Setting." American Journal of Men's Health 12, no. 5 (May 2, 2018): 1510–16. http://dx.doi.org/10.1177/1557988318768597.

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In 2004, the U.S. Preventive Services Task Force (USPSTF) published a Grade D recommendation for both testicular self-examination (TSE) and clinical evaluation to screen for testicular cancer in asymptomatic males. This review committee reaffirmed these recommendations in 2009 and again in 2011 (Testicular Cancer: Screening Release Date: April 2011. Final Update Summary: Testicular Cancer: Screening. U.S. Preventive Services Task Force. September 2016). The 2011 USPSTF review found no significant evidence that would warrant a change from the last full review in 2004. We believe that the USPSTF erred in its assessments. As acknowledged in the task force report, testicular cancer is not believed to be preventable, and treatment of early detected testicular cancer is generally associated with very favorable outcomes; it is our belief therefore that every encouragement should be given to early detection. We are therefore requesting that the USPSTF review the D rating for testicular examination, both in a clinical setting and as self-examination. We are requesting this, as recent studies and public health warrant a change in grade. The new studies build on earlier studies that support the benefits of regular screening by individuals and their physicians. Further, and equally important, we believe that the current grade and attendant information confuses men and boys about the importance of self-care and wellness and continues to inadvertently reinforce negative cultural attitudes. We believe that adjusting the rating to a Grade B is both warranted and necessary.
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6

Cook, Neal. "Testicular cancer: testicular self-examination and screening." British Journal of Nursing 9, no. 6 (March 2000): 338–43. http://dx.doi.org/10.12968/bjon.2000.9.6.6337.

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7

Anderson, John, and Thomas Francis. "Testicular Cancer and Self-Examination." InnovAiT: Education and inspiration for general practice 6, no. 2 (February 2013): 93–102. http://dx.doi.org/10.1093/innovait_ins101.

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8

Peate, Ian. "Testicular cancer and self examination." Practice Nursing 9, no. 9 (May 19, 1998): 28–31. http://dx.doi.org/10.12968/pnur.1998.9.9.28.

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9

Kaya, Eymen. "Testicular cancer and self-examination." InnovAiT: Education and inspiration for general practice 9, no. 11 (September 26, 2016): 663–70. http://dx.doi.org/10.1177/1755738016666570.

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10

Mistry, Rahul. "Tips on - Testicular self examination." BMJ 331, Suppl S6 (December 1, 2005): 0512462a. http://dx.doi.org/10.1136/sbmj.0512462a.

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11

Dhakal, Radha, Samkisha Paudel, and Dipesh Paudel. "Knowledge, Attitude, and Practice regarding Testicular Cancer and Testicular Self-Examination among Male Students Pursuing Bachelor’s Degree in Bharatpur Metropolitan City, Chitwan, Nepal." BioMed Research International 2021 (August 31, 2021): 1–9. http://dx.doi.org/10.1155/2021/1802031.

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Background. Testicular cancer is a malignant tumor of the testicles, the male reproductive organs that produce sperm and testosterone. It is one of the most common cancers in young men. This form of cancer can be easily diagnosed by self-examination of testicles and is curable if detected early. Periodic self-examination must be performed for early detection. Due to lack of knowledge on testicular cancer and testicular self-examination techniques, patients can potentially miss early detection. This study is aimed at assessing the knowledge, attitude, and practice regarding testicular cancer and testicular self-examination among male college students pursuing a Bachelor’s degree. Methods. A web-based cross-sectional analytical study was adopted to assess the knowledge, attitude, and practice of testicular cancer and testicular self-examination among male college students pursuing a Bachelor’s degree and living in Bharatpur Metropolitan City in the Chitwan District of Nepal. The snowball sampling technique was employed to identify the eligible participants. Collected data were entered in SPSS version 22 and analyzed by using the Chi-square test, Pearson’s correlation, and binary logistic regression. Results. Out of 402 respondents, majority (56.7%) had poor knowledge regarding testicular cancer and testicular self-examination and only 11.4% had performed testicular self-examination. The majority (67.2%) of the respondents had shown an unfavorable attitude towards testicular cancer (TC) and testicular self-examination (TSE). There was a significant association between the level of knowledge and marital status 4.516 (1.962-10.397) and ethnicity 2.606 (1.443-4.709). Likewise, age 0.396 (0.191-0.821) and marital status 0.347 (0.156-0.775) have been significantly associated with testicular self-examination practice. Regarding favorable attitude, age 0.362 (0.186-0.706) and sources of information from mass media 2.346 (1.328-4.143) have been associated significantly. Conclusion. The study finding shows that the knowledge on testicular cancer and testicular self-examination was low. Due to lack of knowledge and trainings, the potential opportunities for early detection of testicular cancer are missed substantially. Periodic testicular self-examination is vital for early detection of testicular cancer. Hence, it is crucial to implement massive educational campaigns and trainings on testicular cancer and testicular self-examination techniques among young male groups.
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12

Cook, Rosemary. "Teaching and promoting testicular self-examination." Nursing Standard 14, no. 24 (March 2000): 48–51. http://dx.doi.org/10.7748/ns2000.03.14.24.48.c2774.

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13

Cook, Rosemary. "Teaching and promoting testicular self-examination." Nursing Standard 9, no. 51 (September 13, 1995): 38–43. http://dx.doi.org/10.7748/ns.9.51.38.s39.

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14

Morris, J. K. "Should Testicular Self Examination Be Recommended?" Journal of Medical Screening 3, no. 1 (March 1996): 2. http://dx.doi.org/10.1177/096914139600300102.

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15

Lowson, Paula. "Encouraging testicular self-examination by men." Practice Nursing 16, no. 3 (March 2005): 115–22. http://dx.doi.org/10.12968/pnur.2005.16.3.17647.

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16

Demetriou, Efstratios. "Testicular self-examination and scrotal problems." Current Opinion in Pediatrics 3, no. 4 (August 1991): 580–86. http://dx.doi.org/10.1097/00008480-199108000-00003.

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17

LANDIS, BILLYE J. "HOW TO TEACH TESTICULAR SELF-EXAMINATION." Nursing 15, no. 4 (April 1985): 33. http://dx.doi.org/10.1097/00152193-198504000-00007.

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18

Lugo-Miro, Victor I., David E. Suttle, and Lynda Linker. "Testicular self examination education among adolescents." Journal of Adolescent Health Care 9, no. 3 (May 1988): 265. http://dx.doi.org/10.1016/0197-0070(88)90205-7.

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19

Dason, Shawn, Sarah Beebe, Alicia Scimeca, and Tasha Posid. "Do men want to perform testicular self-examination?" Journal of Clinical Oncology 38, no. 6_suppl (February 20, 2020): 395. http://dx.doi.org/10.1200/jco.2020.38.6_suppl.395.

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395 Background: Early detection of testicular cancer (TC) may reduce the required burden of therapy. The long-term adverse effects of therapy in TC survivors are becoming increasingly recognized. The U.S. Preventive Services Task Force (USPSTF) currently recommends against testicular self-examinations (TSE) for TC screening due to a low incidence and lack of data to support a benefit. Our objective was to better understand the baseline knowledge and practices of men in the general population regarding TC/TSE in an effort to understand whether current screening guidelines reflect their viewpoint. Methods: This was a prospective survey study (51 questions). Participants (N=250; MAge=33 years, IQR: 28-39) were recruited via Amazon Mechanical Turk, a crowdsourcing platform used recruit minimally compensated participants. This platform has been extensively validated in US populations as being concordant with surveys conducted by other methods. Results: Most respondents were white (65.6%), had a college degree (76.4%), and did not work in a medical field (89.6%). Men rated themselves as “somewhat unknowledgeable” about testicular cancer, with no respondents considering themselves “very knowledgeable”. Only 26.4% of men knew that testicular cancer was curable most of the time. Despite 90.8% of men feeling that their doctor had at least some role in discussing TC/TSE, only 17.2% had actually discussed these topics with their doctor. Even after being informed of the rationale behind USPSTF recommendations, only 8% of men thought that potential false positives of TSE would be more important than the rare chance of finding early testicular cancer. Conclusions: Based on the largest survey of American men regarding testicular self-examination since the 2009 USPSTF recommendations, men don’t feel knowledgeable about testicular cancer, have a favorable attitude towards testicular self-examination, and want their doctor to discuss these topics. Shared decision making regarding testicular cancer screening is warranted given the low risk of harm and patient interest.
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20

Aberger, Michael, Bradley Wilson, Jeffrey M. Holzbeierlein, Tomas L. Griebling, and Ajay K. Nangia. "Testicular self‐examination and testicular cancer: a cost‐utility analysis." Cancer Medicine 3, no. 6 (August 8, 2014): 1629–34. http://dx.doi.org/10.1002/cam4.318.

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21

Vallo, Stefan, Jennifer Kloft, Jon Jones, Patricia John, Wael Khoder, Walid Mahmud, and Jens Mani. "Evaluation of Testicular Self Examination and Testicular Partner Examination in Medical versus Non-Medical Students." Current Urology 14, no. 2 (2020): 92–97. http://dx.doi.org/10.1159/000499253.

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Objectives: Although testicular cancer (TC) is the most common tumor in young men in Western countries, there is no official cancer detection/screening program for young men in Germany. The most important TC detection tool is self-examination of the testis. Hypothetically medical students may have a diagnosis lead time and detection superiority. This study was designed to analyze whether medical students have a possible knowledge advantage over students of other faculties concerning TC and to compare male and female cancer screening demeanor and mentality. Methods: Male and female students of various faculties at the Goethe University Frankfurt/Main, Germany were invited to participate in this internet-based anonymous questionnaire with questions about TC awareness/knowledge, testicular (self) examination, and cancer screening behavior. Results: In total 1,049 students (329 medical and 716 non-medical students) completed the questionnaire. In general, medical students had a significantly higher TC knowledge, especially in the more advanced stages of their medical studies (year 3-6). About 50% of medical students had knowledge of TC whereas only 21.3% of non-medical students knew about the disease (p < 0.01). In addition, medical students conducted scrotal examinations more frequently (34.7%) than non-medical students (18.8%). Conclusion: The knowledge about TC is low among students. In general, medical students are more aware of TC and perform more frequent testicular examinations compared to non-medical students. Female TC knowledge rises in the clinical part of studies to the same level as their male counterparts, with the result of more testicular partner examinations.
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22

Brewer, Gayle, Mark Roy, and Joanne Watters. "Testicular Self-Examination in an Adult Community Sample." American Journal of Men's Health 5, no. 1 (April 21, 2010): 57–64. http://dx.doi.org/10.1177/1557988310361520.

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The study investigated the impact of relationship status on participants’ knowledge of testicular cancer and their current and planned testicular self-examination (TSE) behavior. Adult male civil servants ( N = 188) were recruited in the northwest of the United Kingdom (mean age = 33.37 years, SD = 10.77). The survey instrument asked about current and intended TSE practice, knowledge of testicular cancer, as well as attitudes and beliefs toward testicular cancer and self-examination. Factor analysis identified five factors equating to the benefits of TSE, fear, perceived risk, knowledge, and fatality. In logistic regression models, the benefits of TSE, fear, and knowledge significantly predict current TSE behaviors, whereas the benefits of TSE and perceived risk predicted future TSE intentions. Models predicting TSE practice differed according to relationship status. The findings suggest that strategies designed to promote TSE should be sensitive to individual differences in the influences on a person’s motivation to engage in TSE.
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23

Wardach, Isobelle, Aisha Aslam, and Russell D. Keenan. "Single Centre Audit of Testicular Examination Practice in Children with Acute Lymphoblastic Leukaemia." Blood 128, no. 22 (December 2, 2016): 5159. http://dx.doi.org/10.1182/blood.v128.22.5159.5159.

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Abstract Introduction The second commonest site of extramedullary relapse in boys with acute lymphoblastic leukaemia (ALL) is the testes. As therapy stratifications based on minimal residual disease (MRD) reduce marrow relapses, testicular relapses are becoming relatively more frequent. Currently the only strategy to detect testicular relapse is regular clinical and self examination. Based on previous UK protocols timing of testicular relapses, our centre policy is to perform testicular examinations monthly whilst on maintenance treatment and at each clinic visit until 2 years off treatment. After this time we encourage monthly self/parent examination. Parents, boys, medical and nursing staff are on occasions reluctant for this examination. We performed an audit to evaluate our practice and assess areas to improve testicular relapse detection. Methods We retrospectively audited 46 patient records which included 322 consultations over a 6 month period (December 2015 to May 2016) in male patients with ALL. 30 patients (232 consultations) were on maintenance treatment and 16 patients (90 consultations) were within 2 years off treatment. To assess factors and potential barriers to examination, data was collected on age of patient (age 11 and under/age 12 and over), gender of examiner and profession of examiner (Doctor/Advanced Nurse Practitioner (ANP)) in patients on maintenance or off treatment. Differences in testicular examination rates were analysed by chi-squared testing. Results Only 4 of the 46 patients had monthly testicular examinations. 24 were not examined at all over a 6 month period. Of the 322 consultations, 42 had documented testicular examinations (13%). Patients off treatment (26 of 90 consultations) were significantly more likely to be examined than patients on maintenance treatment (16 of 232 consultations), (p < 0.0001). There was no significant difference between doctors (10 of 126 consultations) and ANPs (6 of 106 consultations) in patients on maintenance treatment, (p=0.50). More ANPs documented testicular examination (23 of 55 consultations) in patients off treatment than doctors (3 of 35 consultations), (p = 0.0007). Male examiners (11 of 74 consultations) were significantly more likely to document testicular examination in patients on maintenance treatment than female examiners (5 of 158 consultations), (p = 0.001). In patients off treatment, there was no significant difference between male examiners (3 of 15 consultations) and female examiners (23 of 75 consultations), (p=0.41). There was no significant difference between incidence of examinations in children aged 11 and under (13 of 181 consultations) and children aged 12 and over (3 of 51 consultations) on maintenance treatment, (p=0.75). In patients off treatment, children aged 11 and under (23 of 62 consultations) were significantly more likely to be examined than children aged 12 and over (3 of 26 consultations), (p=0.02). Conclusions Currently our testicular examination rates are very poor and practice is not adhering to hospital guidance. Male examiners were more likely to perform testicular examinations than female examiners on children on maintenance treatment, however all rates were poor. ANPs were more likely to perform testicular examination than doctors on children off treatment. This may be affected by trainee doctors, not consultants in these clinics. Improved incidence of testicular examination in patients off treatment is maybe due to the clinic pro-forma specifying to document testicular examination, or a difference in clinic focus. In patients off treatment children aged 11 and under were more likely to be examined than those aged 12 and over, highlighting increasing age as a possible barrier. Testicular examination is an area where staff are often hesitant due to the sensitive and intimate nature of the examination. Barriers may include concerns over patient embarrassment, staff embarrassment and time pressures in clinic. Recommendations Training update for examiners regarding importance of performing testicular examination monthlyPro-forma modification to specify documentation of testicular examination on maintenance treatmentPatient/parent teaching of the rationale and importance of testicular examination to improve understanding and normalise the expectation of this examinationRe-audit following implementation of afore mentioned recommendations Disclosures No relevant conflicts of interest to declare.
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Gümüş, Kenan, and Banu Terzi. "Evaluation of individuals’ health beliefs and their association with testicular self-examination: adult sample from Amasya." Journal of Research in Nursing 23, no. 6 (September 2018): 505–17. http://dx.doi.org/10.1177/1744987118791337.

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Background Testicular self-examination is important for the early diagnosis and treatment of testicular cancer; the nature of the examination itself influences individuals’ health beliefs about testicular self-examination. Methods This descriptive research study was carried out using 152 individuals working at Amasya University between August and November 2016. A personal information form and Champion’s Health Belief Model Scale were used for the data collection stage of this research. Descriptive statistical tests, Mann–Whitney U test, Kruskal–Wallis variance analysis and Cronbach’s alpha were used in the data analysis stage. Results Analysis of respondents’ sociodemographic data revealed that the study participants’ mean age was 38.88 ± 9.36, and that 112 participants (73.7%) were married and 76 participants (50.0%) had a graduate degree at the time the study was conducted. Of the research participants, 134 (88.2%) had no training on testicular self-examination; a statistically significant difference ( p < 0.05) was found between participants’ consciousness of their capability to perform testicular self-examination on their own and the mean factor scores of the Champion’s Health Belief Model Scale’s ‘barriers of testicular self-examination’ and ‘self-effectiveness’ items. Conclusion The study found that health beliefs play a part in individuals’ positive health behaviours regarding testicular self-examination.
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Clore, Ellen Rudy. "A guide for the testicular self-examination." Journal of Pediatric Health Care 7, no. 6 (November 1993): 264–68. http://dx.doi.org/10.1016/s0891-5245(06)80007-6.

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26

Pinch, Winifred J., Anne Nilges, and Ann Schnell. "Testicular Self-Examination: Reaching the College Male." Journal of American College Health 37, no. 3 (November 1988): 131–32. http://dx.doi.org/10.1080/07448481.1988.9939055.

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27

Wynd, Christine A. "Testicular Self-Examination in Young Adult Men." Journal of Nursing Scholarship 34, no. 3 (September 2002): 251–55. http://dx.doi.org/10.1111/j.1547-5069.2002.00251.x.

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28

Price, Neil R., Amanda Charlton, Itayi Simango, and Grahame HH Smith. "Testicular microlithiasis: The importance of self-examination." Journal of Paediatrics and Child Health 50, no. 10 (March 10, 2011): E102—E105. http://dx.doi.org/10.1111/j.1440-1754.2011.02021.x.

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29

Dieckmann, K. P. "Testicular self-examination: is it still necessary." Postgraduate Medical Journal 64, no. 749 (March 1, 1988): 250. http://dx.doi.org/10.1136/pgmj.64.749.250.

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30

Sheley, Joseph F., Ernest W. Kinchen, Donald H. Morgan, and David F. Gordon. "Limited impact of testicular self-examination promotion." Journal of Community Health 16, no. 2 (April 1991): 117–24. http://dx.doi.org/10.1007/bf01341720.

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31

Rovito, Michael J., Chase Cavayero, James E. Leone, and Stephen Harlin. "Interventions Promoting Testicular Self-Examination (TSE) Performance." American Journal of Men's Health 9, no. 6 (October 30, 2014): 506–18. http://dx.doi.org/10.1177/1557988314555360.

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Testicular cancer is one of the greatest threats to health and wellness among 15- to 40-year old males. A concerted effort in the literature promoting awareness, risk factors, and preventative measures is warranted. There is limited discussion on the validity of interventions aimed at promoting testicular self-examination (TSE) performance; the existing body of evidence offers little discussion on what specific factors motivate performance. To assist in making Healthy People 2020 an all-inclusive success, a comprehensive assessment of existing evidence is necessary to assist in closing this research gap. A systematic review of interventions promoting TSE performance discovered moderate levels of effectiveness among 10 studies promoting the behavior. Concerning methodological quality, nine were of average quality and one was of high quality. In terms of significant TSE reporting between intervention and control/comparison groups, 3 out of 10 did not achieve the statistical causal threshold. Based on our assessment of TSE intervention quality and outcomes pertaining to behavior adoption, a best-practices guideline is presented for researchers in the field to consult as they design their interventions. This guideline aims to improve on internal and external validity of TSE promotion research in order to make them more effective.
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Wohl, Royal E., and William M. Kane. "Teachers' Beliefs Concerning Teaching about Testicular Cancer and Testicular Self-Examination." Journal of School Health 67, no. 3 (March 1997): 106–11. http://dx.doi.org/10.1111/j.1746-1561.1997.tb03424.x.

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33

Rovito, Michael J., Thomas F. Gordon, Sarah Bauerle Bass, and Joseph DuCette. "Perceptions of Testicular Cancer and Testicular Self-Examination Among College Men." American Journal of Men's Health 5, no. 6 (June 9, 2011): 500–507. http://dx.doi.org/10.1177/1557988311409023.

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Testicular self-exam (TSE) is an important tool to prevent late-stage diagnosis of testicular cancer (TC). However, most young men remain unaware of their risk for TC despite a growing number of interventions promoting knowledge and awareness of the disease. Of those interventions, very few discuss perceived vulnerability, perceived value of health promotion, and/or preference for informational materials as viable predictors of behavioral change. In this study, 300 university males were surveyed on their perceptions of vulnerability, perceived value of health promotion methods, TC/TSE knowledge, and preference for health promotional information. The results indicated that men were generally unaware of TC and were unsure of their risk of developing the disease. Participants reported very positive responses to questions about the value of health promotion methods, particularly TSE, and indicated a high intention to perform health promotion behaviors. Most important, participants noted that they preferred personalized, tailored information to learn about TC and TSE. Significant predictors of intention to perform TSE include knowledge and awareness of TC/TSE, perceived value of health promotion, and attitudes. Significant predictors of promotional tool preferences differed among generalized pamphlets, personalized messages, and group training sessions. The authors recommend that researchers tailor promotional messages in TC/TSE awareness campaigns with an individual’s preference for promotional tool.
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Rew, Lynn, Graham McDougall, Louie Riesch, and Colleen Parker. "Development of the self-efficacy for testicular self-examination scale." Journal of Men's Health & Gender 2, no. 1 (March 2005): 59–63. http://dx.doi.org/10.1016/j.jmhg.2004.12.007.

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Roy, Rachel Kathryn, and Karen Casson. "Attitudes Toward Testicular Cancer and Self-Examination Among Northern Irish Males." American Journal of Men's Health 11, no. 2 (September 21, 2016): 253–61. http://dx.doi.org/10.1177/1557988316668131.

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Testicular cancer incidence rates are increasing worldwide making it the most common malignancy in males aged 15 to 45 years. Without a known way to prevent the disease health professionals must promote awareness and early detection. A literature review identified a scarcity of information regarding awareness and knowledge of, and attitudes toward, testicular cancer and testicular self-examination among men in Northern Ireland. This study aimed to establish baseline data for Northern Ireland using a convenience sample of 150 men, aged 18 to 45 years. The sample was recruited from across the country and so represents a range of education and area deprivation levels. An online survey was used to collect data. Results showed that while 39% of respondents correctly identified the age group at highest risk for testicular cancer, only 17% of respondents had ever heard of a testicular self-examination. Analysis revealed knowledge, awareness, and attitudes differed by age groups and area deprivation quintiles. It is recommended that health promoters in Northern Ireland and elsewhere use these findings to tailor health promotion initiatives to engage men and raise testicular cancer and self-examination awareness.
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Semple, C. G., C. E. Gray, W. Borland, C. A. Espie, and G. H. Beastall. "Endocrine effects of examination stress." Clinical Science 74, no. 3 (March 1, 1988): 255–59. http://dx.doi.org/10.1042/cs0740255.

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1. We have studied endocrine function in nine healthy young men 16 weeks before and immediately after Final degree examinations. Factors other than psychological stress which might have affected hormone levels were excluded. 2. The presence of psychological stress at the time of examinations was confirmed by finding increased values for two self-rating anxiety scales. 3. Urine metadrenaline excretion was increased in all subjects at the time of examination. Serum and early morning urine Cortisol as well as pituitary–testicular and pituitary–thyroid function and prolactin levels were unaffected by examination stress. 4. This study questions the popular belief that psychological stress stimulates prolactin secretion and suppresses pituitary–testicular function.
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McCullagh, Jo, Gareth Lewis, and Cathy Warlow. "Promoting awareness and practice of testicular self-examination." Nursing Standard 19, no. 51 (August 31, 2005): 41–49. http://dx.doi.org/10.7748/ns2005.08.19.51.41.c3944.

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McCullagh, JO, Gareth Lewis, and Cathy Warlow. "Promoting awareness and practice of testicular self-examination." Nursing Standard 19, no. 51 (August 31, 2005): 41–49. http://dx.doi.org/10.7748/ns.19.51.41.s55.

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39

Ak, Muharrem, and Cemal Taşdemir. "Reappraisal of the Efficacy of Testicular Self-Examination." Journal of Men's Health 10, no. 1 (March 2013): 37. http://dx.doi.org/10.1016/j.jomh.2012.08.001.

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40

Ogle, Karen S., Lynn A. Snellman, and Rebecca C. Henry. "Breast and Testicular Self-Examination in Primary Care." American Journal of Preventive Medicine 4, no. 1 (January 1988): 11–13. http://dx.doi.org/10.1016/s0749-3797(18)31213-3.

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Kennett, Alexandra, Jonathan W. Shaw, and Paul D. Woolley. "Testicular self-examination amongst genitourinary medicine clinic attendees." International Journal of STD & AIDS 25, no. 12 (February 10, 2014): 844–50. http://dx.doi.org/10.1177/0956462414522774.

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42

Kleier, Jo Ann S. "Nurse Practitioners' Behavior Regarding Teaching Testicular Self-Examination." Journal of the American Academy of Nurse Practitioners 16, no. 5 (May 2004): 206–18. http://dx.doi.org/10.1111/j.1745-7599.2004.tb00443.x.

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43

Hopcroft, K. "Routine testicular self examination: it's time to stop." BMJ 344, mar28 2 (March 28, 2012): e2120-e2120. http://dx.doi.org/10.1136/bmj.e2120.

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44

Peate, Ian, and Paul Maloret. "Testicular self-examination: the person with learning disabilities." British Journal of Nursing 16, no. 15 (August 2007): 931–35. http://dx.doi.org/10.12968/bjon.2007.16.15.24517.

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45

Peate, Ian, and Frances Cohen. "Patient self-examination and education in testicular cancer." Independent Nurse 2013, no. 14 (September 2, 2013): 31–33. http://dx.doi.org/10.12968/indn.2013.14.31.

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46

WESTLAKE, S. J., and J. W. FRANK. "Testicular Self-Examination: An Argument Against Routine Teaching." Family Practice 4, no. 2 (1987): 143–48. http://dx.doi.org/10.1093/fampra/4.2.143.

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47

Dachs, Robert J., Jane L. Garb, Charles White, and Joel Berman. "Male college students' compliance with testicular self-examination." Journal of Adolescent Health Care 10, no. 4 (July 1989): 295–99. http://dx.doi.org/10.1016/0197-0070(89)90060-0.

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48

Milecki, Tomasz, Natalia Majchrzak, Adam Balcerek, Maciej Rembisz, Michał Kasperczak, and Andrzej Antczak. "Attitudes about Testicular Self-Examination among Polish Males." Biology 10, no. 3 (March 19, 2021): 239. http://dx.doi.org/10.3390/biology10030239.

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Introduction: Epidemiological data indicate an increased incidence of testicular cancer (TC), making it the most common malignant tumor in men from aged 15–45. Oncological and urological associations recommend that men with specific TC risk factors should regularly perform a testicular self-exam (TSE). The aim of the study was to discover the attitudes among Polish males regarding TSE and factors (environmental, social, educational) that affect intention to perform TSE. Methods: An original survey containing 21 questions was used to conduct a study among the Polish branch of VW (Volkswagen Poland) employees. Results: A total of 522 fully completed questionnaires were collected. The mean age of the surveyed respondents was 32 years. Information about TC and how to perform TSE was obtained by 34.4% (n = 185) of the men. It was shown that the following factors increase men’s intention to perform TSE: TC in their family member (p < 0.05; HR = 5.9; 95% CI: 1.5–23.0), GP’s(General Practitioner) recommendations (p < 0.001; HR = 6.8; 95% CI: 3.2–14.3), concern expressed by their partner (p < 0.001; HR = 3.3; 95% CI: 2.1–5.3), and social campaigns (p < 0.001; HR = 2.6; 95% CI: 1.5–4.6). Conclusions: Approximately half of young polish males do not perform TSE. Access to information on TC prevention is limited. Further action is needed to improve men’s awareness of TC and TSE.
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49

Alaradi, Maryam, and Ayman Almuqamam. "Awareness of Testicular Cancer and Testicular Self-Examination among Men in Bahrain." Asian Pacific Journal of Cancer Care 5, no. 4 (December 11, 2020): 259–63. http://dx.doi.org/10.31557/apjcc.2020.5.4.259-263.

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Introduction: Although testicular cancer (TC) is a rare tumor accounting for 1% of malignancies in men, it is the most common cancer found in adolescents and young men between 15 to 35 years old. Routine screening for TC is not recommended. Therefore, testicular self-examination (TSE) is an important tool for the early detection of TC. If detected early, TC has a high survival rate. Increasing awareness of TC and TSE is crucial for early detection, diagnosis, and treatment. We aimed to assess the level of awareness of TC and TSE among men in Bahrain. Materials and methods: A descriptive cross-sectional design was used to recruit a convenience sample of 243 men from public places using a questionnaire. Descriptive statistics and Chi-square test were conducted.Results: The results showed that 43% were Bahraini, 53% were aware that men can get TC, 82% perceived themselves as having a low risk for developing TC, 15% knew signs of TC, 20% heard about TSE, and 5.8% reported performing TSE. A significant association between knowledge of early signs and symptoms of TC and nationality (p = .006), perception of the importance of performing TSE regularly and nationality (p = .003), and between age (p = .013), level of education (p = .015) and the willingness to perform TSE if the participant was educated about TSE.Conclusion: Awareness about TC and TSE is poor among men in Bahrain. Policymakers in the Ministry of Education and Ministry of Health may consider integrating TC and TSE education in the curriculum and the healthcare provided to adolescents and young men across the kingdom.
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Moore, Susan M., Norman R. Barling, and Bernadette Hood. "Predicting Testicular and Breast Self-examination Behaviour: A test of the Theory of Reasoned Action." Behaviour Change 15, no. 1 (March 1998): 41–49. http://dx.doi.org/10.1017/s0813483900005891.

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One aim of this study was to describe attitudes, beliefs, and behaviours concerned with testicular and breast self-examination (TSE, BSE); the second was to test the efficacy of the Ajzen and Fishbein theory of reasoned action in predicting self-examination behaviour. Participants comprised 116 male adults with a mean age of 27.9, and 141 female adults with a mean age of 30.0 years. The sample was relatively well-educated, with over half having engaged in some tertiary studies. They completed a questionnaire assessing self-examination behaviours, intentions, beliefs, attitudes, and perceived norms. Results indicated low rates of self-examination for both TSE and BSE. Barriers to self-examination included embarrassment, perceived unpleasantness and difficulty, concern about reliability, and worries about what the tests might reveal. Respondents perceived only moderate levels of support from salient others for engaging in the self-examinations. The theory of reasoned action was strongly supported by the study, with intentions to perform self-examination being predicted by attitudes and subjective norms, and intentions in turn predicting self-examination behaviours.
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