Abstract
The problem addressed by this study is the failure of most older women to perform breast self-examination correctly. In order to tailor breast self-examination education efforts to older women, it is necessary to identify the attitudes and behaviors that older women bring to education programs. As part of a quasi-experimental study to evaluate a theoretical approach to breast self-examination education, 194 women, aged 60 and older, were interviewed regarding their pre-intervention self-efficacy and beliefs about breast cancer and breast self-examination. Age, motivation and self-efficacy accounted for 15% of the variance (P <.001) in number of breast self-examination techniques performed. Results are discussed in terms of their implications for designing breast self-examination educational interventions for older women that focus on self-efficacy.

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