Table 1 Domain 1 and Domain 4 of the BCAM instrument

Domain 1: Knowledge of breast cancer symptoms

Yes

No

Don’t know

Refused

Do you think a change in the position of your nipple could be a sign of breast cancer? (Explanation: Such as pointing up or down or in a different direction to normal).

NB: Use the labeled picture of the breast as necessary

Do you think pulling in of your nipple could be a sign of breast cancer? (Explanation: Where the nipple no longer points outwards, but into the breast)

Do you think pain in one of your breasts could be a sign of breast cancer?

Do you think puckering or dimpling of your breast skin could be a sign of breast cancer? (Explanation: Like a dent or orange peel appearance.)

NB: Use the labeled picture of the breast as necessary

Do you think abnormal discharge from your nipple could be a sign of breast cancer?

Do you think bleeding from your nipple could be a sign of breast cancer?

Do you think a lump in your breast could be a sign of breast cancer?

Do you think a nipple rash could be a sign of breast cancer?

Do you think if your breasts change skin color, this could be a sign of breast cancer?

Do you think a lump under your armpit could be a sign of breast cancer?

Do you think changes in the size of your breast could be signs of breast cancer?

Do you think changes in the size of your nipple could be signs of breast cancer?

Do you think changes in the shape of your breast could be signs of breast cancer?

NB: Pictures of different shapes of breasts will be provided

Domain 4: Barriers to screening

Yes often

Yes sometimes

No

Don’t know

Would you be too embarrassed to go and see the doctor?

Would you be too scared to go and see the doctor?

Would you be worried about wasting the doctor’s time?

Would you find your doctor difficult to talk to?

Would it be too difficult to make an appointment with the doctor?

Would you be too busy to make time to go to the doctor?

Would seeing the doctor be too expensive and you don’t have enough money?

Would it be too difficult to arrange transport to the doctor’s clinic?

Would worrying about what the doctor might find stop you from going to the doctor?

Would not feeling confident talking about your symptom with the doctor would keep you from seeing h/m/her.

Would significant people in your life (e.g. husband/wife, partner, sibling, relative or friend) not approve of you seeing a doctor or nurse?

Would your doctor not understand your language?

Would your doctor not understand your culture?