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Training On Self-Breast Examination Using Visual Breast Examination Materials For İlliterate Women.

14 juli 2026 uppdaterad av: ESRA GUNEY, PhD, Inonu University

The Effect of Breast Self-Examination Education Using Visual Materials on Breast Cancer Awareness and Health Motivation Among Illiterate Women of Reproductive Age: A Study in Diyarbakır, Türkiye

Breast cancer is the most common malignancy among women and remains a major public health concern despite being largely preventable through early detection and regular screening practices. Increasing early detection rates depends on women's ability to recognize the signs and symptoms of breast cancer, perform regular breast self-examination (BSE), and maintain adequate health motivation. However, women who are illiterate and reside in rural areas generally have low levels of breast cancer awareness, which adversely affects early detection behaviors. This situation is associated with insufficient knowledge, misconceptions, limited access to healthcare services, and low health literacy. Previous studies have demonstrated that educational interventions supported by visual materials are effective in improving health awareness among individuals with low educational attainment. Therefore, this study aims to contribute to the limited literature by evaluating an intervention designed to improve breast cancer awareness among women with low literacy levels.

The study is designed for illiterate women of reproductive age (15-49 years) living in rural areas. Participants will receive breast self-examination (BSE) education using visual materials. The educational content will include breast anatomy, signs and symptoms of breast cancer, the importance of early detection, and the correct steps for performing breast self-examination. Pictures, breast models, videos, and hands-on demonstration techniques will be used throughout the educational sessions. The effectiveness of the intervention will be evaluated using a pretest-posttest design by comparing changes in breast cancer awareness and health motivation before and after the educational program. The research process will include a literature review, development of educational materials, implementation of the intervention, data collection, and statistical analysis, with the principal investigator actively involved in all phases of the study.

The study is expected to improve participants' ability to recognize the signs and symptoms of breast cancer, increase the frequency of breast self-examination, and enhance their health motivation. Furthermore, the findings are expected to support the development of community-based health education skills among midwifery students, encourage their active participation in preventive healthcare services, and strengthen their involvement in scientific research. The results may also provide evidence for planning educational programs targeting women with low educational attainment and contribute to the development of visual material-based educational strategies. Ultimately, the study is anticipated to increase women's awareness of their own health responsibilities, promote early detection behaviors, improve quality of life, and indirectly contribute to reducing breast cancer-related mortality.

Studieöversikt

Status

Aktiv, inte rekryterande

Detaljerad beskrivning

Breast cancer remains the most common cancer among women worldwide, and early detection is one of the most effective strategies for reducing mortality. However, women with limited literacy often have lower awareness of breast cancer, inadequate knowledge of breast self-examination (BSE), and reduced motivation to engage in preventive health behaviors. Traditional educational approaches that rely heavily on written information may be insufficient for this population.

This randomized controlled trial has been designed to evaluate the effectiveness of a visual educational intervention developed specifically for illiterate women of reproductive age living in rural areas. The intervention incorporates culturally appropriate visual materials, including illustrated educational brochures, demonstration videos, and a handmade amigurumi breast model to facilitate practical learning of breast self-examination techniques.

Participants allocated to the intervention group will receive structured face-to-face education delivered in three educational sessions. The sessions include information on breast anatomy, warning signs of breast cancer, the importance of early detection, recommended breast cancer screening practices, and step-by-step demonstration of breast self-examination using visual teaching materials. Interactive practice and reinforcement activities are incorporated to improve knowledge retention and skill acquisition.

Participants in the control group will receive routine health services without the structured educational intervention during the study period.

The effectiveness of the intervention will be evaluated by comparing changes in breast cancer awareness and health motivation before and after the intervention using validated measurement instruments. The findings are expected to provide evidence regarding the effectiveness of visual education strategies for improving preventive health behaviors among women with low literacy and may contribute to the development of community-based breast cancer education programs for disadvantaged populations.

Studietyp

Interventionell

Inskrivning (Faktisk)

156

Fas

  • Inte tillämpbar

Kontakter och platser

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Studieorter

      • Malatya, Turkiet (Türkiye)
        • İnönü University Faculty of Health Sciences
      • Malatya, Turkiet (Türkiye), 44
        • İnönü University Faculty of Health Sciences

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn
  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Able to communicate,
  • Have no vision or hearing problems,
  • Between the ages of 15-49,
  • Have no diagnosed chronic diseases (cardiovascular diseases, asthma, epilepsy, etc.),
  • Have not received breast cancer or breast self-examination training within the last 21 days will be included in the study.

Exclusion Criteria:

  • Women who are currently pregnant or planning to become pregnant in the near future,
  • have a family history of breast cancer,
  • or have health problems that prevent them from participating in the training will be excluded from the study.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Intervention Group
Participants will receive a structured visual breast self-examination education program using illustrated educational materials and an amigurumi breast model, in addition to routine care.
A structured behavioral education program designed for illiterate women aged 15-49 years to improve breast cancer awareness and breast self-examination (BSE) skills. The intervention is delivered face-to-face using visual educational materials, pictorial brochures, an amigurumi breast model, and guided hands-on demonstrations. The program includes repeated teaching sessions and practical applications to reinforce learning and support behavioral change in breast health practices.
Andra namn:
  • Visual breast cancer education program
  • KKMM training program
  • Self-Examination (BSE) Training
Inget ingripande: Control Group
Participants will receive routine care without the visual breast self-examination education during the study period.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Breast Cancer Awareness Level
Tidsram: Baseline and immediately after the 15-minute intervention session
Breast cancer awareness will be assessed using a validated Breast Cancer Awareness Scale. The scale evaluates participants' knowledge regarding breast cancer symptoms, early detection practices, and screening behaviors. Higher scores reflect greater levels of breast cancer awareness and knowledge.
Baseline and immediately after the 15-minute intervention session

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Health Motivation Level
Tidsram: Baseline and immediately after the 10-15-minute educational intervention session
Health motivation will be assessed using the Health Motivation subscale of the Champion Health Belief Model Scale. This subscale evaluates participants' motivation to engage in preventive health behaviors. Higher scores indicate greater health motivation.
Baseline and immediately after the 10-15-minute educational intervention session

Samarbetspartners och utredare

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Publikationer och användbara länkar

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 maj 2026

Primärt slutförande (Faktisk)

1 juni 2026

Avslutad studie (Beräknad)

1 januari 2027

Studieregistreringsdatum

Först inskickad

2 juli 2026

Först inskickad som uppfyllde QC-kriterierna

2 juli 2026

Första postat (Faktisk)

9 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

15 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

14 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

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NEJ

IPD-planbeskrivning

Individual participant data will not be shared. The dataset generated in this study will remain confidential and will only be used for scientific reporting and publication purposes.

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Studerar en amerikansk FDA-reglerad läkemedelsprodukt

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