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

2026年7月14日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (实际的)

156

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Malatya、土耳其(türkiye)
        • İnönü University Faculty of Health Sciences
      • Malatya、土耳其(türkiye)、44
        • İnönü University Faculty of Health Sciences

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人

接受健康志愿者

是的

描述

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.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:双倍的

武器和干预

参与者组/臂
干预/治疗
实验性的: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.
其他名称:
  • Visual breast cancer education program
  • KKMM training program
  • Self-Examination (BSE) Training
无干预:Control Group
Participants will receive routine care without the visual breast self-examination education during the study period.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Breast Cancer Awareness Level
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
Health Motivation Level
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年5月1日

初级完成 (实际的)

2026年6月1日

研究完成 (估计的)

2027年1月1日

研究注册日期

首次提交

2026年7月2日

首先提交符合 QC 标准的

2026年7月2日

首次发布 (实际的)

2026年7月9日

研究记录更新

最后更新发布 (实际的)

2026年7月15日

上次提交的符合 QC 标准的更新

2026年7月14日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

IPD 计划说明

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.

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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