The Effect of Face-to-face and Online Health Education on the Health Beliefs of Women Aged 40-69 and Their Participation in Screening
Condition: Breast Cancer
MeSH terms: Breast Neoplasms
Study type: Interventional

Summary: 
      Objective: In this study, it was aimed to determine the effects of health education provided
      by two different methods on breast cancer and mammography knowledge self-evaluation status,
      perceived mammography benefit and barrier levels, mammography self-efficacy levels and
      mammography screening of women aged 40-69 years.

      Materials and Methods: The study was conducted in a parallel group design as a single-blind
      randomized controlled trial. The sample consisted of 126 healthy volunteers, 42 in each
      group, who were registered to Toprakkale Family Health Center between January and July 2023,
      met the inclusion criteria. In the study, 10-unit Visual Analogue Scale, mammography benefit
      and obstacle perception sub-dimension of Champion's Health Belief Model Scale and Mammography
      Self-Efficacy Scale were used for self-assessment of breast cancer and mammography knowledge.
      In the study, while the control group received standard care, the face-to-face education
      group was given health education and brochures through home visits, and a reminder interview
      was made over the phone. Health education and digital brochures were given to the online
      training group via video call, and a reminder meeting was held once. After a two-month
      follow-up, One-Way Analysis of Variance and Kruskal Wallis H test were used to compare the
      data of the three groups, multiple comparisons were analyzed with Tukey's test and Dunn's
      test. Generalized Linear Models were used for group and time comparisons.
    

Detailed description: 
      This study was conducted as a parallel group, single-blind randomized controlled trial. The
      study was carried out in Osmaniye Province Toprakkale Family Health Center between January -
      July 2023. In this study, it was calculated that at least 96 participants should be included
      in three groups with effect size d=0.18, 95% power and 0.05 error level. G Power 3.1.9.2
      package program was used in the calculation. Considering the possible data loss in the study,
      it was decided to add 30% of the participants. In this context, the sample of the study was
      determined as 126 participants, 42 in each group. After briefing the women aged 40-69 who
      came to the FHC for any reason about the purpose of the study, the researcher invited them to
      participate in the study. Subsequently, it examined the inclusion criteria of women who
      volunteered to participate in the study. The purpose of the study was explained to the
      participants who met the inclusion criteria and Form I was administered to the participants.
      In the randomization of the participants, the block randomization method was preferred.
      Following the administration of Form I, the participants were assigned to the group in the
      block randomization list according to the order of arrival at the FHC. No intervention was
      made to the control group during the application process. Participants in the online training
      group received online health training and a digital training brochure. Participants in the
      face-to-face training group received face-to-face health education through home visits and a
      training brochure. Four weeks later, the participants in the online and face-to-face training
      groups were given a telephone reminder call. At the end of eight weeks, Form II was
      administered to all groups.
    

Intervention name(s): Online training group; Face-to-face training group
Intervention type(s): Behavioral; Behavioral
Intervention description(s): online health education with video call; Face-to-face health education with home visit
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel Assignment randomised control trial
Masking: Single (Participant)
Primary purpose: Other
Keywords: Breast Cancer; Mammography; Health Education; Online Education; Home Visit