The Effect of Artificial Intelligence Chatbot and Expert Education on Breast Cancer Awareness Among Female Municipal Employees

NCT07749677 | Completed

• 2 other identifiers: 2026/63TTU-2026-3999
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared two educational approaches for increasing breast cancer awareness among female employees of Eskisehir Odunpazari Municipality. Participants were randomly assigned to receive education using artificial intelligence-generated educational material, education using expert-developed educational material, or no educational intervention. Breast cancer awareness was assessed at baseline, immediately after the intervention, and 2 months after the intervention. The study also assessed participants' digital health literacy.

Conditions

Breast Cancer Awareness

Keywords

Breast cancer awareness; Health education; Digital health literacy; Breast self-examination; Artificial intelligence chatbot

Outcome Measures

Primary Outcomes (1)

• Breast Cancer Awareness Scale Total Score

  Overall breast cancer awareness was assessed using the Breast Cancer Awareness Scale, which consists of five subscales. Total scores range from 0 to 102, with higher scores indicating greater overall breast cancer awareness.

  Baseline, immediately after the intervention, and 2 months after the intervention.

Secondary Outcomes (12)

• Factor 1:Knowledge of Risk Factors Score

  Baseline, immediately after the intervention, and 2 months after the intervention

• Factor 2: Knowledge of Signs and Symptoms Score

  Baseline, immediately after the intervention, and 2 months after the intervention

• Factor 3. Attitudes Toward Breast Cancer Prevention Score

  Baseline, immediately after the intervention, and 2 months after the intervention

• Factor 4. Barriers to Breast Cancer Screening Score

  Baseline, immediately after the intervention, and 2 months after the intervention

• Factor 5. Health Behaviors Related to Breast Cancer Awareness Score

  Baseline, immediately after the intervention, and 2 months after the intervention

Study Arms (3)

Artificial Intelligence Chatbot Intervention Group

EXPERIMENTAL

A structured, question-and-answer educational material was generated using an artificial intelligence chatbot. The chatbot was instructed to produce clear, plain-language content appropriate for the health literacy level of female municipal employees aged 18 years or older and to avoid medical terminology. The material covered the definition of breast cancer; risk factors; signs and symptoms; preventive attitudes; barriers to breast cancer screening; breast cancer awareness-related health behaviors; the timing and performance of breast self-examination; findings requiring attention; and breast cancer treatment methods. The content was transferred to Google Forms and presented in a conversational question-and-answer format. Participants accessed the predefined material through a link or QR code and did not interact with a live chatbot or receive real-time, personalized responses.

Behavioral: Artificial Intelligence Chatbot-Generated Educational Material

Expert Intervention Group

ACTIVE COMPARATOR

Participants received breast cancer awareness education using educational material developed by experts in the relevant field. The educational content covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods.

Behavioral: Expert-Developed Educational Material

Control Group

NO INTERVENTION

Participants received no breast cancer awareness education during the study period. They completed the same assessments as the intervention groups at baseline, immediately after the intervention period, and 2 months after the intervention. After completion of the final assessment, participants were provided with breast cancer awareness education.

Interventions

Artificial Intelligence Chatbot-Generated Educational Material BEHAVIORAL

A structured educational material was generated using an artificial intelligence chatbot and presented through Google Forms in a conversational question-and-answer format. The content was written in plain language appropriate for female municipal employees aged 18 years or older and covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods. Participants accessed the predefined material through a link or QR code. No real-time or personalized chatbot interaction occurred. Both the artificial intelligence chatbot-generated educational material and the expert-developed educational material were evaluated by a panel of nine independent experts, comprising four general surgery specialists and five public health specialists.

Artificial Intelligence Chatbot Intervention Group

Expert-Developed Educational Material BEHAVIORAL

Breast cancer awareness educational material was developed by the researchers. The material covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods. It was evaluated by a panel of nine independent experts, comprising four general surgery specialists and five public health specialists.

Expert Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Female employees actively working within Eskişehir Odunpazarı Municipality
• Aged 18 years or older
• Literate
• Having a smartphone to access the digital educational material
• Agreeing to participate in the study

You may not qualify if:

• Previous diagnosis of or treatment for breast cancer
• Not having a smartphone
• Being a healthcare professional
• Not completing the study process

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead
• Odunpazari Municipality: collaborator

Study Sites (1)

Eskişehir Odunpazarı Municipality

Odunpazari, Eskişehir, 26060, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Health Education; Breast Self-Examination

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Self-Examination

Study Officials

• EZGİ SALIŞ, MD

  Eskisehir Osmangazi University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants were informed about the general purpose of the study but were not informed of their assigned study group or the interventions provided to the other groups.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Medicine - Research Assistant

Model Details: This was a three-arm, parallel-group randomized controlled trial. Participants remained in their assigned group throughout the study.

Study Record Dates

• First Submitted: August 3, 2026
• First Posted: August 6, 2026
• Study Start: March 11, 2026
• Primary Completion: May 15, 2026
• Study Completion: July 15, 2026
• Last Updated: August 6, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)