A TEACH-BACK APPROACH TO INCREASE BREAST CANCER KNOWLEDGE IN WOMEN WITH LOW HEALTH LITERACY: AN INTERVENTION STUDY

NCT07777289 | Not Yet Recruiting

• 1 other identifier: 10621-GOA
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: This study aims to evaluate the effectiveness of the "Teach Back" technique in increasing breast cancer knowledge among women with limited health literacy. Method: This research is a randomized controlled experimental study. The study is planned to be conducted with individuals who applied to the KETEM unit of Healthy Life Center No. 1, affiliated with the Karabağlar District Health Directorate in İzmir. Data will be evaluated for normality; dependent samples t-test will be used for pre- and post-education comparisons, and Wilcoxon signed-rank test will be used if normality is not achieved. Baseline differences between the experimental and control groups will be analyzed with independent samples t-test or Mann-Whitney U test, and categorical variables will be analyzed with the Chi-square test. In the study, the experimental group will receive breast cancer education in groups of 5, consisting of 20-minute sessions with a 4-week interval, presented in simple language avoiding medical jargon, and the education content will be re-explained by the participants in their own words. These sessions will consist of general content such as breast cancer risk factors, symptoms, and the importance of early diagnosis.

1. 1.What are the risk factors and symptoms of breast cancer?
2. 2.The importance of early detection of breast cancer (BSE, clinical breast examination (CBE), mammography).
3. 3.What are the treatment options for breast cancer? (Surgical methods, systemic treatments (endocrine therapy, chemotherapy, hormonal therapy), and radiotherapy) (Kiyat \& Akyüz, 2024; Uçkaç, 2022; Altu et al., 2023; Hosseinifar, Afkhamzadeh \& Moayeri, 2024).

Conditions

Health Literacy; Breast Cancer Awareness

Keywords

Breast Cancer; Health Literacy; Teach-Back Method; Health Education

Outcome Measures

Primary Outcomes (1)

• Change in Breast Cancer Knowledge Level

  Assessed using the Knowledge Scale for Breast Cancer and Screening Methods (GKMKBT). Total scores range from 0 to 44, with higher scores indicating greater knowledge regarding breast cancer and screening procedures.

  Baseline (pre-intervention) and 1 month post-intervention

Secondary Outcomes (1)

• Change in Health Literacy Level

  Baseline (pre-intervention) and 1 month post-intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants receive structured individual breast cancer awareness and screening education delivered using the Teach-Back method.

Other: Routine Health Education

Control Group

NO INTERVENTION

Participants receive standard breast cancer awareness and screening education provided through routine health center procedures.

Interventions

Routine Health Education OTHER

Structured individual health education on breast cancer screening and awareness delivered using the Teach-Back method to ensure comprehension among participants with low health literacy.

Also known as: Teach-Back Method Education, Standard Care Education

Intervention Group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Women over 18 years of age,
• Having a health literacy score below 25 on the Turkish Health Literacy Scale.
• Not having a diagnosed mental, visual, or learning disability by a physician.
• Not having previously participated in any research project on breast health/breast education.
• Being able to communicate verbally.
• Not having breast cancer.

You may not qualify if:

• Having a previous diagnosis of breast cancer. • Having cognitive impairments that may prevent participation in the study. • Having hearing or visual impairments that may negatively affect participation and interaction in the training process. • Lack of sufficient language proficiency to understand the training materials.

Sponsors & Collaborators

• Buca Seyfi Demirsoy State Hospital: lead

MeSH Terms

Conditions

Breast Neoplasms; Health Education

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Central Study Contacts

huri Yoğurtcu, MD, PhD

CONTACT

+90-507-064-0824; huri.yogurtcu@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Due to the nature of the educational intervention, no masking is applied to participants or investigators.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse, MSc

Study Record Dates

• First Submitted: August 17, 2026
• First Posted: August 20, 2026
• Study Start: September 1, 2026
• Primary Completion (Estimated): June 1, 2027
• Study Completion (Estimated): June 1, 2027
• Last Updated: August 20, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share