Evidence map›Paper›PMID 40140760›Full record

Trial reportBMC cancer2025

Effectiveness of face to face and virtual education to promote breast self-examination based on the theory of planned behavior: a randomized controlled trial study.

Halime Cheraghalizadeh, Hajar Adib-Rad, Hajar Pasha, Mohammad Chehrazi, Fatemeh Nasiri-Amiri, Shabnam Omidvar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Halime CheraghalizadehStudent Research Committee, Babol University of Medical Sciences, Babol, Iran.
Hajar Adib-RadSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Adibrad2015@yahoo.com.ORCID http://orcid.org/0000-0002-9813-8141
Hajar PashaSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Mohammad ChehraziSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Fatemeh Nasiri-AmiriSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Shabnam OmidvarSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer (BC) is the most prevalent cancer among women in both developed and developing countries. Breast self-examination (BSE) is crucial for the early detection of BC. This study aimed to assess the effectiveness of face-to-face and virtual education on BSE, based on the theory of planned behavior (TPB).

methodsThis randomized controlled trial was conducted on 240 women aged 30-55 in northern Iran from 2020 to 2022. Participants were selected using a random sampling method and were randomly assigned to three groups of 80 each (face to face, virtual, and control). The face to face educational intervention consisted of four consecutive weekly sessions (50 min each), with 20 participants per session. In the virtual training group, all teaching materials were delivered once a week via WhatsApp messenger. The control group did not receive any intervention. All participants completed questionnaires assessing demographic and fertility characteristics, BSE barriers, knowledge, and practice regarding BSE, as well as TPB constructs (attitude, subjective norm, perceived behavioral control, behavioral intention, and behavior) before, one month, and three months after the intervention. Data analysis was performed using SPSS version 23.0. Statistical tests included the chi-square test, t-test, analysis of variance, repeated measures RMANOVA, and Pearson's correlation coefficient. The significance level was set at P < 0.05.

resultsThe study results indicated that the mean BSE and TPB constructs increased in both the face to face and virtual education groups one and three months after the intervention (P < 0.001). In the face-to-face group, knowledge one month after the education was correlated with practice at both one and three months post-education (r = 0.304, P = 0.006, and r = 0.232, P = 0.038, respectively). Similarly, in the virtual group, knowledge and practice one month after the education was correlated with knowledge and practice three months post-education (r = 0.814, P = 0.001, and r = 0.722, P = 0.001, respectively).

conclusionsThe results of this study demonstrated that TPB is an effective theory for promoting BSE. Both face to face and virtual education interventions proved to be successful, with no significant difference between them.

trial registrationIRCT20230130057274N4 Date of registration: 2024-04-29 Retrospectively registered.

Indexed as

Breast NeoplasmsBreast Self-ExaminationHealth EducationAdultEarly Detection of CancerFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansIranMiddle AgedSurveys and QuestionnairesTheory of Planned BehaviorBreast self-examinationEducationKnowledgePracticeTheory of planned behavior

Identifiers

PMID40140760
PMCPMC11948788

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.