Evidence map›Paper›PMID 42314192›Full record

ArticleAsian/Pacific Island nursing journal2026

The Effect of Culture-Based Breast Health Education Program on Breast Self-Examination Practice Among High-Risk Women: Randomized Controlled Trial.

Sumaira Naz, Sureeporn Thanasilp, Wasinee Wisesrith

Abstract read
In one paragraph

Article in Asian/Pacific Island nursing journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Sumaira Naz *Faculty of Nursing, Chulalongkorn University, Borommaratchachonnanisisattaphat, 11th Floor, Rama I Rd, Wang Mai, Pathum Wan, Bangkok, 10330, Thailand, 1 +66-2-218-1131, 1 +66-2-218-1130.ORCID http://orcid.org/0009-0004-9118-2977
Sureeporn Thanasilp *Faculty of Nursing, Chulalongkorn University, Borommaratchachonnanisisattaphat, 11th Floor, Rama I Rd, Wang Mai, Pathum Wan, Bangkok, 10330, Thailand, 1 +66-2-218-1131, 1 +66-2-218-1130.ORCID http://orcid.org/0000-0001-6638-2863
Wasinee Wisesrith *Faculty of Nursing, Chulalongkorn University, Borommaratchachonnanisisattaphat, 11th Floor, Rama I Rd, Wang Mai, Pathum Wan, Bangkok, 10330, Thailand, 1 +66-2-218-1131, 1 +66-2-218-1130.ORCID http://orcid.org/0009-0005-7349-2477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer (BC) symptom awareness through screening measures, such as breast self-examination practice (BSEP), is promoted in low-resource countries. The Muslim culture has a unique impact on family support for women's health care decisions, especially from the mother. Given the proven effect of educational intervention on breast health through interactive sessions and mobile health, implementation according to Muslim cultural values through family support, especially from the mother, was lacking, and this study was planned. Objective: This study aimed to determine the effects of a culture-based breast health education program (CBBHEP) on BSEP in high-risk women. Methods: A single-site randomized controlled trial was conducted in a hospital on 72 high-risk women, aged 20-50 years, from August 19 to November 29, 2024. The trial was registered prospectively (ID: ISRCTN-39194106). The participants were matched in pairs by age and educational level, and randomly assigned to experimental and control groups. The intervention program was based on social cognitive theory and the cultural identity concept of the PEN-3 model. The program consisted of face-to-face interactive sessions and a health app called a Women's Health app for promoting BSEP. The experimental group received CBBHEP, whereas the control group received the usual care. BSEP was measured at baseline and 12 weeks using a translated, valid, and reliable Toronto BSE frequency and proficiency of practice scale. Data analysis was performed using 1-way analysis of covariance and paired sample 1-tailedt test. Results: The participants in the experimental group who received CBBHEP for 12 weeks increased their BSEP much better than those in the control group (F1, 69=58.908, η2=0.46; P<.001). The results also revealed a statistically significant effect of a higher BSEP in the experimental group (t35=7.21, Cohen d=0.88; P<.001). Conclusions: The findings suggest that health care practitioners can apply this program to increase BSEP among high-risk women through their family support, especially from mothers.

Indexed as

breast neoplasmbreast self-examinationcultural competencyhealth educationrandomized controlled trial.women

Identifiers

PMID42314192
PMCPMC13278615

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Registered trials

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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.