About this trial
This study aims to implement two interventions to determine the most effective one that can improve Ghanaian women's decision to get their breasts examined by a healthcare professional. The two interventions are (1) a system where community health nurses will be leveraged to educate women on breast cancer screening; (2) a system where women will be sent text messages about breast cancer screening. Both interventions will be carried out over five months. A survey will be conducted before the intervention is introduced. Then, after the sixth month, another survey will be implemented to determine whether there have been changes. Only women who are 25 years or older will be included in the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Must be a female aged 25 years or older
Must be resident in the Danfa community
Must be someone who can confirm their availability for at least the next eight months after the initiation of the trial
Disqualifiers
Males
Females aged <25 years
Women who are not resident in the study setting
Women who cannot be available for at least the next eight months after the initiation of the trial
Trial design
Parallel
Treatments tested in this trial
Community Health Nurse-Led Breast Cancer Screening Education
Other interventionThe Community Health Nurse-led intervention differs from conventional health education programmes by using trained community health nurses who are embedded within the local healthcare system to deliver structured, interactive, and culturally responsive breast cancer screening education. Unlike one-time awareness campaigns, this intervention provides repeated biweekly sessions over five months, allowing progressive learning, reinforcement of key messages, and opportunities to address participant concerns and misconceptions.
Text Messaging Breast Cancer Screening Educational Intervention
Other interventionThe text messaging intervention is distinguished by its use of a structured, evidence-informed mobile health approach to deliver breast cancer screening information directly to participants' mobile phones. Unlike generic health reminder messages, the intervention follows the same thematic structure as the CHN-led programme, ensuring delivery of comprehensive breast cancer screening education rather than isolated screening prompts.
Control Arm - standard of care
Other interventionThe control group will receive standard community-level healthcare information routinely provided through existing primary healthcare services and will not receive any additional breast cancer screening-specific education, text messages, or structured intervention activities during the study period. This distinguishes the control condition from the intervention groups by maintaining usual care while allowing evaluation of the added effect of community health nurse-led education and text messaging interventions.
Treatment groups
Trial outcomes
Primary outcomes
Clinical breast examination uptake
The proportion of women who would have had their breasts examined by a health care professional and the proportion of women who would have practiced breast self-examination.
Secondary outcomes
Breast cancer literacy
The proportion of women who are knowledgeable of breast cancer risk factors, and the suggestive signs and symptoms of breast cancer.
Attitude to breast cancer screening
The proportion of women with a positive attitude towards breast cancer screening.
Sponsors and contacts
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