About this trial
Breast cancer is the most common cancer among women worldwide. This randomized controlled trial aims to evaluate the effect of an Instagram- and podcast-based intervention on women's breast cancer awareness, health beliefs, and breast cancer screening behaviors among women aged 20-39 years.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women aged 20-39 years
Able to read and write Turkish
Turkish citizens
Have an active Instagram account and access it at least once daily
Disqualifiers
No access to a smartphone with the Instagram application
Visual, hearing, or cognitive impairment that may prevent participation in the intervention
Failure to complete the assigned podcast sessions during the intervention period
Participant request to withdraw from the study at any time
Trial design
Parallel
Treatments tested in this trial
Instagram-Based Breast Cancer Awareness Intervention
Other interventionParticipants will follow the "Breast Health Academy" Instagram account and receive an 8-week Instagram-based breast cancer awareness intervention. Educational breast cancer awareness and screening content will be shared as posts and stories on Mondays, Wednesdays, and Saturdays. Reminder stories encouraging breast self-examination (BSE), such as "Do not forget to perform your monthly BSE" and "Remember to perform BSE this week," will be shared on Tuesdays, Thursdays, and Sundays. Stories will also be saved as highlights. No content will be shared on Fridays, and all posts and stories will be published at the same time each day.
Instagram-Podcast-Based Breast Cancer Awareness Intervention
Other interventionParticipants will follow the "Breast Health Academy Plus" Instagram account and receive an 8-week Instagram- and podcast-based breast cancer awareness intervention. Educational breast cancer awareness and screening content will be shared as posts and stories on Mondays, Wednesdays, and Saturdays. Reminder stories encouraging breast self-examination (BSE) will be shared on Tuesdays, Thursdays, and Sundays and saved as highlights. In addition, one educational podcast episode developed for the intervention will be delivered weekly via Instagram direct message every Friday. All content will be provided at the same time each day throughout the intervention period.
Treatment groups
Trial outcomes
Primary outcomes
Breast Cancer Awareness Scale
The Breast Cancer Awareness Measure assesses awareness of breast cancer symptoms, breast self-examination practices, and age-related risk perception. Total scores range from 0 to 3, with higher scores indicating greater breast cancer awareness.
Champion's Health Belief Model Scale in Breast Cancer Screening
The Champion's Health Belief Model Scale (CHBMS) for Breast Cancer Screening is a validated instrument used to assess health beliefs related to breast cancer screening. The Turkish version consists of six subscales: perceived susceptibility (3 items), perceived seriousness (6 items), health motivation (5 items), perceived benefits of breast self-examination (BSE) (4 items), perceived barriers to BSE (8 items), and BSE self-efficacy/confidence (10 items). Each subscale is evaluated separately, and no total score is calculated. Higher scores on the perceived susceptibility, perceived seriousness, health motivation, BSE benefits, and BSE self-efficacy/confidence subscales indicate stronger health beliefs, whereas higher scores on the BSE barriers subscale indicate greater perceived barriers to breast cancer screening and breast self-examination.
Secondary outcomes
Breast Cancer Screening Behavior Questionnaire
Breast Cancer Screening Behavior Questionnaire. A researcher-developed 3-item questionnaire assessing breast cancer screening behaviors, including breast self-examination within the previous month, clinical breast examination by a healthcare professional, and mammography uptake or scheduling. Each item is recorded as Yes or No and analyzed separately. No total score is calculated; therefore, minimum and maximum scores are not applicable.
Participant Satisfaction (VAS)
Participant satisfaction with the Instagram- and podcast-based intervention will be assessed using a 0-10 Visual Analog Scale (VAS), where 0 indicates "not satisfied at all" and 10 indicates "extremely satisfied."
Sponsors and contacts
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