The aim of this study was to determine the effect of education provided to women in menopause through animation on their attitudes toward breast cancer, behaviors, and screening test participation. The study will include a total of 136 women in the menopausal period, comprising 68 experimental group participants and 68 control group participants who have applied to the Orduyeri and Kırtepe Family Health Centers affiliated with the Bartın Public Health Institution. Women who agree to participate in the project, which will run from January to August 2025, will receive 40-45 minute training sessions in a suitable room at the ASM. The training sessions will be conducted in groups of 8-12 people. The training content will include information about the purpose, duration, and rules of the training. After providing information about the project, a pre-test will be administered. Through face-to-face interviews, researchers assigned to the project will show animated videos enriched with sound and images via an online program they have prepared. These videos will be 10-12 minutes long, and an interim test will be conducted. Three months after the pre-test, the women participating in the study will be contacted, and a final test will be administered in their own homes. Project data will be collected using the Personal Information Form, Champion Health Belief Scale, and Breast Cancer Awareness Scale. Descriptive statistics, independent sample t-tests, chi-square tests, and repeated measures analysis of variance (ANOVA) tests will be used in the statistical analysis of the project.
Not having been diagnosed with breast cancer,
not performing regular self-examinations (those who performed self-examinations at least once a month were excluded),
not having had a mammogram (those who had a mammogram within the first six months after training were excluded),
not having undergone a clinical breast examination (those who underwent a clinical breast examination within the first 6 months after the training were excluded),
never experiencing menopausal symptoms,
undergoing surgical menopause,
currently or previously using hormonal therapy,
having a psychiatric disorder,
Parallel
animation-based breast cancer education
BehavioralThe animation-based humorous application consists of four videos, each lasting 40-45 minutes, which separately explain the signs and symptoms of breast cancer, self-breast examination, clinical breast examination, and mammography through animation.
Control group (placebo)
Other interventionNo intervention will be applied to the control group.
menopause symptom scale
The scale consists of a total of 11 items and 3 subscales. These 3 subscales are called the "Somatic Complaints subscale," "Psychological Complaints subscale," and "Urogenital Complaints subscale." The scale is a 5-point Likert scale. The score obtained from the scale ranges from 0 to 44 points. An increase in the total score obtained from the scale indicates an increase in the severity of menopausal complaints experienced.
Champion Health Belief Model Scale
The scale has eight subscales and consists of 58 items. These are: importance/seriousness, sensitivity, health motivation, benefits and barriers to self-breast examination, self-efficacy, and benefits and barriers to mammography. Scale items are scored on a scale of 1 to 5. The lowest score for all dimensions of the scale is the sum of the lowest scores of the subgroup, and the highest score is the sum of the highest scores of the subgroup. It has been noted that as the score obtained from the scale increases, the subdimensions also increase.
Breast Cancer Awareness Scale
The scale consists of a total of 13 items, including symptoms (11 items), breast examination frequency (1 item), and age of breast cancer (1 item), to determine the breast cancer awareness scale. There is no cut-off point for the scale. When 5 symptoms are reported, 1 point is awarded; when a woman aged 70 is indicated, 1 point is awarded; and when a monthly breast examination is reported, 1 point is awarded. Incorrect answers receive 0 points. Scoring ranges from 0 to 3. It has been determined that as the score from the scale increases, breast cancer awareness also increases.
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