Teach Back Educational Strategy on Knowledge About Breast Cancer Among Low Health Literate Women

Overview

Journal BMC Med Educ

Publisher Biomed Central

Specialty Medical Education

Date 2024 Dec 5

PMID 39639252

Authors

Seyedehmahtab Hosseinifar

Abdorrahim Afkhamzadeh

Hassan Moayeri

Somayeh Ghaderi

Hassan Mahmoodi

Affiliations

Soon will be listed here.

Abstract

Background: This randomized controlled trial examines the effectiveness of a "teach-back" educational strategy in increasing knowledge about breast cancer among women with low health literacy.

Methods: Data collection for this study was conducted at the Farabi Comprehensive Health Services Center in Sanandaj, Iran, between December 2020 and October 2022. In this randomized controlled trial, 84 women who had low health literacy were randomly allocated into groups of the study (teach back, and control groups). The educational intervention focused on increasing knowledge of breast cancer risk factors, signs and symptoms, early detection methods (including breast self-examination), and the importance of regular screening. The intervention group received 3 face to face education within three weekly sessions, each lasting 20 min. The Health Literacy Instrument for Adults (HELIA), breast cancer knowledge was measured by valid tool and compared in the two groups before and eight weeks after the interventions.

Results: Mean scores of breast cancer knowledge revealed significant differences between intervention group and control group (P < 0.001) eight weeks after intervention. There were significant differences between baseline and follow-up measurement scores demonstrating that there were differences in the participants' breast cancer knowledge (P < 0.001), and diagnosis technique knowledge (P < 0.008), between the intervention and control groups.

Conclusion: Teach Back educational strategy increased knowledge breast cancer among low health literacy women. Teach Back educational strategy seems to be effective for women with low health literacy.

References

Yen P, Leasure A . Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019; 36(6):284-289. PMC: 6590951. View

Heena H, Durrani S, Riaz M, AlFayyad I, Tabasim R, Parvez G . Knowledge, attitudes, and practices related to breast cancer screening among female health care professionals: a cross sectional study. BMC Womens Health. 2019; 19(1):122. PMC: 6806575. DOI: 10.1186/s12905-019-0819-x. View

Talevski J, Shee A, Rasmussen B, Kemp G, Beauchamp A . Teach-back: A systematic review of implementation and impacts. PLoS One. 2020; 15(4):e0231350. PMC: 7156054. DOI: 10.1371/journal.pone.0231350. View

Oglat A, AbuKhalil T, Hasan H, Isawi I, Oqlat A, Abu Mhanna H . Evaluating the Use of Breast Self-Examination (BSE) for Recognizing Breast Cancer Awareness Among Jordanian Students and Workers in Medical Fields. Int J Womens Health. 2024; 16:1743-1753. PMC: 11522006. DOI: 10.2147/IJWH.S485116. View

Coughlin S, Vernon M, Hatzigeorgiou C, George V . Health Literacy, Social Determinants of Health, and Disease Prevention and Control. J Environ Health Sci. 2021; 6(1). PMC: 7889072. View

Ha Dinh T, Bonner A, Clark R, Ramsbotham J, Hines S . The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database System Rev Implement Rep. 2016; 14(1):210-47. DOI: 10.11124/jbisrir-2016-2296. View

Rickham P . HUMAN EXPERIMENTATION. CODE OF ETHICS OF THE WORLD MEDICAL ASSOCIATION. DECLARATION OF HELSINKI. Br Med J. 1964; 2(5402):177. PMC: 1816102. DOI: 10.1136/bmj.2.5402.177. View

Anderson K, Leister S, De Rego R . The 5Ts for Teach Back: An Operational Definition for Teach-Back Training. Health Lit Res Pract. 2020; 4(2):e94-e103. PMC: 7156258. DOI: 10.3928/24748307-20200318-01. View

Dinh H, Bonner A, Ramsbotham J, Clark R . Cluster randomized controlled trial testing the effectiveness of a self-management intervention using the teach-back method for people with heart failure. Nurs Health Sci. 2019; 21(4):436-444. DOI: 10.1111/nhs.12616. View

10.

Sarker R, Islam M, Moonajilin M, Rahman M, Gesesew H, Ward P . Effectiveness of educational intervention on breast cancer knowledge and breast self-examination among female university students in Bangladesh: a pre-post quasi-experimental study. BMC Cancer. 2022; 22(1):199. PMC: 8862195. DOI: 10.1186/s12885-022-09311-y. View

11.

Negarandeh R, Mahmoodi H, Noktehdan H, Heshmat R, Shakibazadeh E . Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes. Prim Care Diabetes. 2012; 7(2):111-8. DOI: 10.1016/j.pcd.2012.11.001. View

12.

Feinberg I, Ogrodnick M, Hendrick R, Bates K, Johnson K, Wang B . Perception Versus Reality: The Use of Teach Back by Medical Residents. Health Lit Res Pract. 2019; 3(2):e117-e126. PMC: 6610032. DOI: 10.3928/24748307-20190501-01. View

13.

Shen D, Huang W, Wei S, Zhu Y, Shi B . The impact of Teach-back method on preoperative anxiety and surgical cooperation in elderly patients undergoing outpatient ophthalmology surgery: A randomized clinical trial. Medicine (Baltimore). 2023; 102(8):e32931. PMC: 11309593. DOI: 10.1097/MD.0000000000032931. View

14.

Haghdoost A, Karamouzian M, Jamshidi E, Sharifi H, Rakhshani F, Mashayekhi N . Health literacy among Iranian adults: findings from a nationwide population-based survey in 2015. East Mediterr Health J. 2019; 25(11):828-836. DOI: 10.26719/emhj.19.017. View

15.

Stormacq C, Wosinski J, Boillat E, Van den Broucke S . Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community: a systematic review. JBI Evid Synth. 2020; 18(7):1389-1469. DOI: 10.11124/JBISRIR-D-18-00023. View

16.

Hussain I, Majeed A, Masood I, Ashraf W, Imran I, Saeed H . A national survey to assess breast cancer awareness among the female university students of Pakistan. PLoS One. 2022; 17(1):e0262030. PMC: 8782286. DOI: 10.1371/journal.pone.0262030. View

17.

Alizadeh M, Ghojazadeh M, Piri R, Mirza-Aghazadeh-Attari M, Mohammadi S, Naghavi-Behzad M . Age at Diagnosis of Breast Cancer in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health. 2021; 50(8):1564-1576. PMC: 8643522. DOI: 10.18502/ijph.v50i8.6802. View

18.

Ahmadidarrehsima S, Bidmeshki E, Rahnama M, Babaei K, Afshari M, Khandani B . The Effect of Self-Management Education by the Teach-Back Method on Uncertainty of Patients with Breast Cancer: a Quasi-Experimental Study. J Cancer Educ. 2019; 35(2):366-372. DOI: 10.1007/s13187-019-1474-5. View

19.

Ginsburg O, Yip C, Brooks A, Cabanes A, Caleffi M, Dunstan Yataco J . Breast cancer early detection: A phased approach to implementation. Cancer. 2020; 126 Suppl 10:2379-2393. PMC: 7237065. DOI: 10.1002/cncr.32887. View

20.

Alshahrani M, Alhammam S, Al Munyif H, Alwadei A, Alwadei A, Alzamanan S . Knowledge, Attitudes, and Practices of Breast Cancer Screening Methods Among Female Patients in Primary Healthcare Centers in Najran, Saudi Arabia. J Cancer Educ. 2018; 34(6):1167-1172. PMC: 6882780. DOI: 10.1007/s13187-018-1423-8. View