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Effectiveness of a Health Belief Model–Based Educational Intervention on Breast Self-Examination : A Cluster Randomized Controlled Trial In Lahore

Effectiveness of a Health Belief Model–Based Educational Intervention on Breast Self-Examination Practices Among Women Aged 18–39 Years in Lahore: A Cluster Randomized Controlled Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000553370
Enrollment
210
Registered
2026-05-01
Start date
2026-03-21
Completion date
Unknown
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Breast cancer is the most common cancer among women in Pakistan, and many cases are diagnosed at late stages because women are not aware of simple screening methods. Breast self-examination (BSE) is an easy, low-cost way for women to check their own breasts regularly and notice changes early.. This cluster randomized controlled trial aims to improve the efficacy and legitimacy of theory-based breast self-examination interventions by increasing women's knowledge of the need for breast cancer awareness and changing their attitudes to encourage early breast cancer detection.

Interventions

Health belief theory-based breast self-examination intervention delivered to the intervention group. i. Knowledge-based awareness session A one-hour presentation including a short video of 5 minutes duration about general structure as well as functioning of normal breast. Awareness on breast health, basic knowledge on breast cancer, and education on various screening methods of breast cancer will be provided by the researcher one week apart. ii. Skill-based training session During this section,

Health belief theory-based breast self-examination intervention delivered to the intervention group. i. Knowledge-based awareness session A one-hour presentation including a short video of 5 minutes duration about general structure as well as functioning of normal breast. Awareness on breast health, basic knowledge on breast cancer, and education on various screening methods of breast cancer will be provided by the researcher one week apart. ii. Skill-based training session During this section, participants will learn the palpation technique, the search strategy, and signs of breast cancer (BC) that are important for respondents to know.This training will be given by the researcher herself along with a gynaecologist for 15 to 20 minutes. Later, the participants will be asked to perform Breast self-examination (BSE) on themsleves in groups. Each group will be comprised of 5 participants and they look for any abnormalities and if there are any querries by the participants, they will also be answered by the researcher. iii. Take-home messages for participants A leaflet with the same information that was provided in the session will be given to every participant when the educational session ends. A short film about Breast self-examination (BSE) performance will be sent to the participants via WhatsApp. Such materials will be believed to remind participants about the Breast cancer screening (BCS) practice and the monthly Breast self-examination (BSE) performance. A short WhatsApp reminder message will be sent to all participants of the intervention group for the period of three months on a weekly basis.

Sponsors

Shamaila Hassnain - Health Services Academy
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Primary purpose
Prevention
Masking
Blinded (masking used) (Subject)

Eligibility

Sex/Gender
All
Age
18 Years to 39 Years
Healthy volunteers
Yes

Inclusion criteria

- Females aged 18-39 years - Resident of selected community for > 6 months - Those who are willing to participate in the study - With no prior history of breast cancer - Have no family history of breast cancer or any other cancer - Who can understand basic Urdu/Punjabi or any other related language - Those who have access to smartphones

Exclusion criteria

- Women who are currently pregnant - Women who are currently breastfeeding - Women with a history of breast surgery, or on breast cancer treatment (Diagnosed/Recovered breast cancer patients) - Women with any other physical or mental illness - Health professionals

Outcome results

None listed

Source: ANZCTR · Data processed: May 16, 2026