Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Symptoms and General Pathology

Breast Neoplasms

Facies

Breast Diseases

Skin Diseases

This group was receiving standard breast cancer screening program service during the study period. standard care; It is this standard health service applied to the whole country.

In addition to the standard breast cancer screening program service, the participants in this group were provided with online health education about breast cancer and prevention from breast cancer, and a digital education brochure was given At the end of the fourth week from the day they were assigned to the study, they were called by phone and the participants were reminded in line with the summary information about the importance of screening.

In addition to the standard breast cancer screening program service, the participants in this group were given face-to-face health education about breast cancer and prevention of breast cancer through home visits, and a training brochure was given. At the end of the fourth week from the day they were assigned to the study, they were called by phone and the participants were reminded in line with the summary information about the importance of screening.

Online training group

Face-to-face health education with home visit

Face-to-face training group

Objective: In this study, it was aimed to determine the effects of health education provided by two different methods on breast cancer and mammography knowledge self-evaluation status, perceived mammography benefit and barrier levels, mammography self-efficacy levels and mammography screening of women aged 40-69 years.

Materials and Methods: The study was conducted in a parallel group design as a single-blind randomized controlled trial. The sample consisted of 126 healthy volunteers, 42 in each group, who were registered to Toprakkale Family Health Center between January and July 2023, met the inclusion criteria. In the study, 10-unit Visual Analogue Scale, mammography benefit and obstacle perception sub-dimension of Champion's Health Belief Model Scale and Mammography Self-Efficacy Scale were used for self-assessment of breast cancer and mammography knowledge. In the study, while the control group received standard care, the face-to-face education group was given health education and brochures through home visits, and a reminder interview was made over the phone. Health education and digital brochures were given to the online training group via video call, and a reminder meeting was held once. After a two-month follow-up, One-Way Analysis of Variance and Kruskal Wallis H test were used to compare the data of the three groups, multiple comparisons were analyzed with Tukey's test and Dunn's test. Generalized Linear Models were used for group and time comparisons.

This study was conducted as a parallel group, single-blind randomized controlled trial. The study was carried out in Osmaniye Province Toprakkale Family Health Center between January - July 2023. In this study, it was calculated that at least 96 participants should be included in three groups with effect size d=0.18, 95% power and 0.05 error level. G Power 3.1.9.2 package program was used in the calculation. Considering the possible data loss in the study, it was decided to add 30% of the participants. In this context, the sample of the study was determined as 126 participants, 42 in each group. After briefing the women aged 40-69 who came to the FHC for any reason about the purpose of the study, the researcher invited them to participate in the study. Subsequently, it examined the inclusion criteria of women who volunteered to participate in the study. The purpose of the study was explained to the participants who met the inclusion criteria and Form I was administered to the participants. In the randomization of the participants, the block randomization method was preferred. Following the administration of Form I, the participants were assigned to the group in the block randomization list according to the order of arrival at the FHC. No intervention was made to the control group during the application process. Participants in the online training group received online health training and a digital training brochure. Participants in the face-to-face training group received face-to-face health education through home visits and a training brochure. Four weeks later, the participants in the online and face-to-face training groups were given a telephone reminder call. At the end of eight weeks, Form II was administered to all groups.

Parallel Assignment randomised control trial

Single (Participant) single blind study, participants do not know their group

The Effect of Face-to-face and Online Health Education on the Health Beliefs of Women Aged 40-69 and Their Participation in Screening

The Effect of Two Different Methods of Health Education on Self-Efficacy and Health Beliefs of Mammography and Participation in the Screening Program of 40-69 Age Group Women

The scale consists of 10 items in 5 likert type. The total score obtained varies between 10 and 50.

Only two sub-dimensions of the scale were used, namely the perception of benefit related to mammography and the perception of barriers related to mammography. Benefits sub-dimension of the scale consists of 5 items, and barriers sub-dimension consists of 11 items. In the scale, perceived mammography benefits dimension is evaluated between 5 and 25 points, and perceived mammography barriers dimension is evaluated between 11 and 55 points.

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

PhD RN

Constriction, Pathologic

Participants will gain access to the online education modules in addition to receiving current standard of care education (pamphlets and one on one teaching with health care provider)

Participants only receive current standard of care education (pamphlets and one on one teaching with health care provider)

Access to online modules about brachytherapy education in addition to receiving regular standard of care education

Online education

Access only to regular standard of care education

Regular standard of care education

Janet Papadakos, PhD, MEd

Although brachytherapy is an effective treatment modality for gynecological cancer, a significant proportion of patients develop late treatment-related vaginal toxicity, negatively impacting their quality of life and limiting recurrent disease detection by preventing adequate clinical examination during the post-treatment surveillance period. Consistent with the literature, results from a study at Princess Margaret revealed that current vaginal toxicity management education and training may be inadequate. The investigators seek to implement and evaluate a new online brachytherapy discharge education program (BrachDEP) to support patient engagement in self-management.

Background:

Brachytherapy is a type of radiation therapy used to treat patients with gynecological cancers. Brachytherapy delivers radiation to cancerous tissue by inserting or placing the radiation next to the target tissue. A common side effect that develops as a result of repeated brachytherapy is fibrosis, a thickening and hardening of tissue, as well as narrowing of the vagina, known as vaginal stenosis. To reduce the impact of vaginal stenosis, vaginal dilation is recommended upon discharge of brachytherapy. Vaginal dilation involves the insertion of a smooth plastic tube into the vagina 3 to 4 times per week. Despite the benefits of vaginal dilation, use of vaginal dilators is low among patients following brachytherapy. This poor adherence to vaginal dilator use may be due to embarrassment, discomfort, and lack of awareness of the benefits to patients.

Objective:

The primary objective of this study is to evaluate the whether an online brachytherapy discharge education program increases patient satisfaction with education and care. Secondary objectives are to determine whether the online education program increases patient quality of life, improves vaginal dilator compliance and reduces rates of vaginal stenosis post-treatment.

Methods:

The research team will use a randomized, controlled trial study design. The impact of the online education program will be identified by comparing the outcomes of participants in the intervention arm against those patients in the control arm. Participants will be recruited and randomized to one of two arms that will determine whether they will receive the education intervention.

Significance The results from this study will be used to improve the brachytherapy discharge education program.

Gynecological cancer patients receiving brachytherapy treatment

Evaluation of a Brachytherapy Discharge Education Program to Improve Patient Care

Evaluation of a Brachytherapy Discharge Education Program (BrachDEP) to Improve Patient Care: A Randomized Control Trial

To determine whether the online brachytherapy discharge education program increases patient satisfaction with education and care.

CBI: Cancer Behavioural Inventory Brief min score: 12 max score: 108 higher scores indicates greater coping efficacy

To determine whether the online brachytherapy discharge education program increases patient satisfaction with education and care.

Health Status min value set: 11111 max value set: 55555 lower value set indicates better health

min score: 0% max score: 100% higher percentage indicates best possible health

To determine whether the online brachytherapy discharge education program increases patient satisfaction with education and care.

Quality of Life min score: 1 max score 100 higher score indicates higher level of functioning

To determine whether the online brachytherapy discharge education program increases patient satisfaction with education and care.

The sexual function vaginal changes questionnaire higher scores indicate better overall sexual functioning

To determine whether the online brachytherapy discharge education program increases patient satisfaction with education and care.

Patient Satisfaction with Cancer Treatment Education min score = 1 max score = 5 higher score indicates greater satisfaction with information

To determine whether the online brachytherapy discharge education program:

1. Increases patient quality of life
2. Improves vaginal dilator compliance
3. Reduces rates of vaginal stenosis for gynecological cancer patients post treatment

Will be measured by tracking dilator compliance diary and measuring vaginal toxicity at baseline and 1-year post treatment (Vaginal Morbidity at Gynecological Examination)

Higher scores indicate lower vaginal morbidity

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
The Effect of Face-to-face and Online Health Education on the Health Beliefs of Women Aged 40-69 and Their Participation in Screening	NCT06022900	Breast Cancer	Online training... Face-to-face tr...	40 Years - 69 Years	Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Evaluation of a Brachytherapy Discharge Education Program to Improve Patient Care	NCT04707937	Gynecologic Can...	Online educatio... Regular standar...	18 Years - 100 Years	University Health Network, Toronto
Evaluation of a Brachytherapy Discharge Education Program to Improve Patient Care	NCT04707937	Gynecologic Can...	Online educatio... Regular standar...	18 Years - 100 Years	University Health Network, Toronto

Spots Global Cancer Trial Database for online education