سامانه همایش های دانشگاه آزاد اسلامی واحد نجف آباد

صفحه اصلی / اولین همایش بین المللی تحول خدمات سلامت: تلفیق مراقبت، درمان، بازتوانی و امیدبخشی

Low-Fidelity Simulation versus Multimedia Education on Knowledge, Attitudes, and Performance of Breast Self-Examination among Employed Women: A Workplace-Based Three-Arm Randomized Controlled Trial

نویسندگان :

Fariba Maleki¹ Sharareh Zeighami Mohammadi² Neda Haghighi Khoshkho³

1- دانشگاه آزاد علوم پزشکی البرز 2- دانشگاه آزاد علوم پزشکی البرز 3- دانشگاه آزاد علوم پزشکی البرز

کلمات کلیدی :

Breast Neoplasms،Breast Self-Examination،Health Education،Nursing،Simulation Training،Multimedia،Occupational Health

چکیده :

Background: Employed women face multiple barriers to participation in breast cancer screening, and breast self-examination (BSE) remains a feasible self-care strategy in resource-constrained settings. This study aimed to compare the effectiveness of low-fidelity simulation and multimedia-based education in employed women’s knowledge, attitudes, and performance regarding breast self-examination. Methods: In this three-arm randomized controlled trial with repeated measures, 84 employed women (25-50 years) from Islamic Azad University, Karaj (Iran), 2025 were allocated to low-fidelity simulation, multimedia education, or control (1:1:1) by block randomization; 82 participants completed follow-up. The simulation group attended a one-day, face-to-face workshop using a silicone breast model based on the NLN/Jeffries framework. The multimedia group received an 8-day micro-learning program via WhatsApp. Outcomes included BSE knowledge, attitude, and the observed BSE performance checklist, assessed at baseline, immediately post-intervention, and at 1-month follow-up. Data were analyzed using linear mixed-effects models and appropriate non-parametric tests (α=0.05). Results: Both simulation and multimedia education produced significant improvements in BSE knowledge and attitude relative to the control, with effects sustained at 1 month (time, group, and time×group interactions all p<0.05). BSE performance scores increased in both intervention arms compared with control at post-test and 1 month (all p<0.001). At the same time, no significant difference emerged between the two active groups in total checklist scores. Conclusions: Brief, protocol-driven low-fidelity simulation and multimedia-based education, embedded in the workplace, both effectively enhanced BSE-related knowledge, attitudes, and objectively observed performance among employed women. A pragmatic hybrid model combining at least one short simulation session with scalable multimedia reinforcement appears particularly suitable for occupational health promotion in middle-income settings.