{
  "abstract": "Background: Breast cancer is one of the most prevalent cancers among women, making its prevention a crucial public health priority. Health ambassadors serve as essential mediators, helping raise knowledge and promote preventive behaviors within households.\n\nObjective: This study examined the impact of Teach-Back Education, grounded in PMT, on breast cancer prevention behaviors.\n\nDesign: A quasi-experimental study with a pretest–posttest control-group design conducted among women health ambassadors in Khoy City, Iran.\n\nMethods: A total of 160 women health ambassadors were selected through simple random sampling and allocated to either the Teach-back education group (four weekly sessions, 45 min/session) or the control group (no intervention). Outcomes were measured using a validated Protection Motivation Theory (PMT)-based questionnaire at baseline and at the three-month follow-up. Data were analyzed using SPSS version 20.\n\nResults: The results indicated that the implementation of the Teach -Back Education grounded in the PMT led to a significant increase in knowledge, most components of the PMT, and the overall breast cancer prevention behavior score in the intervention group compared to the control group (P<0.05). Subgroup analysis revealed that the educational intervention had a more pronounced impact on older health ambassadors, had lower education levels, or were housewives (P<0.05).\n\nConclusion: This study demonstrated that educational interventions based on the PMT, utilizing Teach-Back Education, effectively enhanced knowledge and motivation and improved breast cancer prevention behaviors among women health ambassadors. Expanding Teach-Back Education programs based on PMT across various communities is recommended to raise knowledge, enhance sensitivity, and promote preventive behaviors against breast cancer.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran",
    "Department of Public Health, Chabahar University of Medical Sciences, Chabahar, Iran",
    "Department of Public Health, Khoy University of Medical Sciences, Khoy, Iran",
    "Health System Research Committee, Khoy University of Medical Sciences, Khoy, Iran"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Leila Mokhtari"
    },
    {
      "affs": [
        1
      ],
      "name": "Mohammad Saeed Jadgal"
    },
    {
      "affs": [
        2
      ],
      "name": "Rahim Sharafkhani"
    },
    {
      "affs": [
        2
      ],
      "name": "Morad Ali Zareipour",
      "orcid": "0000-0002-1039-896X"
    },
    {
      "affs": [
        3
      ],
      "name": "Hamideh safaralizadeh"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2gatakvnbwm48.bib",
  "cited_by": 0,
  "doi": "10.1177/17455057261490343",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13735654/",
  "id": "2gatakvnbwm48",
  "issns": [
    "1745-5057",
    "1745-5065"
  ],
  "landing_url": "https://doi.org/10.1177/17455057261490343",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research Article"
    ],
    [
      "openalex",
      "2739|Women's cancer prevention and management"
    ]
  ],
  "openalex": "W7213981077",
  "pdf_url": null,
  "pmcid": "PMC13735654",
  "pmid": "42770683",
  "published": "2026-09-22",
  "publisher": "SAGE Publications",
  "ris": "https://research.draconitic.com/paper/2gatakvnbwm48.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:21:18Z",
      "native_id": "PMC13735654",
      "source": "pmc",
      "url": "https://doi.org/10.1177/17455057261490343"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Women's cancer prevention and management",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran",
  "title_text": "Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:18Z",
  "url": "https://research.draconitic.com/paper/2gatakvnbwm48",
  "venue": "Women's Health",
  "versions": []
}