Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran
4 affiliations
- 1Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran
- 2Department of Public Health, Chabahar University of Medical Sciences, Chabahar, Iran
- 3Department of Public Health, Khoy University of Medical Sciences, Khoy, Iran
- 4Health System Research Committee, Khoy University of Medical Sciences, Khoy, Iran
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.
Objective: This study examined the impact of Teach-Back Education, grounded in PMT, on breast cancer prevention behaviors.
Design: A quasi-experimental study with a pretest–posttest control-group design conducted among women health ambassadors in Khoy City, Iran.
Methods: 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.
Results: 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).
Conclusion: 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.
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BibTeX
@article{mokhtari2026empowering,
title = {{Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran}},
author = {Leila Mokhtari and Mohammad Saeed Jadgal and Rahim Sharafkhani and Morad Ali Zareipour and Hamideh safaralizadeh},
journal = {Women's Health},
year = {2026},
month = sep,
doi = {10.1177/17455057261490343},
url = {https://doi.org/10.1177/17455057261490343},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran
AU - Leila Mokhtari
AU - Mohammad Saeed Jadgal
AU - Rahim Sharafkhani
AU - Morad Ali Zareipour
AU - Hamideh safaralizadeh
PY - 2026
DA - 2026/09/22
JO - Women's Health
DO - 10.1177/17455057261490343
UR - https://doi.org/10.1177/17455057261490343
AB - 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. Objective: This study examined the impact of Teach-Back Education, grounded in PMT, on breast cancer prevention behaviors. Design: A quasi-experimental study with a pretest–posttest control-group design conducted among women health ambassadors in Khoy City, Iran. Methods: 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. Results: 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). Conclusion: 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.
SN - 1745-5057
SN - 1745-5065
ER -