Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran.

Authors

Leila Mokhtari, Mohammad Saeed Jadgal, Rahim Sharafkhani, Morad Ali Zareipour, Hamideh Safaralizadeh

Published in

Women's health (London, England). Volume 22. Pages 17455057261490343. Epub Sep 22, 2026.

Abstract

BackgroundBreast 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.ObjectiveThis study examined the impact of Teach-Back Education, grounded in PMT, on breast cancer prevention behaviors.DesignA quasi-experimental study with a pretest-posttest control-group design conducted among women health ambassadors in Khoy City, Iran.MethodsA 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.ResultsThe 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).ConclusionThis 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.

PMID:
42770683
Bibliographic data and abstract were imported from PubMed on 22 Sep 2026.

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