The Effectiveness of Breast Self-Examination (BSE) Education using Audio-Visual Media and Simulation among Women of Childbearing Age

Abstract

Breast cancer remains one of the leading causes of morbidity and mortality among women. Early detection through Breast Self-Examination (BSE) is a simple and cost-effective however, BSE behavior among Women of Childbearing Age (WCA) is still low. Health education using appropriate media is expected to improve BSE behavior. This study aimed to determine the effectiveness of BSE education using audio-visual media compared with discussion and simulation of BSE techniques among Women of Childbearing Age. This study employed a quasi-experimental design with a two-group posttest-only approach. The population consisted of 60 Women of Childbearing Age, with a sample of 30 respondents selected using simple random sampling. Respondents were divided into two groups: audio-visual education (n = 15) and discussion with BSE technique simulation (n = 15). Data were analyzed using the Mann Whitney U test with a significance level of α = 0.05. The results showed that 14 respondents (93.3%) in the audio-visual group and all respondents (100%) in the simulation group demonstrated very good BSE behavior. Statistical analysis revealed no significant difference between the two educational methods (p = 0.350). BSE education using audio-visual media and simulation techniques is effective in improving BSE behavior among Women of Childbearing Age. Both methods show comparable effectiveness and are recommended for implementation in health services and community-based health promotion programs.