Self-efficacy in Breast Self-examination and Satisfaction with Training in Face-to-Face and Smartphone-Based Training Methods: A Randomized Controlled Trial

Self-efficacy and people's satisfaction with breast self-examination training methods are very important in creating and perpetuating this breast cancer screening behavior. Therefore, choosing the most appropriate educational approach is important. The aim of this study was to Comparing the self-efficacy of breast self-examination and satisfaction with training in both face-to-face and smartphone-based training methods.

In this randomized controlled trial, 70 women referring to the breast clinic in Rafsanjan were selected by available methods and by drawing samples assigned to two groups of face-to-face and smartphone-based training. Training was done in both groups individually. The training in the face-to-face group was through lectures with PowerPoint, and for the smartphone-based group by uploading a training video on WhatsApp. Data were collected before and immediately after the intervention through individual characteristics checklist, satisfaction questionnaire and self-efficacy questionnaire and analyzed by SPSS22 software and independent t-test, paired t-test, chi-square, analysis of covariance and Fisher's exact test.

The mean scores of self-efficacy in the two groups of face-to-face and smartphone-based training, before the intervention were 22/57±4/68 and 20/68±5/08, and immediately after the intervention were 33/57±4/47 and 29/59±6/14, respectively. Satisfaction with training in the two groups of face-to-face and smartphone-based training was 173/78±7/18 and 166/46±17/86, respectively. Covariance analysis results showed a significant difference between the two groups in the degree of self-efficacy score (P = 0.007).

Both face-to-face and smartphone-based training methods provide satisfaction with training and create appropriate self-efficacy for breast self-examination, and face-to-face training has better results in this area.