Effectiveness of a Video and Mobile App in Breast Cancer Screening Awareness

Primary outcomes

1. National Breast Cancer Screening Program Knowledge Test (At the first stage (first encounter with cases/month 0))

   Time frame: first encounter with cases/month 0

   After the informed written consent was received from the women who agreed to participate in the research, the Descriptive Information Form prepared by the researchers and the National Breast Cancer Screening Program Knowledge Test were applied as the "Pre-Test" via e-mail or social media.

   The Descriptive Information Form contains 17 questions about age, marital status, education level, employment, income status, last menstrual period, smoking, a family history of breast cancer, and breast cancer early screening program.

   National Breast Cancer Screening Program Knowledge Test: This test was prepared using the literature and the National Breast Cancer Screening Program .The test includes a total of 20 questions, with 10 correct and 10 incorrect answers. If an individual answers all questions correctly, they score 20 points.

2. National Breast Cancer Screening Program Knowledge Test (At the second stage (month 1))

   Time frame: month 1

   The National Breast Cancer Screening Program Knowledge Test was applied to the women who watched the animated video a second time, one month later, as the "Interim Test" via. Immediately after the interim test, the participants were interviewed and asked to download the MEKTUP mobile phone application from the Google Play Store and register. The mentioned video was sent to the participants via WhatsApp.

   Animated Video: An animated video scenario was prepared by reviewing the literature and based on the "National Breast Cancer Screening Program". Written expert opinions were received on both the video design and information content. Three characters (a mother, a daughter, and a doctor) were included in the animation design. In the scenario, the doctor provided information on how, when, and where to perform BSE, undergo CBE, and have mammography, and breast cancer symptoms. (Animated video)

3. National Breast Cancer Screening Program Knowledge Test (At the second stage (month 1))

   Time frame: month 1

   The National Breast Cancer Screening Program Knowledge Test was applied to the women who watched the animated videoa second time, one month later, as the "Interim Test" via. Immediately after the interim test, the participants were interviewed and asked to download the MEKTUP mobile phone application from the Google Play Store and register. The mentioned video was sent to the participants via WhatsApp.

   The Breast Cancer Screening Warning Program (MEKTUP) mobile phone application, designed by the researchers in line with the "National Breast Cancer Screening Program" and having a reminder feature, was employed as a data collection tool. The mobile phone application automatically sent reminder messages in the "Reminder" section to menstruating women, according to the date of their last menstruation, and to non-menstruating women, according to a date they determined, to perform BSE once a month, to undergo CBE once a year, and to have mammography once every two years.

4. the MEKTUP mobile phone application (At the third stage)

   Time frame: month 2

   Reminder messages were automatically sent to women concerning breast cancer screening follow-ups via the MEKTUP mobile phone application according to their last menstrual date or the dates they provided.

5. the Research Evaluation Survey (At the fourth stage)

   Time frame: month 3

   The National Breast Cancer Screening Program Knowledge Test applied to women at the first meeting was filled out for the third time as the "Post-Test." Furthermore, the effects of the animated video and the MEKTUP mobile phone application on women's knowledge about the breast cancer screening program and their behaviors were evaluated using the Research Evaluation Survey.

   Research Evaluation Survey:The said survey comprises six questions about women's status of participating in breast cancer screenings and the effects of the animated video and the MEKTUP (LETTER) mobile phone application on their participation in breast cancer screenings at the fourth research stage.