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NCT Number: NCT07749677

The Effect of Artificial Intelligence Chatbot and Expert Education on Breast Cancer Awareness Among Female Municipal Employees

This study compared two educational approaches for increasing breast cancer awareness among female employees of Eskisehir Odunpazari Municipality. Participants were randomly assigned to receive education using artificial intelligence-generated educational material, education using expert-developed educational material, or no educational intervention. Breast cancer awareness was assessed at baseline, immediately after the intervention, and 2 months after the intervention. The study also assessed participants' digital health literacy.

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Key information

Conditions

Breast Cancer Awareness Adherence Interventions Behavior Breast Self-Examination Health Behavior Health Education Medication Adherence Patient Acceptance of Health Care Patient Compliance Self-Examination Treatment Adherence and Compliance

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Eskişehir Odunpazarı Municipality

Odunpazari, Eskişehir, 26060, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female employees actively working within Eskişehir Odunpazarı Municipality
  • Aged 18 years or older
  • Literate
  • Having a smartphone to access the digital educational material
  • Agreeing to participate in the study

Exclusion criteria

  • Previous diagnosis of or treatment for breast cancer
  • Not having a smartphone
  • Being a healthcare professional
  • Not completing the study process

Treatment and study plan

Artificial Intelligence Chatbot-Generated Educational Material

Behavioral

A structured educational material was generated using an artificial intelligence chatbot and presented through Google Forms in a conversational question-and-answer format. The content was written in plain language appropriate for female municipal employees aged 18 years or older and covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods. Participants accessed the predefined material through a link or QR code. No real-time or personalized chatbot interaction occurred. Both the artificial intelligence chatbot-generated educational material and the expert-developed educational material were evaluated by a panel of nine independent experts, comprising four general surgery specialists and five public health specialists.

Expert-Developed Educational Material

Behavioral

Breast cancer awareness educational material was developed by the researchers. The material covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods. It was evaluated by a panel of nine independent experts, comprising four general surgery specialists and five public health specialists.

Primary outcomes

  1. Breast Cancer Awareness Scale Total Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention.

    Overall breast cancer awareness was assessed using the Breast Cancer Awareness Scale, which consists of five subscales. Total scores range from 0 to 102, with higher scores indicating greater overall breast cancer awareness.

Secondary outcomes

  1. Factor 1:Knowledge of Risk Factors Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention

    Knowledge of breast cancer risk factors was assessed using the Knowledge of Risk Factors subscale of the Breast Cancer Awareness Scale. Scores range from 0 to 18, with higher scores indicating greater knowledge of breast cancer risk factors.

  2. Factor 2: Knowledge of Signs and Symptoms Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention

    Knowledge of breast cancer signs and symptoms was assessed using the Knowledge of Signs and Symptoms subscale of the Breast Cancer Awareness Scale. Scores range from 0 to 16, with higher scores indicating greater knowledge of breast cancer signs and symptoms.

  3. Factor 3. Attitudes Toward Breast Cancer Prevention Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention

    Attitudes toward breast cancer prevention were assessed using the Attitudes Toward Breast Cancer Prevention subscale of the Breast Cancer Awareness Scale. Scores range from 0 to 24, with higher scores indicating more positive attitudes toward breast cancer prevention

  4. Factor 4. Barriers to Breast Cancer Screening Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention

    Perceived barriers to breast cancer screening were assessed using the Barriers to Breast Cancer Screening subscale of the Breast Cancer Awareness Scale. Scores range from 0 to 16. Items are reverse-scored, with higher scores indicating fewer perceived barriers to breast cancer screening.

  5. Factor 5. Health Behaviors Related to Breast Cancer Awareness Score

    Time frame: Baseline, immediately after the intervention, and 2 months after the intervention

    Health behaviors related to breast cancer awareness were assessed using the Health Behaviors Related to Breast Cancer Awareness subscale of the Breast Cancer Awareness Scale. Scores range from 0 to 28, with higher scores indicating more positive health behaviors related to breast cancer awareness.

  6. Digital Health Literacy Instrument Total Score

    Time frame: Baseline

    Overall digital health literacy was assessed using the 18-item Turkish version of the Digital Health Literacy Instrument, which consists of six subscales. The total mean score ranges from 1 to 4, with higher scores indicating greater digital health literacy.

  7. DHLI Search Score

    Time frame: Baseline

    Skills related to searching for online health information were assessed using the DHLI Search subscale. Mean scores range from 1 to 4, with higher scores indicating greater information-searching skills.

  8. DHLI Content Score

    Time frame: Baseline

    Skills related to adding self-generated content to digital health platforms were assessed using the DHLI Content subscale. Mean scores range from 1 to 4, with higher scores indicating greater content-adding skills.

  9. DHLI Relevance Score

    Time frame: Baseline

    Skills related to determining the relevance of online health information were assessed using the DHLI Relevance subscale. Mean scores range from 1 to 4, with higher scores indicating greater ability to determine the relevance of online health information.

  10. DHLI Navigation Score

    Time frame: Baseline

    Skills related to navigating online health information and digital health environments were assessed using the DHLI Navigation subscale. Mean scores range from 1 to 4, with higher scores indicating greater navigation skills.

  11. DHLI Privacy Score

    Time frame: Baseline

    Skills related to protecting personal privacy when using online health resources were assessed using the DHLI Privacy subscale. Mean scores range from 1 to 4, with higher scores indicating greater ability to protect personal privacy.

  12. DHLI Reliability Score

    Time frame: Baseline

    Skills related to evaluating the reliability of online health information were assessed using the DHLI Reliability subscale. Mean scores range from 1 to 4, with higher scores indicating greater ability to evaluate the reliability of online health information.

Sponsors and collaborators

Lead sponsor

Eskisehir Osmangazi University

Other

Collaborators

  • Odunpazari Municipality

Registry information

Official study title

The Effect of Artificial Intelligence Chatbot and Expert Education on Breast Cancer Awareness Among Female Municipal Employees: A Randomized Controlled Trial

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Aug 6, 2026
Registry last updated
Aug 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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