Effect of video-assisted structured teaching program on knowledge of breast self-examination among female college students of Puducherry: a pre and post experimental study

Neethu Mariya Mathew, Jayalakshmy Ramakrishnan, Yamuna Thirvanthipuram Venkatesan, Deepika Chandar


Background: Breast self-examination (BSE) is an easy method for early detection of breast cancer that can be performed by self at home. The present study was done to assess the effect of video-assisted structured teaching program on knowledge of BSE among female college students of Puducherry.

Methods: This pre and post experimental study was conducted in September 2014 among 160 college students at government women’s college, Puducherry who were aged 18-26 years. The knowledge was assessed using a pre-tested semi-structured questionnaire following which breast self-examination techniques were taught to them using a video. The post-assessment was done after 14 days of teaching program using the same tool.

Results: Of the 160 participants, 90% were undergraduates, 85.6% were Hindus, 58.1% were from rural area and 5.6% were having family history of breast cancer. The knowledge regarding the breast cancer was good even before the intervention and the media was the main source of information.  The video-assisted structured teaching used in this study was effective to improve the overall awareness score for breast cancer and BSE significantly. The change in knowledge regarding the steps and the pattern of performing BSE was not statistically significant.

Conclusions: The video-assisted teaching used was found to be effective in improving the knowledge regarding BSE. This type of regular health education with short videos can be a useful method for imparting knowledge to college students about BSE. However, the exact technique of performing BSE needs further reinforcement among the study participants.


Breast cancer, Intervention, Screening for breast cancer

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Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2017;3(4):524-48.

Mallath MK, Taylor DG, Badwe RA, Rath GK, Shanta V, Pramesh CS, et al. The growing burden of cancer in India: epidemiology and social context. Lancet Oncol. 2014;15(6):205-12.

Mathers C, Fat DM, Boerma JT, World Health Organization, editors. The global burden of disease: 2004 update. Geneva, Switzerland. World Health Organization. 2008. Available at: https://www.who. int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf. Accessed on 04 August 2020.

Bala DV, Gameti H. An educational intervention study of breast self examination (BSE) in 250 women beneficiaries of urban health centers of west Zone of Ahmedabad. Healthline. 2011;2(2):4.

Karayurt Ö, Özmen D, Çetinkaya AÇ. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health. 2008;8:359.

Ranasinghe HM, Ranasinghe N, Rodrigo C, Seneviratne RDA, Rajapakse S. Awareness of breast cancer among adolescent girls in Colombo, Sri Lanka: a school based study. BMC Public Health. 2013;13:1209.

Ghodsi Z, Salehi A, Hojjatoleslami S. Knowledge of Iranian Women about Warning Signs and Risk Factors for Breast Cancer. Procedia - Soc Behav Sci. 2013;93:343-8.

Nimir A, Al-Dubai S, AL-Shagga M, M. Saliem A. Knowledge and practice of breast self-examination among students in a private higher learning institution in malaysia. Malays J Public Health Med. 2014;14:47-53.

Suleiman AK. Awareness and attitudes regarding breast cancer and breast self-examination among female Jordanian students. J Basic Clin Pharm. 2014;5(3):74-8.

Null S, Varghese D, Nayak M. Awareness and impact of education on breast self-examination among college going girls. Indian J Palliat Care. 2011;17(2):150-4.