Effectiveness of Video Education in Enhancing Knowledge and Attitudes Toward Breast Self-Examination (BSE) Among Rural Women: A Quasi-Experimental

Abstract

In Indonesia, especially in rural areas far from health access, breast cancer is one of the leading causes of death in women. Breast self-examination (BSE) is a simple and relatively easy method to detect breast cancer early, but unfortunately, knowledge and practice of BSE among rural women are still relatively low. This study aims to determine how much influence multimedia learning videos have on the knowledge and attitudes of women of childbearing age about BSE in rural areas. This study used a quasi-experimental design with two stages before and after treatment. This study involved sixty postmenopausal women aged over 30 who lived in Ogan Ilir Regency. Two villages were randomly selected as the intervention and control groups, each consisting of 30 people. The intervention group received education using local language video media (Palembang), while the control group received education using the lecture method. The study results showed a significant difference in increasing BSE knowledge in the intervention group (average pre-test 5.79; post-test 8.07; p <0.0001) compared to the control group. On the other hand, the intervention group's attitude score decreased slightly after the intervention (25.79 to 23.32; p = 0.021). However, there was a significant difference in knowledge change favoring the intervention group over the control group (p=0.043). For video-based education, it has been shown that knowledge about BSE increases among rural women, but attitudes remain essentially unchanged. Other community approaches and psychological support are crucial to ensure long-lasting positive attitudes towards BSE practices.