Document Type

Final Project

Graduation Date

Spring 5-10-2025

Degree Name

Doctor of Nursing Practice

First Advisor

Jennifer Cera

Abstract

Objective: To evaluate comprehension and retention of breast health and BSE by providing evidence-based education via a website. The researchers aimed to measure knowledge of breast health, self-efficacy of performing breast health promotion, and usability of the interventional website.

Design: A single group efficacy trial was used.

Setting: The study was conducted in two outpatient clinics in Nebraska that provided well women health care.

Participants: A convenience sample of 100 women were enrolled

Methods: Breast health knowledge was assessed with the Breast Health Assessment (BHA) and consisted of 3 subscales. The Champions Health Belief Model Scale (CHBM) assessed BSE self-efficacy and consisted of 5 subscales. The validated instruments were collected at pre-intervention (Time 1) and 1-month (Time 2) and 2-month (Time 3). Paired t-tests determined change in all outcome measures. A final instrument evaluating usability of the website was provided at Time 3.

Results: Participants included women who were primarily middle aged, white, and college educated. Ninety-two percent reported having prior education of breast health promotion. A statistically significant increase in breast health knowledge was demonstrated after one month and a retention of knowledge was demonstrated at two months after recruitment 0.66 (SD=0.13) to 0.73 (SD= 0.10), p=0.003. A positive correlation between the intervention and health beliefs was demonstrated. An increase in self-efficacy of BSE was found. The website was reported to be easily navigated and understood.

Conclusion: Study findings supported the use of multimedia delivered health education as an effective tool to improve breast health promotion.

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