Effects of Promoting a Self-Breast Examination Program via E-Learning Toward Knowledge and Self-Breast Examination Practice Among Female Healthcare Personnel in Outpatient Departments and Emergency Units


  • Patchara Naktanom Maharaj Nakorn Chiang Mai Hospital
  • Decha Tamdee Faculty of Nursing, Chiang Mai University
  • Nethong Namprom Faculty of Nursing, Chiang Mai University
  • Angkana Kittichaiyakorn Maharaj Nakorn Chiang Mai Hospital


self-breast examination, self-breast examination practice, Knowledge of self-breast examination, female healthcare personnel, self-breast examination program, breast cancer, e-Learning


Breast cancer remains a major health concern for women in spite of the promotion of breast self-examination according to national policy. However, it was also found that the rates of screening and treatment for advanced breast cancer were still very high. Therefore, promoting breast self-examination in women is very important. This quasi-experimental study aimed to examine the effect of promoting a breast self-examination program via e-learning on the knowledge and practice of breast self-examination among female healthcare personnel. The sample consisted of 28 female healthcare personnel at Maharaj Nakorn Chiang Mai Hospital. The study instruments consisted of the Promoting Breast Self-Examination Program via e-learning, a demographic data questionnaire, a knowledge test on breast cancer, a knowledge test on breast self-examination (with reliability coefficient values of .81 and .72, respectively) and a Breast Self-Examination Observation form with an interrater reliability value of 1. Data were analyzed using descriptive statistics, paired t-test and Fisher's exact test.

The results showed that after participating in the Promoting Breast Self-examination Program via e-learning, the sample had mean scores for breast cancer knowledge and breast self-examination knowledge higher than pre-intervention at a significant level (p < .001 and p = .015, respectively). Before participating in the program, all samples incorrectly performed breast self-examination, but after participating in the program, the number of samples who were correct in breast self-examination had increased with statistical significance (p < .001).

The results indicate that the Promoting Breast Self-examination Program via e-learning can improve healthcare personnel knowledge and practice regarding breast self-examination. Therefore, the program should be used to promote breast self-examination for early detection. 


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Research Article