Simulation-based breast health education

The control group will not take part the simulation-based breast health education

The intervention group will receive simulation-based breast health education once a week for eight weeks. The simulation- based breast health education program will compose two part. The first part, it will theoretical education and second part will continue as practical education. On the plan date, a 60-min lecture will give about breast cancer, its risk factors, interventions to reduce the risk of breast cancer, the value of early diagnosis and cancer screening. After a 10-min break, course attendees watched a 20-min video, after which the course attendees' questions will answer.

The Breast Cancer Awareness Measure was developed by the Cancer Research UK group of Kings College London in 2009.It is a questionnaire that assesses seven domains of Breast Cancer (BC) awareness: knowledge of BC symptoms, breast self-examination, confidence of noticing a change in the breasts, age and lifetime risk of Breast Cancer, urgency if a change in breast is noticed, BC risk factors, and Breast Cancer screening. In this study, Dari version of The Breast Cancer Awareness Measure which was translated from English into Dari by an official translator. The respondent receives 1 point if they can correctly identify at least 5 signs of breast cancer, 1 point if they select the oldest woman for the age-related risk item, and 1 point if they report performing breast examination once a month. Incorrect answers receive 0 points. The total score is between 0 and 3 and there is no cut-off point.