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Project was halted due to administrative complications arising while seeking for a vendor to assist with subject recruitment.
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| Name | Class |
|---|---|
| Ministry of Health, Malaysia | OTHER_GOV |
| National University of Malaysia | OTHER |
| Institute for Health Behavioral Research, Malaysia | UNKNOWN |
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Late-stage presentation of breast cancer cases are on the rise in Malaysia. Encouraging breast screening practices can assist in early breast cancer detection. Literature has proven that behavior interventions in the form of behavior change health communication using social messaging applications is a viable strategy and potentially effective at motivating breast cancer screening among the public. Such studies are scarce in the South East Asian region, particularly in Malaysia, which is the prime motivation for the current study,
Based on this promising prospect, a randomized controlled trial will be designed to study the effects of applying persuasive health communication materials to initiate behavior change among a group of Malaysian women. Materials are delivered in the form of a health communication program over a social messaging application to promote breast cancer screening practices, which is either a clinical breast examination, or a mammogram. The investigators hypothesize that Malaysian women who are exposed to such materials that are designed based on behavior science and behavior change principles will be nudged and hence more likely to attend breast cancer screening compared to a control group.
This study involves a randomized controlled trial to asses the effectiveness of a health communication program using specifically designed materials using behavior science and behavior change principles. Materials were designed based on findings derived from a scoping review and interviewing Malaysian women through a series of qualitative interviews to determine the barriers and facilitators of attending breast cancer screening. The interview also investigated women's preferences for certain characteristics in a health message and health communication program that would motivate them to attend screening.
Participants in the main experimental group will be compared with a control group, and another group which undergoes a standard health communication program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Arm | No Intervention | Participants do not receive any message throughout the study period. | |
| Experimental Arm 1 | Experimental | Participants in this group will receive a message on a weekly basis throughout the intervention period, which is 6 months, via WhatsApp. |
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| Experimental Arm 2 | Experimental | Participants in this group will receive a message on a weekly basis throughout the intervention period, which is 6 months, via WhatsApp. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard Health Communication Intervention | Behavioral | Participants in this group will receive links and materials related to breast cancer screening from official sources (e.g. MOH, Non-governmental organizations (NGOs), etc.) that is already readily available and accessible by the Malaysian public. Frequency, duration, and platform of dissemination will be based on findings from Phase 1 of this study. |
| Measure | Description | Time Frame |
|---|---|---|
| Breast cancer screening attendance (either clinical breast examination (CBE) or mammogram). | Self-reported attendance of breast cancer screening | 2 time points: 3 months after 6 month intervention period has ended, and 6 months after 6 month intervention period has ended. |
| Measure | Description | Time Frame |
|---|---|---|
| Health literacy level | Scored via a validated instrument | At baseline |
| Perception based on domains in Health Belief Model | Scored via a validated revised Champion Health Belief Model Scale instrument |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nicholas Yee Liang Hing, MSc | Institute for Clinical Research, National Institutes of Health, Malaysia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute for Clinical Research, National Institutes of Health, Malaysia | Shah Alam | Selangor | 40170 | Malaysia |
No plans to share IPD.
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| Behavioural Change Health Communication Intervention | Behavioral | Participants receive health communication materials designed using persuasive behavioural change communication principles and behavior science to promote breast cancer screening. Frequency, duration, and platform of dissemination will be based on findings from Phase 1 of this study. |
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| 3 time points: Baseline, 3 months after 6 month intervention period has ended, and 6 months after 6 month intervention period has ended. |
| Perceived acceptance and usefulness of health communication program | Scored via a validated instrument | 3 months after 6 month intervention period has ended. |
| Reasons behind participants not participating in breast cancer screening. | Determined via a multiple choice question | 2 time points: Baseline, and 3 months after 6 month intervention period has ended. |
| ID | Term |
|---|---|
| D001519 | Behavior |
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