{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:00:14Z","timestamp":1790416814907,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Khoy University of Medical Sciences"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer is one of the most prevalent cancers among women, making its prevention a crucial public health priority. Health ambassadors serve as essential mediators, helping raise knowledge and promote preventive behaviors within households.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the impact of Teach-Back Education, grounded in PMT, on breast cancer prevention behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A quasi-experimental study with a pretest\u2013posttest control-group design conducted among women health ambassadors in Khoy City, Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 160 women health ambassadors were selected through simple random sampling and allocated to either the Teach-back education group (four weekly sessions, 45 min\/session) or the control group (no intervention). Outcomes were measured using a validated Protection Motivation Theory (PMT)-based questionnaire at baseline and at the three-month follow-up. Data were analyzed using SPSS version 20.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results indicated that the implementation of the Teach -Back Education grounded in the PMT led to a significant increase in knowledge, most components of the PMT, and the overall breast cancer prevention behavior score in the intervention group compared to the control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.05). Subgroup analysis revealed that the educational intervention had a more pronounced impact on older health ambassadors, had lower education levels, or were housewives (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrated that educational interventions based on the PMT, utilizing Teach-Back Education, effectively enhanced knowledge and motivation and improved breast cancer prevention behaviors among women health ambassadors. Expanding Teach-Back Education programs based on PMT across various communities is recommended to raise knowledge, enhance sensitivity, and promote preventive behaviors against breast cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261490343","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:44:37Z","timestamp":1790081077000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Empowering women through teach-back education: A protection motivation theory approach to breast cancer prevention in Northwest Iran"],"prefix":"10.1177","volume":"22","author":[{"given":"Leila","family":"Mokhtari","sequence":"first","affiliation":[{"name":"Khoy University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Saeed","family":"Jadgal","sequence":"additional","affiliation":[{"name":"Chabahar University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahim","family":"Sharafkhani","sequence":"additional","affiliation":[{"name":"Khoy University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1039-896X","authenticated-orcid":false,"given":"Morad Ali","family":"Zareipour","sequence":"additional","affiliation":[{"name":"Khoy University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamideh","family":"safaralizadeh","sequence":"additional","affiliation":[{"name":"Khoy University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000036905"},{"issue":"1","key":"e_1_3_9_3_2","first-page":"43","article-title":"Lived Experience of Women Suffering from Breast Cancer about Meaning of Life: Evidence from Society of Iranian Women","volume":"10","author":"Mokhtari L","year":"2022","unstructured":"Mokhtari L, Feizi A, Khalkhali HR, et al. 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