Effectiveness of Visual-Tactile Mobile Augmented Learning on Breast Self-Examination Knowledge among Women of Reproductive Age in Rokan Hulu, Indonesia

Romy Wahyuny; Masdi Janiarli; Eva Puspita; Cantika Wulan Ramadhani; Nurul Aulia; Budi Yanto

doi:10.51454/decode.v5i3.1431

Authors

Romy Wahyuny Bachelor of Midwifery Program and Profession Universitas Pasir Pengaraian
Masdi Janiarli Bachelor of Midwifery Program and Profession Universitas Pasir Pengaraian
Eva Puspita Bachelor of Midwifery Program and Profession Universitas Pasir Pengaraian
Cantika Wulan Ramadhani Bachelor of Midwifery Program and Profession Universitas Pasir Pengaraian
Nurul Aulia Bachelor of Midwifery Program and Profession Universitas Pasir Pengaraian
Budi Yanto Informatic Engineering Universitas Pasir Pengaraian

DOI:

https://doi.org/10.51454/decode.v5i3.1431

Keywords:

Breast Self-Examination, Mobile Augmented Learning, Visual-Tactile Education, Women of Reproductive Age

Abstract

Breast cancer remains the leading cause of cancer-related morbidity and mortality among women in Indonesia, with most cases detected at advanced stages due to limited awareness and practice of early detection methods. Breast self-examination (BSE) is a simple and cost-effective technique recommended for early detection, yet knowledge and practice among women of reproductive age remain low in rural communities. This study aimed to examine the effectiveness of Visual-Tactile Mobile Augmented Learning (MAL) in improving BSE knowledge among women of reproductive age in Rokan Hulu, Indonesia. A quasi-experimental pretest–post-test control group design was conducted with 60 purposively selected participants, divided into an intervention group receiving MAL-based education integrating interactive visual modules and tactile simulations, and a control group receiving conventional education through leaflets and counselling. Knowledge levels were measured using a validated questionnaire, and statistical analysis was performed using paired t-tests and independent t-tests with a significance level of p < 0.05. The results showed a significant improvement in BSE knowledge among participants in the intervention group compared with the control group (mean increase = 2.9 points; p < 0.001; Cohen’s d = 0.85, large effect size). In conclusion, Visual-Tactile MAL is an effective educational innovation for enhancing BSE knowledge, offering promising implications for digital health strategies and community-based breast cancer prevention programs in resource-limited settings.

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