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All Journal Jurnal Ilmiah Keperawatan Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Psikologia: Jurnal Pemikiran dan Penelitian Psikologi Basic and Applied Nursing Research Journal Jurnal Pengabdian kepada Masyarakat Wahana Usada Jurnal Abdi Kesehatan dan Kedokteran Sains Medisina SERVIRISMA: Jurnal Pengabdian kepada Masyarakat Majalah Cendekia Mengabdi JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mental Health Concerns Jurnal Pengabdian Kepada Masyarakat Bersinergi Inovatif Jurnal Abdimas Kesehatan Jurnal Akademika Baiturrahim Jambi
Lisnawati, Ketut
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The effect of health education based on the health belief model using flashcards on anxiety and perception of breast cancer risk in adolescent girls Leonita, Ni Nyoman Ratih; Lisnawati, Ketut; Citrawati, Ni Ketut
JOURNAL OF Mental Health Concerns Vol. 4 No. 6 (2026): February Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i6.2448

Abstract

Background: Early detection of breast cancer is an important effort in reducing morbidity and mortality in women, however, awareness and practice of breast self-examination (SADARI) among adolescent girls are still relatively low, potentially causing delayed detection in adulthood. The lack of systematic health education and engaging learning methods are the main factors in the low early detection behavior in this age group. Purpose: To determine the effect of health education based on the Health Belief Model (HBM) with flashcard media on early detection of breast cancer in adolescent girls. Method: The study used a one-group pretest–posttest design with a sample of 34 12th-grade female students of SMA Negeri 2 Abiansemal selected using a purposive sampling technique. Results: Univariate analysis showed that before the intervention, most respondents were in the sufficient action category with an average score of 64.61, whereas after being given HBM-based health education with flashcard media, there was an increase in early detection actions to the good category with an average score of 84.19. Bivariate analysis using the Wilcoxon test showed a significant difference between early detection measures before and after the intervention with a p value = 0.000 (p < 0.05), which indicates that HBM-based health education with flashcard media has a significant effect on increasing early detection measures for breast cancer. Conclusion: These results indicate that the HBM approach combined with interactive visual media is able to in crease adolescents' perceptions of risks, benefits, and self-confidence in performing BSE, so that health education with this method is effective and relevant to be implemented as a promotive and preventive strategy in the school environment from adolescence. Keywords: Early Breast Cancer Detection; Flashcards; Health Belief Model.
Co-Authors A.A Sri Sanjiwani Andriana, Kiki Rizki Fista Citrawati, Ni Ketut Dewayani, I Gusti Agung Tirta Dewi, I Gusti Ayu Sri Kumala I Made Mahardika I Nyoman Sudarma Leonita, Ni Nyoman Ratih Merlin, Ni Made Mirayanti, Ni Ketut Ayu Nyoman Sudarma Pintari, Ni Wayan Fira Pratiwi, Pande Kadek Intan Dwi Puspawati, Ni Luh Putu Dewi Putri, Ni Kadek Gina Ananda Putu Thrisna Dewi, Ni Luh Resiyanthi, Ni Komang Ayu Sanjiwani, A.A Sri Sanjiwani, A.A Sri Sanjiwani Sanjiwani, Anak Agung Sri Sintari, Silvia Ni Nyoman Sri Sanjiwani, Anak Agung Sumiari, Ni Wayan Thrisna Dewi, Ni Luh Putu Wati, Ni Made Nopita