The Effect of Self-Management Education by the Teach-Back Method on Uncertainty of Patients with Breast Cancer: a Quasi-Experimental Study

  • Sudabeh Ahmadidarrehsima
  • Elahe Asadi BidmeshkiEmail author
  • Mozhgan Rahnama
  • Kiana Babaei
  • Mahdi Afshari
  • Behjat kalantari Khandani


The present study aimed to determine the effect of self-management education by the teach-back method on uncertainty of patients with breast cancer. This quasi-experimental study (before and after) investigated 50 patients with breast cancer who referred to Surgery Clinic in Kerman from December 2015 to March 2016. The convenient sampling method was used for participants’ selection. Participants were randomly divided into intervention and control groups. The questionnaire was completed before and after training by the teach-back method in both groups. Data were analyzed by SPSS software version 20. The results of the study showed that teach-back training in the intervention group improved self-management compared to the control group and the total score decreased from 106 to 73 (p = 0.01). Even after controlling confounders, such as place of residence and history of cancer education, the differences between the above groups remained statistically significant. Self-management education program by the teach-back method can help reduce uncertainty in patients with breast cancer. Therefore, it is recommended to use this educational method to improve self-management and reduce uncertainty in these patients.


Self-management Teach-back Uncertainty Breast cancer 


Compliance with Ethical Standards

This study was approved by the Ethics Committee of Zabol University of Medical Sciences (Zbmu.1.REC.1394.129).

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© American Association for Cancer Education 2019

Authors and Affiliations

  • Sudabeh Ahmadidarrehsima
    • 1
  • Elahe Asadi Bidmeshki
    • 2
    Email author
  • Mozhgan Rahnama
    • 3
  • Kiana Babaei
    • 4
  • Mahdi Afshari
    • 5
  • Behjat kalantari Khandani
    • 6
  1. 1.Department of Nursing, Nursing and Midwifery SchoolJiroft University of Medical SciencesJiroftIran
  2. 2.Student Research Committee, School of Nursing & MidwiferyShahid Beheshti University of Medical SciencesTehranIran
  3. 3.Department of NursingZabol University of Medical SciencesZabolIran
  4. 4.Department of AnesthesiaNeyshabur University of Medical SciencesNeyshaburIran
  5. 5.Department of Social Medicine, School of MedicineZabol University of Medical SciencesZabolIran
  6. 6.Department of Oncology, School of MedicineKerman University of Medical SciencesKermanIran

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