Background The high levels of unmet needs in relation to provision of self-care information reported by women living with breast cancer suggests that pre-chemotherapy education is suboptimal. Chatbots are emerging as a promising platform to provide education to patients helping them self-manage their symptoms at home. However, evidence from empirical studies on the effect of chatbots education on women living with breast cancer self-care behaviors and symptoms management are scarce. Methods This three-arm randomized controlled trial was performed in a chemotherapy day care center within an oncology center in Egypt. A total of 150 women living with breast cancer were randomly selected and randomized into three groups: the ChemoFreeBot group (n = 50), the nurse-led education group (n = 50), and the routine care group (n = 50). In the ChemoFreeBot group, women were given a link to interact with ChemoFreeBot and ask questions about their symptoms and self-care interventions by typing questions or keywords at any time. On the same day as their first day of chemotherapy, the nurse-led education group received face to face teaching sessions from the researcher (nurse) about side effects and self-care interventions. The routine care group received general knowledge during their chemotherapy session about self-care interventions. The self-care behaviors effectiveness and the frequency, severity and distress of chemotherapy side effects were measured at baseline and postintervention for the three groups. The ChemoFreeBot’s usability was assessed. Results The mixed design repeated measures ANOVA analyses revealed a statistically significant both group effect and interaction effect of group*time, indicating a significant difference between the three groups in terms of the physical symptoms frequency (F = 76.075, p < .001, F = 147, p < .001, respectively), severity (F = 96.440, p < .001, F = 220.462, p < .001), and distress (F = 77.171, p < .001, F = 189.680, p < .001); the psychological symptoms frequency (F = 63.198, p < .001, F = 137.908, p < .001), severity (F = 62.137, p < .001), (F = 136.740, p < .001), and distress (F = 43.003, p < .001, F = 168.057, p < .001), and the effectiveness of self-care behaviors (F = 20.134, p < .001, F = 24.252, p < .001, respectively). The Post hoc analysis with Bonferroni adjustment in showed that women in the ChemoFreeBot group experienced a statistically significant less frequent, less severe and less distressing physical and psychological symptoms and higher effective self-care behaviors than those in the nurse-led education and routine care groups (p > .001). Conclusion ChemoFreeBot was a useful and cost-effective tool to improve increase self-care behavior and reduce chemotherapy side effects in women living with breast cancer through the provision of personalized education and the improvement of the accessibility to real-time and high-quality information compared to “one size fits all” approach used by nurses to provide the information. ChemoFreeBot can be an empowering tool to assist nurses to educate women with breast cancer and allow women to take an active role in managing their symptom. Trial registration This study was retrospectively registered in the University hospital Medical Information Network (UMIN) Center, Clinical Trials Registry on 26/09/2022; Registration No:R000055389,Trial ID:UMIN000048955.

Introduction: Recovery-oriented mental health practice is an emerging approach that aims to empower individuals to define their goals and take responsibility for their own recovery. However, mental health practice in Egypt is still custodial. Aim:To explore perspectives of Egyptian mental health professionals on recovery.Method: Semi-structured interviews were conducted with 15 mental health professionals identified through snowball sampling.

Background Delivery of recovery-oriented mental health practice is fundamental to personal recovery. Yet, there is lack of service users’ accounts on what constitutes mental health recovery in Egypt. Objectives The aim of this study was to explore mental health recovery meaning informed by people with personal experience of recovery. Methods A phenomenological research design was used. Semi-structured qualitative interviews were conducted with 17 adult community-dwelling individuals who identified as recovered/recovering from mental health issues. An inductive thematic analysis approach was used to analyses participants’ responses. Results Participants predominately reported personal and functional definitions of mental health recovery. Posttraumatic growth was the strongest theme comprising: relation to others, spirituality, new possibilities, identity & strengths, and appreciation of life. Themes of acceptance and forgiveness, functional and clinical recovery, and finding hope were also identified. Conclusions This is the first study to explore mental health recovery meaning among a sample of people with lived experience of mental health issues in Egypt. Findings suggest that developing and implementing psychosocial interventions to support posttraumatic growth among people with mental health issues is a priority.

Background:To provide nursing students with a more positive learning environment, the nursing faculty seeks to discover new effective teaching-learning strategies. One of these strategies is peer mentoring which allows students to assist and advise each other and helping them practicing nursing more efficiently. Study Aim: To determine the effect of peer-mentoring strategy on nursing students' infection control practice and its selfefficacy and stress. Settings: This study was conducted at the Technical Institute of Nursing in Sharq Elmadena Hospital in Alexandria, Egypt. Subjects: A convenient sample of 75 students, 15 mentors recruited from the student interns and 60 nursing students from the 4 th academic year, who were randomly divided into two main mentees and control groups. Tools: Three tools were used. Tool one, "Nursing Students' Infection Control Performance Observational Checklist"; Tool two, "The Perceived Stress Scale (PSS)"; Tool three "Infection Control Practices Self-Efficacy Questionnaire. Results:The study showed a significant improvement in infection control practice and selfefficacy in the study group more than in the control group. Furthermore, the study group exhibited significant lower stress levels than the control group. Conclusion: Peer mentoring is a great tactic strategy that can enhance nursing students' experiences in the clinical nursing field especially in the critical care units. It has been proven effectiveness in decreasing stress and improving infection control practice and self-efficacy, which are all important factors in clinical practice. There was an overall positive feedback from the studied students regarding peer mentoring to be implemented into clinical education. The study further proves the significance of the strategy in nursing education. Recommendations: Peer mentoring strategy should be considered as a significant teaching method in nursing education and its clinical practice. Training workshops should be conducted for nursing educators and students to enhance their abilities and competencies in using peer mentoring strategy.