Effect of Booklet-Based Education versus Mobile-Based Education on Women’s Knowledge and Practices Related Lymphedema regarding Post Mastectomy Exercise

Abstract

Background: Post-mastectomy exercise is an important part of female breast cancer patients' recovery after mastectomy as well as after radiotherapy to maintain their shoulder movement and to prevent side effects as radiation-induced fibrosis. These exercises can increase shoulder and arm motion and usually be started in a few days. Aim: To evaluate the effect of booklet-based education versus mobile-based education on women's knowledge and practice related lymphedema regarding post mastectomy exercise. Design: A quasiexperimental research design was used with a pre-and post-test. Setting: The research was conducted at the outpatient clinic of Fayoum Oncology Center, Fayoum governorate, Egypt. Subjects: A purposive sample of 200 post-mastectomy women was included (100 were taught using a mobile Whats app application and 100 were taught using a booklet). Tools: Tool I: women' structured interviewing questionnaire, it included three parts: (a) demographic characteristics; (b) women' medical data, (c) clinical manifestations of lymphedema include swelling, induration, skin changes, and decreased functionality of the affected limb, Tool II: women' knowledge regarding post mastectomy exercise, and Tool III: women' practices regarding post mastectomy exercise (pre/post). Results: The study results indicated that the main source of knowledge among post-mastectomy women was doctors. The results revealed that the knowledge and practices of both groups were improved posteducation. The mobile-based education group showed more improvement in their knowledge compared to the booklet -based education group. There were statistically significant correlations between total knowledge and practice scores of the studied women. A significant improvement was detected between the two groups regarding improving degree of arm lymphedema post education Conclusion: Mobile-based education was more effective in improving post-mastectomy women's knowledge and practices regarding post mastectomy exercise than those who taught by booklet-based education. Recommendations: Mobilebased educational methods can be used for post mastectomy women regarding post mastectomy exercise to improve their knowledge and practices.

Effect of Virtual Reality- Based Rehabilitation Program Versus Booklet-Based Education on Self-Care Practices and Prevention of Complications among Women after Mastectomy

“…Selfcare practices such as managing vomiting and nausea, caring for wounds, preventing wound infections, performing arm exercises and preventing lymphedema differ significantly between the VR group and the Booklet group. These results agreed with Mohammed et al (2021) (26) who found that mobile education was more effective in improving post-mastectomy practices regarding exercise than those who received booklet-based education. Moreover, these results are consistent with Buche et al (2021) (27) , who confirmed that no matter whether immersive or participatory VR is used, it is different from traditional methods and can be provided to the patients engaged.…”

“…This result might be due to an increased percentage of unemployment, and most of the participants lived in rural areas. This result was supported by the study done by Mohammed et al (2021) (26) about "effect of bookletbased education versus mobile-based education on women's arm lymphedema and their knowledge and practices regarding post mastectomy exercise", which revealed that more than two-thirds of the participant women (68.8%) were housewives. The study's findings showed that the VR group outperformed the Booklet group in terms of mean scores for the majority of the aspects that were examined as well as the overall score for self-care practices.…”

Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial

“…Use of mobile apps in exercise education was shown to improve exercise knowledge and self-efficacy when compared with the use of paper handouts. 16 Some researchers have therefore directed their attention in evaluating the strategy of using technology to improve patients’ exercise adherence and outcomes. Recent randomized controlled trials (RCTs) reported greater adherence to home programs, which were delivered with an Internet-based self-monitoring system via mobile phones, in patients with hemophilia-related knee dysfunction and musculoskeletal conditions, respectively.…”