The Effect of Artificial Intelligence Chatbot and Expert Education on Breast Cancer Awareness Among Female Municipal Employees: A Randomized Controlled Trial

A structured, question-and-answer educational material was generated using an artificial intelligence chatbot. The chatbot was instructed to produce clear, plain-language content appropriate for the health literacy level of female municipal employees aged 18 years or older and to avoid medical terminology. The material covered the definition of breast cancer; risk factors; signs and symptoms; preventive attitudes; barriers to breast cancer screening; breast cancer awareness-related health behaviors; the timing and performance of breast self-examination; findings requiring attention; and breast cancer treatment methods. The content was transferred to Google Forms and presented in a conversational question-and-answer format. Participants accessed the predefined material through a link or QR code and did not interact with a live chatbot or receive real-time, personalized responses.

Participants received breast cancer awareness education using educational material developed by experts in the relevant field. The educational content covered breast cancer risk factors, signs and symptoms, preventive attitudes, barriers to screening, awareness-related health behaviors, breast self-examination, and treatment methods.

Participants received no breast cancer awareness education during the study period. They completed the same assessments as the intervention groups at baseline, immediately after the intervention period, and 2 months after the intervention. After completion of the final assessment, participants were provided with breast cancer awareness education.