Breast Cancer Prevention Education Through Community Empowerment and TPS (Transactional, Precise, and Skilled) Communication Model in Bontang City

Abstract

The prevalence of breast cancer in Indonesia is still increasing. Datafrom the Global Cancer Observatory shows that the most common cancer case inIndonesia is breast cancer. Meanwhile, the incidence of breast and cervical cancerin Bontang City reaches 30% of the overall cancer data in Bontang (Akurasi.id,2024). Therefore, there is a need for a health promotion campaign and breast cancerprevention using simple communication methods. This program aimed to provideeducation to health cadres (PKK) in three sub-districts of Bontang, targeting 100participants. Five sub-districts were selected from each of the three sub-districts, withseven participants sampled from 10 sub-districts and six participants sampled fromfive sub-districts. Participants were selected using purposive sampling. The programemployed a participatory research approach based on community empowerment,using the TPS (Transactional, Precise, and Skilled) communication model. The programwas conducted in three stages. In the first stage, theoretical information relatedto breast cancer and its prevention was provided, along with 100 questions andanswers shared online beforehand. The second stage involved practicing breast selfexamination(SADARI). The third stage combined theory and practice, incorporatingeducational strategies through games and evaluations. The program results showedthat 83% of participants agreed that knowledge about breast cancer and its preventionwas necessary. The program successfully improved the knowledge and attitudes ofPKK/health cadres through an interactive, participatory approach. Although therewere barriers related to participant agility, support from trained organizers provedeffective in overcoming them. These findings confirm the importance of healtheducation that emphasizes two-way communication and breast cancer prevention.