Journal of Education and Health Promotion

Effect of a community‑based multicomponent intervention on cervical cancer behavior among women – A randomized controlled trial

. Jisa George T; . Kiran Batra

Volume 12, Issue 9 , October 2022, , Pages 1-9

Abstract

BACKGROUND: Cervical cancer is the leading cause of death worldwide, especially in developingcountries. More than one‑fifth of newly diagnosed cervical cancer cases are occurring ... Read More BACKGROUND: Cervical cancer is the leading cause of death worldwide, especially in developingcountries. More than one‑fifth of newly diagnosed cervical cancer cases are occurring in India. Cervicalcancer is a highly preventable and curable cancer compared with other types of cancer, if detectedat an early stage. The present study has been carried out to assess whether a community‑based,multicomponent, nurse‑led intervention program improves cervical cancer screening behavior ofwomen.MATERIALS AND METHODS: An experimental randomized controlled trial was carried out byrecruiting 419 women in the age group of 30–60 years (246 in the experimental group and 173 in thecontrol group) residing in a selected rural community (selected tribal settlements) of Idukki district ofKerala, India, using multistage cluster sampling. The intervention comprising small group educationfollowed by reinforcement session, telephonic reminders, navigation and guidance for Pap smear,and follow‑up visit by the investigator was administered to the experimental group, and the controlgroup did not receive any intervention. Knowledge, attitude, and screening behavior of women relatedto prevention of cervical cancer were assessed before and twice after the intervention.RESULTS: The experimental and control groups were homogenous in all baseline sociodemographicvariables. The community‑based intervention program was effective in improving knowledge(P< 0.001),attitude (P < 0.001), and screening behavior (P < 0.001) of women regarding the prevention of cervicalcancer. A significant moderate positive correlation was found between knowledge and screeningbehavior (r = 0.408). Significant association was found between knowledge, attitude, and practiceregarding prevention of cervical cancer with education, age at the time of marriage, and number ofpregnancies.CONCLUSION: The community‑based, multicomponent, nurse‑led intervention program waseffective in improving cervical cancer screening behavior among women. Repeated motivation andreinforcement are needed to bring behavioral change and to increase uptake of screening servicesamong rural women.

Evaluation of health belief model‑based educational intervention on colorectal cancer screening behavior at South Khorasan, Iran

. Shahrbanoo Khazaei; . Fatemeh Salmani; . Mitra Moodi

Volume 12, Issue 2 , February 2022, , Pages 1-8

Abstract

BACKGROUND: Colorectal cancer is the most common cancer of the gastrointestinal tract. Health beliefs play an important role in the development of health behaviors. In this study, ... Read More

Assessment of patient’s knowledge, attitude, and beliefs about cancer: An institute‑based study

. K Vidhya; . Sweety Gupta; . R Lekshmi; . Kritika Bhardwaj; . K Kusum; . Vasantha C Kalyani; . Amit Gupta

Volume 12, Issue 2 , February 2022, , Pages 1-5

Abstract

INTRODUCTION: Knowledge about cancer, treatment, and likely treatment outcomes is critically important for decision‑making regarding adherence to the treatment. Hence, it seems ... Read More

The effects of educational intervention on breast self‑examination and mammography behavior: Application of an integrated model

. Asiyeh Pirzadeh; . Sakine Ansari; . Parastoo Golshiri

Volume 11, Issue 4 , May 2021, , Pages 1-8

Abstract

BACKGROUND: Breast cancer is the most common type of cancer among women and it is thesecond leading cause of mortality among cancers in women and a major health issue in developedcountries. ... Read More BACKGROUND: Breast cancer is the most common type of cancer among women and it is thesecond leading cause of mortality among cancers in women and a major health issue in developedcountries. Although there are simple and effective screening methods, just minority of women usethem. Given the high prevalence of breast cancer in Isfahan women and the low prevalence ofscreening behavior, the present study aimed to determine the impact of theory‑based educationalintervention on breast self‑examination (BSE) behavior and mammography.MATERIALS AND METHODS: The present experimental study was conducted on 93 women referredto comprehensive health centers in Isfahan through convenience sampling, and by this way 46 womenwere included in the control group and 47 in the intervention group. Data collection was done bya valid and reliable questionnaire. Furthermore, educational interventions were performed for theintervention group in three sessions. Furthermore, the data were completed in the intervention groupbefore, immediately after, and 3 months after intervention and before and 3 months after interventionin the control group. The data were analyzed by SPSS (16); and paired t‑test and repeated measuretest were used for analysis in the intervention group and also independent t‑test and paired t‑testwere employed to analyze data of the control group.RESULTS: The results showed significant changes in perceived benefit constructs (P = 0.023),knowledge (P < 0.001), self‑efficacy (P < 0.001), and behavioral intention regarding BSE (P = 0.035)in the intervention group over time, but changes were not significant in both perceived susceptibilityand severity in the intervention group. As far as mammography behavior is concerned, only theperceived benefit construct in the intervention group had significant changes. In terms of the screeningbehavior, only BSE behavior significantly changed before and after intervention.CONCLUSION: The study showed that theory‑based education by applying of constructs suchas perceived benefits and self‑efficacy and intention for BSE model could promote breast cancerscreening behavior such as BSE. Therefore, it is suggested that health educators utilize educationaltexts based on these constructs to increase their influence on individuals via screening behaviorfor breast cancer.

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Keywords = cancer screening

Effect of a community‑based multicomponent intervention on cervical cancer behavior among women – A randomized controlled trial

Abstract

Evaluation of health belief model‑based educational intervention on colorectal cancer screening behavior at South Khorasan, Iran

Abstract

Assessment of patient’s knowledge, attitude, and beliefs about cancer: An institute‑based study

Abstract

The effects of educational intervention on breast self‑examination and mammography behavior: Application of an integrated model

Abstract