Document Type : Original Article
Authors
- . Mohsen Rezaeian
- . Gholamreza Sharifirad 1
- . Firoozeh Mostafavi 1
- . Mitra Moodi 2
- . Mohammad Hadi Abbasi 1
1 Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan
2 Department of Public Health, School of Health, and Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Abstract
Introduction: Breast cancer is an international health problem in the world over.
Mammography screening behavior has critical role in early detection and decreasing of
its mortality. Educational programs play an important role in promoting breast cancer
screening behaviors and women health. Health belief models (HBM) is the most common
models that have been applied in Mammography screening behaviors. The aim of this
study was to determine the effect of breast cancer screening education using HBM on
knowledge and health beliefs in 40 years women and older. Materials and Methods: In this
Population‑based controlled trial, 290 women of 40 years and older were divided randomly
into experimental and control groups. Health beliefs determined using the Persian version
of Champion’s health belief model scale (CHBMS). Questionnaires were completed before
and 4 weeks after intervention. Four educational sessions were conducted each session
lasting 90 min by lecturing, group discussion, showing slide and educational film based
on HBM constructs. The obtained data were analyzed by SPSS (version 18) and statistical
test at the significant level of a = 0.05. Results: Mean scores of perceived susceptibility,
perceived severity, perceived benefits, barriers and self‑efficacy of mammography and
health motivation in the experimental group had significant differences in comparison
with the control group after educational intervention (P ≤ 0.001). Conclusion: The results
of this study have confirmed the efficiency of educational intervention based on HBM
in increasing of knowledge and health beliefs about breast cancer and mammography
screening behavior. Hence, implementing appropriate educational programs with focus
on benefits of Mammography in early detection of breast cancer and creating positive
motivation for health among women, can increase their practice of having mammography
screening.
Keywords
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