The effect of training program based on self-efficacy model on breast self-examination behavior of health volunteers

Document Type : Research Paper

Authors

1 Department of Public Health Department, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. 2. Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

2 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran 3.Associate Professor of Health Education andPromotion, Social Determinants of Health Research Center, Department of Health Education and Healt

3 PhD Student of Health Education and Health Promotion, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Iran

4 Department of Epidemiology and Biostatistics, Social Determinants of Health Research center, Mashhad University of Medical Sciences, Mashhad,Iran

5 Department of Public Health Department, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

Abstract

Introduction: Breast cancer is one of the leading causes of death in women. Breast self-examination (BSE) is an important behavior to raise women's awareness of the early symptoms of breast cancer. Therefore, the aim of this study was to determine the effect of an educational program based on the self-efficacy model on breast self-examination behavior in healthy volunteers.
Materials and Methods: In this quasi-experimental study, 78 health volunteers from Mashhad participated and were randomly categorized into two groups (intervention (N=39) and control groups(N=39). Before the performing of the education program the self-report, valid, and reliable questionnaires were completed by groups. Then, the intervention groups received the educational program about the BSE in the form of lecture, group discussion, and questioning and answering in 4 sessions and the non-intervention group did not receive the education. Both groups completed the questionnaires 2 months after the intervention. Data were analyzed using SPSS software version 18 by one-way ANOVA, t student and paired t-test, Pearson and Spearman correlation tests and p≤0.05 considered significant.
Results: The results showed there was a significant difference between the means of self-efficacy score in the intervention (38.6±5.02) and control groups (34.7±5.8) (p <0.001). Also, there was a significant difference between the means of breast self-examination behavior in intervention and control groups (p <0.001).
Conclusion: The results showed that education based on the self-efficacy model had a positive effect on breast self-examination behavior, so it seems necessary emphasizing on self-efficacy model in breast cancer prevention programs.

Keywords

Main Subjects

References

  1. Hajian S, Vakilian K, Najabadi KM, Hosseini J, Mirzaei HR. Effects of education based on the health belief model on screening behavior in high risk women for breast cancer, tehran, iran. Asian Pacific journal of cancer prevention: APJCP. 2011;12(1):49.
  2. Peivandi A AME. Investigating sound intensity and hearing loss (defect) in the workers of a textile factory. scientific Journal of law medicine. 1384;11(37):7-11.
  3. Organization WH. 2018. Available from: http://www.who.int/en/news-room/fact-sheets/detail/cancer.
  4. Ahmadi A, Ramazani R, Rezagholi T, Yavari P. Incidence pattern and spatial analysis of breast cancer in Iranian women: Geographical Information System applications. Eastern Mediterranean Health Journal. 2018;24(4).
  5. Nafissi N, Khayamzadeh M, Zeinali Z, Pazooki D, Hosseini M, Akbari ME. Epidemiology and Histopathology of Breast Cancer in Iran versus Other Middle Eastern Countries. Middle East Journal of Cancer. 2018;9(3):243-51.
  6. Moodi M, Norozi E, Rezaeian M, Mostafavi F, Sharifirad G. Comparing the Effectiveness of Three Educational Interventions Based on Health Belief Model on Mammography Screening Behaviors in Women above 40 Years in Isfahan, Iran. J Health Syst Res 2013. 2013;9(4):385-94.
  7. Rezaeian M, Sharifirad G, Mostafavi F, Moodi M, Abbasi MH. The effects of breast cancer educational intervention on knowledge and health beliefs of women 40 years and older, Isfahan, Iran. Journal of education and health promotion. 2014;3.
  8. Jazayeri S, Saadat S, Ramezani R, Kaviani A. Incidence of primary breast cancer in Iran: Ten-year national cancer registry data report. Cancer Epidemiology. 2015;39:519-27.
  9. Akbari ME, Khayamzadeh M, Khoshnevis S, Nafisi N, Akbari A. Five and ten years survival in breast cancer patients mastectomies vs. breast conserving surgeries personal experience. Iranian Journal of Cancer Prevention. 2008;1(2):53-6.
  10. Yarbrough SS, Braden CJ. Utility of health belief model as a guide for explaining or predicting breast cancer screening behaviours. Journal of advanced nursing. 2001;33(5):677-88.
  11. Marinho LA C-GM, Cecatti JG, Osis MJ. Knowledge, attitude and practice of breast self-examination in health centers. Rev Saude Publica. 2003 Oct; 37(5):576-82.
  12. Jarvandi S, Montazeri A, Harirchi I, Kazemnejad A. Beliefs and behaviours of Iranian teachers toward early detection of breast cancer and breast self-examination. Public Health. 2002;116(4):245-9.
  13. Coleman C, editor Early detection and screening for breast cancer. Seminars in oncology nursing; 2017: Elsevier.
  14. Naghibi S, Moosazadeh M, Shojaizadeh D, Montazeri A, Yazdani Cherati J. The Investigate Factors on Screening of the Breast Cancer Based on PEN-3 Model in Iranian Northern Women. Journal of Community Health Research. 2015;4(2):79-90.
  15. Landry MJ. MDMA: A rewiew of epidemiologic data. pscychoactive druges J. 2002;34:163-9.
  16. Sharifirad G, Baghianimoghadam MH, Shamsi M, M R. Reasearch In Health Education. Tehran: Asar-Sobhan; 2007.
  17. Bandura A. Social foundations of thought and action: A social cognitive theory. 1986.
  18. Ramezankhanee A. Volunteer health and social and economic development goals. Summer and Autumn Shahid Beheshti University of Medical Sciences, Ministry of Health and Medical Education2010.
  19. Champion VL. Revised susceptibility, benefits, and barriers scale for mammography screening. Research in nursing & health. 1999;22(4):341-8.
  20. Karimi M HM, Khorrami R,Ghaffari M, Niknami Sh. The effect of educational program based on HBM on BSE among health mediators of Zarandieh, 2007. Tabibe Shargh 2008;10(4):281-9. .(Persian).
  21. Khazaie pool M, Ebadi azar F, Solhi M, Asadi lari M, Abdi N. A Study in the Efect of Education Through Health Belief Model on the Perceptions of Girl Students in Primary School about Breakfast and Snack in Noshahr-2007. Toloe behdasht J. 2007;7(1-2):51-65 (persian).
  22. Hodgkins S OS. Can protection motivation theory predict behavior? A longitudinal test exploring the role of previous behavior. Psychology & Health 1998;2:237-50.
  23. Sorensen J HA, Gudex C. Evaluation of a Danish teaching program in breast selfexamination. Cancer Nurs 2005; 28(2):141-7.
  24. Isobel R. Nutrition education: linking research, theory, and practice. Asia Pac J Clin Nutr. 2008;17(1):176-9.
  25. Kadaoui N, Guay M, Baron G, St-Cerny J, Lemaire J. Breast cancer screening practices for women aged 35 to 49 and 70 and older. Can Fam Physician. 2012 Jan;58(1):e47-53. PubMed PMID: 22267639. Pubmed Central PMCID: 3264038. Epub 2012/01/24. eng.
  26. Beydağ KD, Yürügen B. The effect of breast selfexamination (Bse) education given to midwifery students on their knowledge and attitudes. Asian Pac J Cancer Prev. 2010;11:1761-4.
  27. Jirojwong S, MacLennan R. Health beliefs, perceived self‐efficacy, and breast self‐examination among Thai migrants in Brisbane. Journal of advanced nursing. 2003;41(3):241-9.
  28. Navvabi Rigi S, Kerman Saravi F, Navidian A, Khazaiyan  S, Sharaki poor  M, Sharaki Sanavi F, et al. The effect of teaching breast self-examination based on health belief model in teachers in Zahedan. Medical - Surgical Nursing Journal. 2012;1(1):24-30.
  29. Keshavarz Z, Simbar M, Ramezankhani A. Factors for performing breast and cervix cancer screening by Iranian female workers: a qualitative-model study. Asian Pac J Cancer Prev. 2011;12(6):1517-22.
  30. Kessler T. Increasing mammography and cervical cancer knowledge and screening behaviors with an educational program. Oncol Nurs Forum. 2012 39(1):61-8.
  31. Morowatisharifabad MMSMA, Fallahzadeh ABFH, editors. Application of Protection Motivation Theory in Determining Predictors of Unsafe Driving Among 19 Years Old and above on, in Yazd City. The First International & 4th National Congress on health Education & Promotion, 2011; 2011: Tabtiz university of medical sciences.
  32. Blanks-Peyser JE. Effects of components of the protection-motivation theory and vivid experiences on competence in breast self-examination: George Mason University; 1991.

 

Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 4
May and June 2024
Pages 1231-1239

Files

Share

How to cite

Statistics