Volume 8, Issue 1 (March 2021)                   J Educ Community Health 2021, 8(1): 51-57 | Back to browse issues page

Ethics code: IR.SSU.SPH.REC.1395.134


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khazir Z, Morowatisharifabad M A, Enjezab B, Vaezi A, Fallahzadeh H. Effect of Educational Intervention Based on the Theory of Planned Behavior on Mammography Performance in Iranian Women: a Randomized Controlled Trial Study. J Educ Community Health. 2021; 8 (1) :51-57
URL: http://jech.umsha.ac.ir/article-1-1200-en.html
1- Tabas School of Nursing, Birjand University of Medical Sciences, Birjand, Iran. , zahrakhazir@gmail.com
2- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- “Research Center for Nursing and Midwifery Care” and “Department of Midwifery, Faculty of Nursing and Midwifery”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- “Department of Nursing, School of Nursing and Midwifery” and “Research Center for Nursing and Midwifery Care in Family Health”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5- “Department of Biostatistics and Epidemiology, School of Health” and “Research Center of Prevention and Epidemiology of Non-Communicable Disease”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract:   (961 Views)
Aims: Breast cancer is the leading cause of cancer death among women in Asia, including Iran. Mammography is used for the early detection of breast cancer for about 73% of cases. This study aimed to determine the effect of educational intervention on mammography among women referring to health centers using planned behavior theory.
Materials & Methods: This randomized controlled trial study was conducted on 140 women referring to Health Centers in Khorramabad in 2018 who were randomly selected and divided into two experimental and control groups. Data collection tools consisted of a demographic information questionnaire, knowledge, and researcher-made questionnaire based on the TPB structures. The intervention was held in four 45 minute sessions for four weeks. Both groups completed the questionnaires before and three months after the intervention. The data were analyzed by SPSS 23 software using chi-square, independent t-test, and paired t-test.
Findings: After the educational intervention, Mean±SD constructs of knowledge, attitude, subjective norms, perceived behavioral control, and the behavioral intention was 10.97±5.07, 41.24±3.44, 26.54±5.3, 47.36±3.91, and 8.87±2.78, respectively. All the mentioned constructs were statistically significant (p<0.05). Moreover, the rate and percentage of mammography in women in the experimental group (31=44.3%) compared to the control group (3= 4.3%) was significantly different (p<0.001).
Conclusion: The present study's findings confirmed the effectiveness of an educational program based on the TPB in promoting mammography.
Full-Text [PDF 474 kb]   (426 Downloads)    
Type of Study: Research Article | Subject: Cancer Prevention
Received: 2020/08/1 | Accepted: 2020/12/17

References
1. Zaboli R, Sanaeinasab H. The challenges and solutions for action of social determinants of health in Iran: A qualitative study. Iran J Health Educ Health Promt. 2014;2(1):5-16. [Persian] [Full text]
2. Mardani Hamule M, Shahraki Vahed A. The assessment of relationship between mental health and quality of life in cancer patients. Avicenna J Clin Med. 2009;16(2):33-8. [Persian] [Full text]
3. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90. [PubMed]
4. Avci IA, Gozum S. Comparison of two different educational methods on teachers’ knowledge, beliefs and behaviors regarding breast cancer screening. Eur J Oncol Nurs. 2009;13(2):94-101. [PubMed]
5. Khazir Z, Morowatisharifabad MA, Vaezi A, Enjezab B, Yari F, Fallahzadeh H. Perceived behavioral control in mammography: A qualitative study of Iranian women's experiences. Int J Cancer Manag. 2019;12(8):90225. [Full text]
6. Salehzadeh M, Norouzian P, Abbasalipourkabir R. The use of nanoparticles in diagnosis and treatment of breast cancer: A review. Pajouhan Sci J. 2015;13(2):1-12. [Persian] [Full text]
7. Ghaderi I, Kaviani A, Fakhrejahani E, Mehrdad N, Hazar N, Karbakhsh M. Religious, cultural, and social beliefs of iranian rural women about breast cancer: A qualitative study. Arch Breast Cancer. 2014;1(1):25-31. [Full text]
8. Farshbaf Khalili A, Shahnazi M, Ghahvehchi A, Torabi SS. Performance conditions of breast cancer screening methods and its efficient factors among women referring to health centers of Tabriz. Iran J Nurs Res. 2009;4(13-12):27-38. [Persian] [Full text]
9. Harirchi I, Azary S, Montazeri A, Mousavi SM, Sedighi Z, Keshtmand G, et al. Literacy and breast cancer prevention: A population-based study from Iran. Asian Pac J Cancer Prev. 2012;13(8):3927-30. [PubMed]
10. Nelson HD, Fu R, Cantor A, Pappas M, Daeges M, Humphrey L. Effectiveness of breast cancer screening: systematic review and meta-analysis to update the 2009 U.S. preventive services task force recommendation. Ann Intern Med. 2016;164(4):244-55. [PubMed]
11. Khazaee-Pool M, Majlessi F, Rahimi Foroushani A, Montazeri A, Nedjat S, Shojaeizadeh D, et al. Perception of breast cancer screening among Iranian women without experience of mammography: A qualitative study. Asian Pac J Cancer Prev. 2014;15(9):3965-71. [PubMed]
12. Naito M, O'Callaghan FV, Morrissey S. Understanding women's mammography intentions: A theory-based investigation. Women Health. 2009;49(2-3):101-18. [PubMed]
13. Hatefnia E, Niknami S, Mahmoudi M, Ghofranipour F, Lamyian M. The effects of health belief model education on knowledge, attitude and behavior of Tehran pharmaceutical industry employees regarding breast cancer and mammography. J Kermanshah Univ Med Sci. 2010;14(1):42-53. [Persian] [Full text]
14. Sargazi M, Mohseni M, Safar-Navade M, Iran-Pour A, Mirzaee M, Jahani Y. Effect of an educational intervention based on the theory of planned behavior on behaviors leading to early diagnosis of breast cancer among women referred to health care centers in Zahedan in 2013. Iran J Breast Dis. 2014;7(2):45-55. [Persian] [Full text]
15. Joveini H, Dehdari T, Hashemian M, Maheri M, Shahrabadi R, Rohban A, et al. Effects of an educational intervention on male students’ intention to quit water pipe smoking: An application of the theory of planned behavior (TPB) and health action process approach (HAPA). J Educ Community Health. 2020;7(2):73-80. [Persian] [Full text]
16. Maheri M, Rohban A, Sadeghi R, Joveini H. Predictors of quality of life in transfusion-dependent thalassemia patients based on the Precede model: A structural equation modeling approach. J Epidemiol Glob Health. 2020;10(2):157-63. [PubMed]
17. Hazavehei SMM, Ezzati-Rastegar K, Dogonchi M, Salimi N, Gheisvandi E. The impact of educational intervention programs to promoting mammography screening: A systematic review. J Educ Community Health. 2016;3(1):58-67. [Persian] [Full text]
18. Ajzen I. Perceived behavioral control, self‐efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol. 2002;32(4):665-83. [Full text]
19. Ajzen I. Attitudes, personality, and behavior. London: McGraw-Hill Education; 2005. [Full text]
20. Noroozi A, Jomand T, Tahmasebi R. Determinants of breast self-examination performance among Iranian women: An application of the health belief model. J Cancer Educ. 2011;26(2):365-74. [PubMed]
21. Farah F, Tabeshian A, Karimabade N, Hasanzade A. The effect of instruction on students’ knowledge and attitude towards breast self-examination. Qom Univ Med Sci J. 2011;4(4):21-6. [Persian] [Full text]
22. Cohen J. Statistical power analysis jbr the behavioral. Sciences. London: Routledge; 2013. [Full text]
23. Taymoori P, Molina Y, Roshani D. Effects of a randomized controlled trial to increase repeat mammography screening in Iranian women. Cancer Nurs. 2015;38(4):288-96. [PubMed]
24. Hacihasanoglu R, Gozum S. The effect of training on the knowledge levels and beliefs regarding breast self-examination on women attending a public education centre. Eur J Oncol Nurs. 2008;12(1):58-64. [PubMed]
25. Khazir Z, Morrowati Sharifabad MA, Vaezi AA, Enjezab B, Fallahzadeh H, Yari F. Predictors of mammography based on health belief model in Khorramabad women. J Educ Health Promot. 2019;8:180. [PubMed]
26. Salinas JJ, Byrd T, Martin C, Dwivedi AK, Alomari A, Salaiz R, et al. Change in breast cancer screening knowledge is associated with change in mammogram intention in Mexican-origin women after an educational intervention. Breast Cancer. 2018;12:1-7. [PubMed]
27. Sadeghnezhad F, Niknami S, Ghafari M. Effect of health education methods on promoting breast self-examination (BSE). J Birjand Univ Med Sci. 2009;15(4):38-48. [Persian] [Full text]
28. Khani Jeihooni A, Ghaedi R, Kashfi SM, Khiyali Z. Effect of education based on the health belief model in the prevention of sexually transmitted diseases in couples participating in pre marriage training classes. J Educ Community Health. 2018;4(4):4-12. [Persian] [Full text]
29. Pandhi N, Guadagnolo BA, Kanekar S, Petereit DG, Smith MA. Cancer screening in native Americans from the northern plains. Am J Prev Med. 2010;38(4):389-95. [PubMed]
30. Tolma EL, Stoner JA, Li J, Kim Y, Engelman KK. Predictors of regular mammography use among American Indian women in Oklahoma: A cross-sectional study. BMC Women Health. 2014;14:101. [PubMed]
31. Roncancio AM, Ward KK, Sanchez IA, Cano MA, Byrd TL, Vernon SW, et al. Using the theory of planned behavior to understand cervical cancer screening among Latinas. Health Educ Behavr. 2015;42(5):621-6. [PubMed]
32. Pakpour Hajiagha A. Assessment of effectiveness of an educational intervention using the theory of planned behavior, action planning and coping planning to increase and maintain oral self-care behavior in students [dissertation]. Tehran: Tarbiat Modares University; 2011. [Persian] [Full text]
33. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211. [Full text]
34. Matlabi M, Khajavi A, Askari F, Saberi M. The impact of educational intervention based on theory of planned behavior in breast self-examination of women referred to health centers. Horiz Med Sci. 2018;24(2):132-8. [Persian] [Full text]
35. Sheykhan R, Sepahvandi M, Ghazanfari F. Changing attitude, subjective norm, perceived behavioral control, mammography self-efficacy regarding breast cancer screening: The effect of an educational intervention in women aged 40 to 60 years. Woman Fam Stud. 2020;7(3):193-209. [Persian] [Full text]
36. Pakpour Hajiagha A, Saffari M. Application of planned behavior theory in predicting dental brush behavior among Iranian adolescents in Qazvin. J Islam Dent Assoc Iran. 2012;24(3):201-7. [Persian] [Full text]
37. Fernandez ME, Gonzales A, Tortolero-Luna G, Williams J, Saavedra-Embesi M, Chan W, et al. Effectiveness of cultivando la salud: A breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health. 2009;99(5):936-43. [PubMed]
38. Goel MS, O’Conor R. Increasing screening mammography among predominantly Spanish speakers at a federally qualified health center using a brief pre-visit video. Patient Educ Couns. 2016;99(3):408-13. [PubMed]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 CC BY-NC 4.0 | J Educ Community Health

Designed & Developed by : Yektaweb