Effectiveness of educational intervention on cervical cancer screening behavior: Application of health belief model in female teachers in Minoodasht

Document Type : Original article

Authors

1 Assistant Professor, Faculty of health, Mashhad university of medical science, Mashhad, Iran

2 MSc, Health Management and Social Development Research Center, Golestan university of medical sciences, Gorgan, Iran

3 MSc, Faculty of health, Neishabour University of medical science, Neishabour, Iran.

4 MSc, Faculty of health, Shahid Sadughi University of medical sciences, Yazd, Iran.

10.22038/nnj.2024.76006.1424

Abstract

Background and Aims: Women's screening for uterine cancer screening is inappropriate despite the desirable effectiveness of screening programs. This study aimed to determine the effectiveness of educational intervention based on health belief model on performing cervical cancer screening behavior in female teachers in Minoodasht City.
Materials and Methods: In this quasi-experimental study, 120 female teachers from the city of Minoodasht were selected using stratified sampling and randomly divided into intervention and control groups. The training was conducted over a period of one month using appropriate educational methods and materials regarding cervical cancer screening behavior. The data collection tool was a researcher-made questionnaire. The questionnaire was completed in three stages: before the intervention, immediately after the intervention, and three months post-intervention in both groups. Data were analyzed using descriptive and analytical tests (repeated measures ANOVA and t-tests) with SPSS software version 19.
Results: After the implementation of the educational program, there was a significant difference in the mean score of knowledge and constructs of the health belief model among the teachers in the intervention group (P <0.001). The intention to perform Pap smear test was significantly higher in the experimental group than in the control group (P <0.001). However, there was no significant relationship between the performance status of teachers in the two groups after the intervention.
Conclusion: Educational interventions based on the constructs of the Health Belief Model can be effective in influencing the intention to undergo Pap smear testing. However, to effect behavior change, it is recommended that further research be conducted over an extended period and based on other educational models.

Keywords


[1]  Bakht R, Shobeiri F, Roshanaei Gh, Fakouri E. The factors affecting cervical cancer screening among addicted women of Hamedan in 2015: On the basis of Protection Motivation Theory model. Jorjani Biomed J. 2016;4(2):68-80. [in Persian]
[2]  Pimple S, Mishra G, Shastri S. Global strategies for cervical cancer prevention. Curr Opin Obstet Gynecol. 2016;28(1):4-10. doi: 10.1097/GCO.0000000000000241.
[3]  Bahmani A, Rahmani K, Ahmadian F, Alizadeh Z, Akhtar B. Explanation of Pap Smear Preventive Behavior among Women Based on Health Belief Model: A Qualitative Study. Iranian Journal of Health Education and Health Promotion. 2017;5(1):5-14. [in Persian]
[4]   CDC. National comprehensive cancer control Program. 2018.
[5]  Jalilian F, Mirzaei_Alavijeh M, Emdadi SH, Barati M, Nasirzadeh M, Hatamzadeh S. Predicting factors related with pap smear results among women based on health belief model. Health Sys Res. 2011;7:1226-34.
[6]  World Health Organization. 2014. Available from: http://www.who.int/topics/ cancer/en.
[7]  Sharma P, Rahi M, Lal P. A Community-based Cervical Cancer Screening Program among Women of Delhi using Camp Approach. Indian J Community Med. 2010;35(1):86-8.
[8]  farshbaf-khalili A. Factors Related to Cervical Cancer Screening among Women Referring to Health Centers in Tabriz, Iran 2012. IJOGI. 2014;16:15-24.
[9]  CDC. Cervical cancer. 2014. Available from: http: //www. cdc.gov/cancer/cervical.
[10]  Jowzi F, Hashemifard T, Morowatisharifabad M, Bashir Z. factors associated with pap smear screening test among women aged 15-49 based on protection motivation theory. Hayat Journal. 2013;19(1):29-40.
[11]  Namdar A, Bigizadeh S, Naghizadeh MM. Measuring Health Belief Model components in adopting preventive behaviors of cervical cancer. JABS. 2012;2(1):34-44.
[12]  Vasheghani F. effect of educational intervention based on health belief model on knowledge and attitude about pap smear test among female secondary school teachers in district 11 of tehran. Journal Of School Of Public Health And Institute Of Public Health Research. 2012;10(2):7.
[13]  Al Yahyai T, Al Raisi M, Al Kindi R. Knowledge, Attitudes, and Practices Regarding Cervical Cancer Screening among Omani Women Attending Primary Healthcare Centers in Oman: A Cross-Sectional. Asian Pac J Cancer Prev. 2021;22(3):775-83. doi: 10.31557/APJCP.2021.22.3.775
[14]  Hossaini F TR, , Noroozi A. Comparing the Effects of Individual and Group TrainingMethods Based on Health Belief Model on the Belief and Practice of Bushehr Women Regarding Pap Smear. Journal of Health. 2016;7(5):11.
[15] Hazavehei M, Rahmati M, Hasanzade A. effect of educational program based on health belief model on the practice of women about pap smear. Health System Research. 2014;9(14):1858-67.
[16]  Tung WC, Nguyen DH, Tran DN. Applying the transtheoretical model to cervical cancer screening in Vietnamese-American women. Int Nurs Rev. 2008;55(1):73-80.
[17]  Shakibazadeh E, Ahmadnia E, Akbari F, Negarandeh R. Barriers and Motivating Factors Related to Cervical Cancer Screening. Hayat Journal. 2009;14(4):83-9.
[18]  Twinn SF, Holroyd E, Fabrizio C, Moore A, Dickinson JA. Increasing knowledge about and uptake of cervical cancer screening in Hong Kong Chinese women over 40 years. Hong Kong Med J. 2007;13:4.
[19]  Onsory KH, Abdullahi M, Siri M. Study of women's awareness of Parand and Robatkarim about Pap Smear test. Journal of Cellular-Molecular Biotechnology. 2013;14(13):5.
[20]  Morowatisharifabad MA, Norouzi S, Layeghy S, Norouzi A, editors. Survey of Cervix Cancer Screening Determinants among 20-65 Years Old Women Based On Health Belief Model in Lordegan, Chahar Mahal Bakhtiyaree. 2013; 12(1):98-106. [in Persian]
[21]  Guvenc G, Akyuz A, Açikel CH. Health Belief Model Scale for Cervical Cancer and Pap Smear Test: psychometric testing. J Adv Nurs. 2011;67(2):428-37.
[22]  Pourabbasi A, Akbari H, Akhvan AA, Haghdoost AA, Kheiry Z, Dehnavieh R, et al. Analysis of Iran's National Medical Education Evolution and Innovation Plan using the Michelle and Scott's model of policymaking. J Adv Med Educ Prof. 2019;7(1):20-6.
[23]  Park S, Chang S, Chung C. Effects of a cognition-emotion focused program to increase public participation in Papanicolaou smear screening. Public Health Nurs. 2005;22(4):289-98.
[24]  Karimy M, Montazeri A, Araban M. The effect of an educational program based on health belief model on the empowerment of rural women in prevention of brucellosis. Journal of Arak University of Medical Sciences. 2012;14(7):85-94. [in Persian]
[25]  Dignan M, Michielutte R, Blinson K, Wells HB, Case LD, Sharp P, et al. Effectiveness of health education to increase screening for cervical cancer among eastern-band Cherokee Indian women in North Carolina. J Natl Cancer Inst. 1996;88(22):1670-6.
[26]  Austin LT, Ahmad F, McNally MJ, Stewart DE. Breast and cervical cancer screening in Hispanic women: a literature review using the health belief model. Womens Health Issues. 2002;12(3):122-8.
[27]  Karimy M, Gallali M, Niknami S, Aminshokravi F, Tavafian S. The effect of health education program based on Health Belief Model on the performance of Pap smear test among women referring to health care centers in Zarandieh. Pars Journal of Medical Sciences. 2022;10(1):53-9.
[28]  Dehdari T, Hassani L, Hajizadeh E, Shojaeizadeh D, Nedjat S, Abedini M. Effects of an educational intervention based on the protection motivation theory and implementation intentions on first and second pap test practice in Iran. Asian Pac J Cancer Prev. 2014;15(17):7257-61.
[29]  Sangchan H, Tiansawad S, Yimyam S, T W. The development of a culturally sensitive educational programme to increase the perception, self-efficacy, and practice of Thai Moslem women regarding breast self-examination. Songkla Med J. 2008;26:15-24.
[30]  Fang CY, Ma GX, Tan Y, Chi N. A multifaceted intervention to increase cervical cancer screening among underserved Korean women. Cancer Epidemiol Biomarkers Prev. 2007;16(6):1298-302.