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Cancer control : journal of the Moffitt Cancer Center
2024 Jan-Dec;31 10732748241266788.

The Effect of an Educational Intervention on Breast Cancer Screening of Rural Women: Application of the Theory of Planned Behavior.

Amirhossein Kamyab, Fatemeh Mohammadkhah, Saeedeh Asadi, Farzaneh Ghalehgolab, Ali Khani Jeihooni
Author Information
  1. Amirhossein Kamyab: Department of Community Medicine, School of Medicine, Fasa University of Medical Science, Fasa, Iran.
  2. Fatemeh Mohammadkhah: Department of Community Health, Child Nursing and Aging, Ramsar School of Nursing, Babol University of Medical Sciences, Babol, Iran.
  3. Saeedeh Asadi: Department of Gynecology, School of Medicine, Fasa University of Medical Science, Fasa, Iran.
  4. Farzaneh Ghalehgolab: Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  5. Ali Khani Jeihooni: Departement of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran. ORCID
PMID: 39052977 DOI: 10.1177/10732748241266788

Abstract

BACKGROUND: Early diagnosis of breast cancer is a key factor affecting patient survival, so screening can reduce the burden of this disease. The present study aimed to investigate the effect of education based on the theory of planned behavior (TPB) on breast cancer screening in rural women.
METHODS: In this quasi-experimental study, 480 women referring to the health care centers in the cities of Fasa and Shiraz were divided into two groups, intervention (n = 240) and control (n = 240), using cluster random sampling method, in 2021-2022. We randomly selected two health care centers in Shiraz and Fasa and invited them to participate in the study. The demographic information questionnaire and a researcher-made questionnaire based on the TPB were used to collect the data. The intervention included 50-minute sessions on topics such as breast cancer basics, screening methods, barriers to mammography, and the role of peer groups. Data were collected before and 4 months after the intervention.
RESULTS: The results showed no difference between the two groups in awareness, attitude, perceived behavioral control, subjective norms, behavioral intention, and breast cancer screening performance before the intervention. Four months after the intervention, a significant increase was found in the intervention group in awareness (7.46 ± 1.50 to 18.54 ± 1.20), attitude (28.55 ± 4.62 to 58.69 ± 4.35), perceived behavioral control (22.52 ± 3.32 to 40.88 ± 3.84), and subjective norms (20.37 ± 3.34 to 21.99 ± 3.38). Instead, no significant difference in the mentioned constructs ( < 0.05) was observed in the control group.
CONCLUSION: This study demonstrated that TPB-based education enhanced awareness, attitude, perceived behavioral control, subjective norms, and behavioral intention towards breast cancer screening. The TPB empowers women in rural communities to prioritize their health and seek timely breast cancer screening. Continued efforts and improved access to screening services are crucial for improved outcomes.

Keywords

attitudes breast neoplasms health knowledge mammography practice women

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MeSH Term

Humans
Female
Breast Neoplasms
Early Detection of Cancer
Rural Population
Middle Aged
Adult
Health Knowledge, Attitudes, Practice
Surveys and Questionnaires
Intention
Mammography
Health Education
Health Behavior
Psychological Theory
Theory of Planned Behavior
Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0±breastscreeningcancerinterventioncontrolbehavioralstudywomenhealth3TPBtwogroupsawarenessattitudeperceivedsubjectivenormseducationbasedruralcarecentersFasaShirazn=240questionnairemammographydifferenceintentionsignificantgroup1204improvedBACKGROUND:EarlydiagnosiskeyfactoraffectingpatientsurvivalcanreduceburdendiseasepresentaimedinvestigateeffecttheoryplannedbehaviorMETHODS:quasi-experimental480referringcitiesdividedusingclusterrandomsamplingmethod2021-2022randomlyselectedinvitedparticipatedemographicinformationresearcher-madeusedcollectdataincluded50-minutesessionstopicsbasicsmethodsbarriersrolepeerDatacollected4 monthsRESULTS:resultsshowedperformanceFourmonthsincreasefound7465018542855625869352252324088843734219938Insteadmentionedconstructs<005observedCONCLUSION:demonstratedTPB-basedenhancedtowardsempowerscommunitiesprioritizeseektimelyContinuedeffortsaccessservicescrucialoutcomesEffectEducationalInterventionBreastCancerScreeningRuralWomen:ApplicationTheoryPlannedBehaviorattitudesneoplasmsknowledgepractice

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