The Effect of Educational Program on Increasing Cervical/Cancer Screening Behavior among Women in Hamadan, Iran:/Applying Health Belief Model.summarize the two articles and mention each article strength and weaknesses.
JRHS 2011; 11(1): 20-25
JRHS Journal of Research in Health Sciences
journal homepage: www.umsha.ac.ir/jrhs
Original Article
The Effect of Educational Program on Increasing Cervical
Cancer Screening Behavior among Women in Hamadan, Iran:
Applying Health Belief Model
Davoud Shojaeizadeh (PhD)a, Seyedeh Zeinab Hashemi (MSc)b, Babak Moeini (PhD)c, Jalal
Poorolajal (MD, PhD)d*
a Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences,
Tehran, Iran
b Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences,
Tehran, Iran
c Research Center for Health Sciences and Department of Public Health, School of Public Health, Hamadan University of
Medical Sciences, Hamadan, Iran
d Research Center for Health Sciences and Department of Epidemiology & Biostatistics, School of Public Health,
Hamadan University of Medical Sciences, Hamadan, Iran
ARTICLE INFORMATION ABSTRACT
Article history:
Received: 24 February 2011
Revised: 20 March 2011
Accepted: 3 April 2011
Available online: 6 April 2011
Background: The systematic application of Pap test helps early diagnosis and
effective treatment of cervical cancer. This study was conducted to assess the
effect of education on health beliefs and practice of women eligible for Pap test
using Health Belief Model (HBM).
Methods: This quasi-experimental study was conducted in Hamadan City, the
west of Iran, in 2010 using before-after design. In this study, 70 women aged 16
to 54 years participated voluntarily who had never done Pap test until the date of
the study. The volunteers were divided into several small groups. For each
group, 2-hour training session was held twice. The data collection tool was a
self-administered multi-choice questionnaire that was developed based on HBM
constructs. Health beliefs and practice of the target group were evaluated preintervention
and four months later.
Results: Our findings indicated that education based on HBM was effective and
could enhance the participants’ knowledge significantly and improve the HBM
constructs including perceived susceptibility, severity, benefits, and barriers. The
training program enhanced the practice from zero before intervention to 81.4%
after that. The results of the present study revealed that increase in knowledge
had effect on the HBM constructs. Furthermore, there was a significant relationship
between knowledge and both age and educational level.
Conclusion: Health education based on HBM can enhance women’s knowledge
of cervical cancer, change their health beliefs and improve their behaviors
regarding screening programs like Pap test.
Keywords:
Health Belief Model
Knowledge
Practice
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