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Rokhforouz F, Nasirzadeh M, Asadpour M. The Effect of Educational Intervention Based on Trans-theoretical Model on the Correct Behavior of Breast Self-Examination Among Health Volunteers in Rafsanjan City, Iran. J Adv Med Biomed Res 2019; 27 (121) :32-39
URL: http://journal.zums.ac.ir/article-1-5231-en.html
The Effect of Educational Intervention Based on Trans-theoretical Model on the Correct Behavior of Breast Self-Examination Among Health Volunteers in Rafsanjan City, Iran
Fatemeh Rokhforouz1 , Mostafa Nasirzadeh2 , Mohammad Asadpour *3
1- Dept. of Health Services and Health Promotion, School of Health, Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2- Dept. of Health Services and Health Promotion, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3- Dept. of Health Services and Health Promotion, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran , asadpour2011@gmail.com
Abstract:   (148169 Views)

Background & Objective: Breast cancer is considered to be one the most preventable types of cancer in women. In this regard, one of the most important self-care techniques for women is breast self-examination. The main objective of the present study was to determine the effect of educational intervention based on trans-theoretical model on the correct behavior of breast self-examination among health volunteers in Rafsanjan city, in 2017.
Materials & Methods: This semi-experimental study was performed on 92 health volunteers who were assigned to two intervention and control groups in Rafsanjan, Iran. The required data was collected through a valid and reliable questionnaire. After the pretest analysis and determination of the participants’ educational needs, the educational program was implemented in six sessions. The effect of the training program was evaluated immediately and eight weeks later. Data analysis was performed using SPSS 16; the significance level was considered 0.05.
Results: Mean age of the volunteers was about 46 years. After the implementation of the educational program, there was a significant difference between the two groups in terms of movement in the stages of change during three interval periods (P<0.05). Also, there was a significant difference between mean scores of the two groups in all structures (except for perceived barriers) after the intervention (P<0.05).
Conclusion: The use of educational methods, such as demonstration, role-playing, and the use of Molding (Moulage), has had an impact on the empowerment of health volunteers as health promoters. Regarding the effectiveness of the educational intervention based on trans-theoretical model in performing the correct behavior of breast self-examination, it is recommended to use this model in other areas and topics.

Keywords: Trans-theoretical model, Breast self-examination behavior, Health volunteers, Stage of change
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✅ The use of educational methods, such as demonstration, role-playing, and the use of Molding (Moulage), has had an impact on the empowerment of health volunteers as health promoters. Regarding the effectiveness of the educational intervention based on trans-theoretical model in performing the correct behavior of breast self-examination, it is recommended to use this model in other areas and topics.


Type of Study: Original Research Article | Subject: Clinical Medicine
Received: 2018/06/9 | Accepted: 2018/12/29 | Published: 2019/06/22
References
1. World Health Organization (WHO), News Fact sheets, Detail, Cancer 2015.
2. Shobiri E, Amiri M, Haghighat MJ, et al. The diagnostic value of impedance imaging system in patients with breast mass. J Kermanshah Univ Med Sci. 2016; 19(7): 427-35.
3. Paul S, Solanki PP, Shahi UP, Srikrishna S. Epidemiological study on breast cancer associated risk factors and screening practices among women in the holy city of Varanasi, Uttar Pradesh, India. Asion Pac J Cancer Prev. 2015; 16(18): 8163-71. [DOI:10.7314/APJCP.2015.16.18.8163] [PMID]
4. Hoseini S, Nasrolahi B, Aghili M. Prediction of hope of life based on spiritual well-being and psychological hardiness in women with breast cancer. Arch Breast Cancer. 2017; 4(4): 136-40.
5. Karimi H, Sam S. Effect of breast self-examination (BSE) education on increasing women's knowledge and practice, Ramsar. J Badol Univ Med Sci. 2005; 7(3): 61-8.
6. Yoo BN, Choi KS, Jung KW, Jun JK. Awareness and practice of breast self-examination among Korean women: results from a nationwide survey. Asian Pac J Cancer Prev. 2012; 13(1): 123-5. [DOI:10.7314/APJCP.2012.13.1.123] [PMID]
7. Kashfi S, Khani Jeihooni A, Yazdankhah M. The effect of education about breast self-examination on knowledge, attitude, and practice of women in nourabad mamasani health clinics, 2009. Pars J Med Sci.2012; 10(1): 40-5. [DOI:10.29252/jmj.10.1.40]
8. Avci IA. Factors associated with breast self-examination practices and beliefs in female workers at a muslim community. Europ J Oncol Nurs. 2008; 12(2): 127-33. [DOI:10.1016/j.ejon.2007.11.006] [PMID]
9. Sevil U, Atan SU, Kiris H, et al. Peer education project on breast self-examination in Izmir, Turkey. Asian Pac J Cancer Prev. 2005; 6(1): 29-32.
10. Motamedi B, Yazdanpanah F, Iranmanesh F, Tirgary B. Effect of education on the sustainability of breast self-examination among health care volunteers in Kerman, Iran. J Health Develop. 2012; 1(3): 167-73.
11. Ghasemi B, Keivani Z. The effect of breast self-examination training on knowledge, attitude and practice of women working in Shahrekord universities in 2010. J Clin Nurs Med Wife. 2014; 3(2): 30-6.
12. Pourhaji F, Vahedian Shahroodi M, Esmaily H, Pourhaji F. Knowledge, beliefs, and health behaviors in those volunteering health in Mashhad, 2012. Iran J Breast Disease. 2013; 5(4): 44-52.
13. Pakpour Hajiagha A, Mohammadi Zeidi I, Mohammadi Zeidi B. The impact of health education based on theory of planned behavior on the prevention of AIDS among adolescents. Iran J Nurs (2008-5923). 2012; 25.
14. Glanz K, Rimer B, Viswanath K. Health behavior and health education:theory, research, and practice: John Wiley & Sons.2008.
15. Pro-Change. The transtheoretical Model 2018. Available from: https://www.prochange.com/transtheoretical-model-of-behavior-change.
16. Pourhaji F, Vahedian Shahroodi M, Esmaily H, Pourhaji F, harooni J. Effects of training program-based on stage of change model to promote breast self-examination behavior. Avicenna J Nurs Midwifery care. 2013; 21(4): 59-68.
17. Ghahremani L, Mousavi Z, Kaveh MH, Ghaem H. Self-care education programs based on a trans-theoretical model in women referring to health centers: breast self-examination behavior in Iran. Asian Pac J Cancer Prev. 2016; 17(12): 5133-8.
18. Abbastabar H, Hamidi Fard P, Roustazadeh A, et al. The relationship between breast cancer and the most common noncontagious disease risk factors: an ecologic study. Asian Pac J Cancer. 2013; 14: 5123-5. [DOI:10.7314/APJCP.2013.14.9.5123] [PMID]
19. Jamshidi M, Aliramaji A, Khafri S, Moudi E. Relationship between the breast cancer history and prostate cancer in relatives with prostate cancer. J Babol Univ Med Sci. 2017; 19(8): 7-11.
20. YektaKooshali M, Esmaeilpour-Bandboni M, Sharemi S, Alipour Z. Survival rate and average age of the patients with breast cancer in iran: systematic review and meta-analysis. J Babol Univ Med Sci. 2016; 18(8): 29-40.
21. Vahedian Shahroodi M, Pourhaje F, Esmaily H, Pourhaje F. The relationship between breast self-examination and stages of change model in health volunteers. J Res Health. 2015; 5(1): 13-20.
22. Elkazeh E, Elsaay OEA. Applying the transtheoretical model of change and the health belief model to breast self-examination in females undergraduate students in faculty of nursing tanta University. J Am Sci. 2012; 8(8): 804-14.
23. Jalilian M, Darabi M, Sharifirad G, Kakaei H. Effectiveness of interventional program based on trans-theoretical model to promote regular physical activity in office workers. J Health System Res. 2012; 9(2): 188-95.
24. Khiyali Z, Aliyan F, Kashfi2 SH, Mansourian M, Khani Jeihooni A. Educational intervention on breast self-examination behavior in women referred to health centers: Application of Health Belief Model. Asian Pac J Cancer Prev. 2017; 18(10): 2833-8.
25. Masoudiyekta L, Rezaei-Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Saki Maleh A, Moradi M. Effect of education based on health helief model on the behavior of breast cancer screening in women. Asia Pac J Oncol Nurs. 2018; 5(11): 114-20.
26. Bakhtariagdam F, Nourizadeh R, Sahebi L. The role of health belief model in promotion of beliefs and behaviors of breast cancer screening in women referring to health care centers of Tabriz in 2010. J Tabriz Uni Med Sci. 2012; 33(6): 25-31.
27. Nahidi F, Dolatian M, Roozbeh N, Asadi Z, Shakeri N. Effect of health-belief-model-based training on performance of women in breast self-examination. Electron Physician. 2017; 9(6): 4577-83. [DOI:10.19082/4577] [PMID] [PMCID]
28. Ouyang YQ, Hu X. The effect of breast cancer health education on the knowledge, attitudes, and practice: a community health center catchment area. J Cancer Educ. 2014; 29(2): 375-81. [DOI:10.1007/s13187-014-0622-1] [PMID]
29. Tuzcu A, Bahar Z, Gözüm S. Effects of interventions based on health behavior models on breast cancer screening behaviors of migrant women in Turkey. Cancer Nurs. 2016; 39(2): 40-50 . [DOI:10.1097/NCC.0000000000000268] [PMID]
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