Abstract
Background:Early diagnosis of breast cancer is directly related to success in treatment. The aim of this study was to determine the effect of consultation based on the health belief model on performance of clinical breast examination (CBE) and mammography in women.Methods:This research was a clinical trial study. Eligible women aged> 40 years attending to Hamadan health care centers in 2016 were randomly assigned to experimental and control groups (n = 75 in each group). The experimental group received 4 weekly sessions of breast cancer screening consulting based on Health Belief Model (HBM). Knowledge on breast cancer, HBM constructs, and practices were compared between two groups before, one and three months after intervention.Results:Before the intervention, no significant differences were observed in knowledge, HBM constructs and practice between experimental and control groups. While one and three months post intervention significant differences were detected between two groups on HBM constructs (except susceptibility and severity) and knowledge (p <0.05).Conclusions:The results showed the consultation promoted breast cancer screening in women.
Highlights
Each year 1.67 million new cases of breast cancer were diagnosed worldwide
The results showed the level of education in the Ameneh Mirmoammadi et al experimental group was significantly lower than control group, which its effect was controlled on the results using Analysis of Covariance Test (Table 2)
The results of performance assessment showed the rates of mammography screening sharply increased from 26.7% to 49.3%; and the rate of clinical breast examination (CBE) increased from 29.3% to 52% in the experimental group
Summary
Each year 1.67 million new cases of breast cancer were diagnosed worldwide Evidence has revealed a low rate of performing mammography and clinical examination among women in Iran and the Middle East countries (Mokhtari et al, 2011; Noroozi and Tahmasebi, 2011; Bleyer and Welch, 2012; Moodi et al, 2012). The aim of this study was to determine the effect of consultation based on the health belief model on performance of clinical breast examination (CBE) and mammography in women. The experimental group received 4 weekly sessions of breast cancer screening consulting based on Health Belief Model (HBM). Results: Before the intervention, no significant differences were observed in knowledge, HBM constructs and practice between experimental and control groups. Conclusions: The results showed the consultation promoted breast cancer screening in women
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