Impact of an endometrial cancer prevention program based on health belief model on elderly women's awareness and quality of life

Abstract

Endometrial cancer is the most common type of gynecologic cancer worldwide affecting elderly women. This study aims to evaluate the impact of an endometrial cancer prevention program based on health belief (HBM-based) model on elderly women's awareness and quality of life. Design: A Quasi-experimental pre- post nonequivalent control group design was utilized. Sample: A purposive sample of 60 elderly women with postmenopausal bleeding and not diagnosed with endometrial cancer. Setting: the study was conducted at El-Galaa' teaching hospital, and El kasr El Ainy teaching hospital outpatient clinics. Study tools: 1- A structured demographic data and medical history questionnaire, 2-An endometrial cancer prevention awareness questionnaire (beliefs, knowledge& practices), 3- (WHOQOL-BREF) questionnaire to assess elderly women's QOL. Results: the mean age of elderly was 65.87±3. 15. All elderly women had unsatisfactory knowledge and practice level related to endometrial cancer prevention during pretest evaluation which was improved to satisfactory in the study group after program implementation, a highly statistically significant difference between total beliefs (perceived severity, perceived susceptibility, perceived barriers, perceived benefits, cues to action) and the total QOL mean score of elderly women in the study group in the pre, post, follow up test (P= 0.00).