Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Ghahremani, Leila; Harami, Zahra Khiyali; Kaveh, Mohammad Hossein; Keshavarzi, Sareh

doi:10.7314/apjcp.2015.17.3.1157

Cited by 8 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…34,37 The mean score of fear construct did not increase significantly after the intervention in these 2 groups compared to the control group. Two studies 33,36 on Pap smear screening found these results, but it was different from the study results, 38 where the difference could be due to the target groups or the different intervention methods. The mean score of fear construct before intervention was high in participants who did not affect the intervention on fear construct.…”

Section: Discussioncontrasting

confidence: 59%

Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran

Bashirian

Barati

Mohammadi

et al. 2021

Breast Cancer�(Auckl)

View full text Add to dashboard Cite

Introduction: Breast cancer is the most common malignancy in the world. Screening is the basis for early detection. However, the mortality rate is still high in Iranian women related to not screening and timely check-ups. We offered a theory-based intervention program to improve breast cancer screening behavior in women. Methods: This interventional study was conducted in 135 employed women in 2019. Their screening behavior was investigated using a questionnaire based on the Protection Motivation and Social Support Theories. We compared the efficacy of 2 educational interventions (a workshop and an E-learning program) between 2 intervention groups and a control group. The results were collected 3 months after the interventions had taken place. Data were analyzed in SPSS 23 using descriptive statistics, chi-square, analysis of variance (ANOVA), and the paired sample t-test. Results: We found a significant difference between the mean score of knowledge and the theoretical constructs ( P value < .001) before and after the interventions. Our results also showed that both the intervention methods had a similar effect and that there was a significant difference in the performance of breast self-examinations between the intervention and control groups after the intervention ( P value < .001). Conclusion: Given the cost-effectiveness and feasibility of implementing an E-learning program, we would recommend that health care planners assist in designing and implementing this effective form of intervention to encourage many more women to perform self-examinations to aid breast cancer screening.

show abstract

Section: Discussioncontrasting

confidence: 59%

Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran

Bashirian

Barati

Mohammadi

et al. 2021

Breast Cancer�(Auckl)

View full text Add to dashboard Cite

show abstract

“…According to Malmir et al, 48.6% of women underwent a Pap smear test vs. 32.4% of the control group after the PMT-based intervention (15). In another study by Ghahremani et al, the rate of the Pap smear test in the intervention and control group was 62.85% vs. 5.7% after the PMT-based intervention (16). Similarly, Khiyali et al, (17) showed a significant difference in the rate of performing Pap smear in the experimental group (58%) compared to the control group (3%).…”

Section: Final Reviewmentioning

confidence: 88%

Effectiveness of Motivationally Tailored Interventions on Cervical Cancer Screening: A Systematic Review and Meta-analysis

Pourebrahim-Alamdari¹,

Mehrabi²,

Nikkhesal³

et al. 2020

International Journal of Women’s Health and Reproduction Scienc

View full text Add to dashboard Cite

IntroductionCervical cancer is one of the major causes of disability adjustment years of women in developing countries (1). Approximately 87% of deaths from cervical cancer occur in less-developed countries. Among all malignant tumors, cervical cancer is one of the cancers that can be effectively controlled by organized screening programs. In this regard, Pap smear is a simple and cost-effective test for cervical cancer screening (2,3). It is reported that a regular Pap smear can reduce mortality by up to 80% (4). A study in Iran demonstrated that only 20% of women have never had this test, about two-third (68.7%) of them had this test only once in their life, and only 11.3% of them had taken a Pap test at standard intervals (5).People may indicate an unwillingness to take screening tests when they are in good health. In addition, performing regular screening tests heavily relies on motivational factors. Thus, motivational intervention (MI) is one of the ways to modify health-related behaviors. This method was introduced in 1983 by William Miller to change the drinking habit of alcoholic people. Further, it is a client-centered approach and helps identify and resolve behavioral ambiguity and reinforce the intrinsic motivation by discovering, identifying, and finding a specific solution (6, 7). There are reasons for the tendency to use MI in comparison to conventional methods in health-related practice (8). MIs directly eliminate resistance to change. Furthermore, they are flexible and can be used in combination with other treatments. Moreover, evidence supports the efficacy and impact of MI on physical and mental health issues. Finally, MI can be easily learned, and significant therapeutic effects can be achieved in a few sessions (9,10). Nevertheless, there is a lack of systematic reviews about the effectiveness of MIs on cervical cancer screening. Therefore, this study sought to systematically review the published intervention studies that examined the efficacy of MIs for improving cervical cancer screening among women. Materials and MethodsThis systematic review was conducted to determine the effectiveness of motivationally tailored interventions on cervical cancer screening behavior in women. Search StrategyAll published articles before September 2019 were assessed in this study. To this end, articles were reviewed from several electronic databases (i.e., Cochrane Abstract Objectives: Cervical cancer is preventable through cervical cancer screening. People may be unwilling to take screening tests when they are healthy, and performing regular screening tests largely depends on motivational factors. Accordingly, the present study aimed to investigate the effectiveness of motivationally tailored interventions on women's cervical cancer screening. Materials and Methods: In this systematic review, the electronic databases of the Cochrane Library, Web of Science, PubMed, Scopus, Embase, and Google Scholar were searched for all interventional studies (i.e., trials, pre-and post-test, or quasi-experimental ones) publ...

show abstract

“…Furthermore, studies from Iran, Kenya and Nigeria have reported health education interventions and behavior change frameworks provide an effective base for cervical cancer prevention [23,[28][29][30]. In our study, FCHV in the intervention group will make three home visits to educate and empower women for cervical cancer screening uptake that is available free of cost at the local health facilities.…”

Section: Discussionmentioning

confidence: 97%

Community-based intervention for cervical cancer screening uptake in a semi-urban area of Pokhara Metropolitan, Nepal (COBIN-C): Study protocol for a cluster-randomized controlled trial

Shrestha

Neupane

Ghimire³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Previous studies suggest that health intervention designed to increase cervical cancer screening has been effective to reduce cervical cancer incidence and mortality. The aim of this study is to determine the effect of a home-based health education intervention for increasing cervical cancer screening uptake delivered by trained Female Community Health Volunteers (FCHVs), a category of community health worker in Nepal. Methods: A community-based, open-label, two-armed, cluster-randomized trial [seven clusters (geographical wards) randomized for the intervention, and seven for the control arm]. The participants are recruited from a population-based survey with a sample size of 884. Based on population proportion size, 277 women will be recruited for the intervention group and 413 women recruited for the control group. A 12-month community-based health education intervention will be administered mobilizing the FCHVs, based on the Health Belief Model. The primary outcome measure of the study will be the difference in percentage of cervical cancer screening uptake between the two study arms. The primary outcomes will be modelled by using mixed-effect logistic regression analysis.Discussion: COBIN-C is the first study investigating the effect of a community-based health education intervention by FCHVs on increasing cervical cancer screening uptake among women in Nepal. The purpose of this study is to develop and implement a home-based, culturally sensitive program to increase cervical cancer screening coverage at the community level. Trial registration: ClinicalTrials.gov NCT03808064. Registered on January 14, 2019. (https://clinicaltrials.gov/ct2/show/NCT03808064).

show abstract

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Cited by 8 publications

References 8 publications

Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran

Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran

Effectiveness of Motivationally Tailored Interventions on Cervical Cancer Screening: A Systematic Review and Meta-analysis

Community-based intervention for cervical cancer screening uptake in a semi-urban area of Pokhara Metropolitan, Nepal (COBIN-C): Study protocol for a cluster-randomized controlled trial

Contact Info

Product

Resources

About