“…Many factors influence the increase in HBM average score, one of which is the effective implementation of reproductive health education about leucorrhea that goes well. This is consistent with the theory which states that health counseling can shape an individual's perception of good health action 20,21 . Another study also states that health counseling can affect the perception of female adolescents in doing leucorrhea prevention 22,23.…”
Background: Leucorrhea is a problem that is often experienced by women. Female adolescents have inadequate knowledge about handling and preventing leucorrhea. This inadequate knowledge has an impact on the perception that leucorrhea will not affect their health. But in reality, for the last 3 (three) years from 2014 to 2016, there was an increase in complaints according to the screening results by Puskesmas Temon 2 (Community Health Center). Because of this reason, interventions are needed regarding the knowledge about leucorrhea prevention applying the Health Belief Model (HBM) theory, including perceptions of seriousness, vulnerability, benefits, obstacles, and impulse to act that can be measured by a perceptual score. Objectives: This study aimed to determine the effect of reproductive health counseling on the perceptual score of seriousness, vulnerability, benefits, obstacles, and impulse to act involving female students' perceptions in leucorrhea prevention behavior of SMAN 1 Temon (Senior High School) before and after health counseling. The score was measured by the HBM. Methods: The research was a quasi-experimental study with a time series design. The population of this research was the female students of class X and XI SMAN 1 Temon. The sample consisted of 55 female students who had fulfilled the inclusion and exclusion criteria by using simple random sampling technique. Data were analyzed using eepeated ANOVA test with significance level (α) of 0.05. Results: The results of this study indicated that there were significant differences in perception scores (p = 0.000) before counseling and after counseling in perceptions of seriousness in prevention, vulnerability to leucorrhea, benefits in prevention, barriers to preventive action, encouragement to act and total HBM score. Conclusions: Reproductive health counseling about leucorrhea based on the Health Belief Model theory is effective to improve female adolescent students' perception in taking action to prevent leucorrhea, especially in perception scores of seriousness, vulnerability, benefits, obstacles, and impulse to act in leucorrhea prevention behavior of female students in SMAN 1 Temon.
“…Many factors influence the increase in HBM average score, one of which is the effective implementation of reproductive health education about leucorrhea that goes well. This is consistent with the theory which states that health counseling can shape an individual's perception of good health action 20,21 . Another study also states that health counseling can affect the perception of female adolescents in doing leucorrhea prevention 22,23.…”
Background: Leucorrhea is a problem that is often experienced by women. Female adolescents have inadequate knowledge about handling and preventing leucorrhea. This inadequate knowledge has an impact on the perception that leucorrhea will not affect their health. But in reality, for the last 3 (three) years from 2014 to 2016, there was an increase in complaints according to the screening results by Puskesmas Temon 2 (Community Health Center). Because of this reason, interventions are needed regarding the knowledge about leucorrhea prevention applying the Health Belief Model (HBM) theory, including perceptions of seriousness, vulnerability, benefits, obstacles, and impulse to act that can be measured by a perceptual score. Objectives: This study aimed to determine the effect of reproductive health counseling on the perceptual score of seriousness, vulnerability, benefits, obstacles, and impulse to act involving female students' perceptions in leucorrhea prevention behavior of SMAN 1 Temon (Senior High School) before and after health counseling. The score was measured by the HBM. Methods: The research was a quasi-experimental study with a time series design. The population of this research was the female students of class X and XI SMAN 1 Temon. The sample consisted of 55 female students who had fulfilled the inclusion and exclusion criteria by using simple random sampling technique. Data were analyzed using eepeated ANOVA test with significance level (α) of 0.05. Results: The results of this study indicated that there were significant differences in perception scores (p = 0.000) before counseling and after counseling in perceptions of seriousness in prevention, vulnerability to leucorrhea, benefits in prevention, barriers to preventive action, encouragement to act and total HBM score. Conclusions: Reproductive health counseling about leucorrhea based on the Health Belief Model theory is effective to improve female adolescent students' perception in taking action to prevent leucorrhea, especially in perception scores of seriousness, vulnerability, benefits, obstacles, and impulse to act in leucorrhea prevention behavior of female students in SMAN 1 Temon.
“…Based on the results of “Cochrane Risk of bias tool” assessment Table 2 , for random sequence generation, 4 trials were deemed to be at low risk,[ 18 19 20 21 22 ] and also for allocation concealment 2 trial were at high risk. [ 23 24 ] Five trials did not report any attempt to blind assessors to treatment assignment[ 3 19 23 25 26 ] and five study did not blind. [ 22 24 27 28 29 ] In 2 trials, the participants/providers, or both were blinded to treatment allocation.…”
Section: Resultsmentioning
confidence: 99%
“…[ 20 21 ] Eight trials did not provide information about the number of participants allocated to groups at randomization[ 3 19 24 25 26 27 28 29 ] and four trials reported attrition bias. [ 20 21 22 23 ] In 12 studies, the inclusion and exclusion criteria and selective outcome were clearly defined. The intervention and control groups were demonstrably comparable in 12 Trials.…”
CONTEXT:
Pap smear test is one of the most important actions in preventing cervical cancer. This study aimed to perform a meta-analysis on all related literature about the effects of health belief model (HBM)-based training on Pap smear screening test performance of Iranian women.
METHODS:
The search was performed in Scopus, PubMed, and Web of Science. Eligibility criteria were limited to English and Persian language articles with experimental or semi-experimental methods until October 2019 that evaluated the effect of HBM-based training on Iranian women's performance of Pap smear test. We excluded studies that used both cervical and breast cancer screening together.
RESULTS:
Twelve studies were performed on totally 1605 participants. This meta-analysis showed that all of Health Belief Model (HBM) constructs improved significantly among HBM-based trained women, perceived susceptibility (standard mean division [SMD] =0.785;
P
= 0.002; confidence interval [CI] = 0.005 to 1.56; Heterogeneity;
P
= 0.013;
I
2
= 97%)., perceived severity (SMD = 1.14;
P
= 0.001; CI = 0.66–1.62; heterogeneity;
P
< 0.001;
I
2
= 92%), perceived benefits (SMD = 1.25;
P
= 0.001; CI = 0.545–0.135 heterogeneity;
P
= 0.003;
I
2
= 97%), perceived barrier (SMD = 0.20;
P
= 0.001; CI = 0.44–1.24; heterogeneity;
P
< 0.001;
I
2
= 92%) and perceived self-efficacy (SMD = 0.638;
P
< 0.001; CI =1.76–0.426; heterogeneity;
P
< 0.001;
I
2
= 97%).
CONCLUSION:
Cervical screening education program based on the HBM can be effective on Iranian women's performance in their perceived susceptibility, perceived severity, perceived barrier, and perceived self-efficacy about Pap smear test.
“…Pap smear testi, serviks kan serinin erken evrede tanılanmasını sağlayan ve tedavinin etkinliğini arttıran bir testtir. Bu konuda yapılan çeşitli çalışmalarda Pap smear tarama testinin uygulanmasındaki başarısızlığın temel nedenini; yetersiz eğitim ve farkındalık, bilgi eksikliği, dini inanışlar, kültürel problemler, ekonomik nedenler, serviks kanseri ve jinekolojik muayene hakkındaki yanlış algı, psikososyal ve demografik özelliklere bağlı diğer nedenler olarak sıralamışlardır (26,27,28,29). Tüm bu nedenler kadınların serviks kanserine karşı erken tanı ve olumlu sağlık davranışı geliştirmelerini engellemektedir.…”
Section: Kadınların Pap Smear Taramasına Katılımının öNündeki Engellerunclassified
Today, the increase in the incidence rate of female cancers has become a public health problem and is an important cause of morbidity and mortality. Cervical cancer, which is among the gynecological cancers, is a type of cancer that can be effectively controlled by screening. The Pap smear screening test, which enables cervical cancer to be diagnosed in the premalignant stage and incidence and mortality rates of cervical cancer to decrease, is easy to perform and cost-effective test. It was found that the incidence of cervical cancer has decreased significantly in the communities, where the Pap smear test is known and adopted. Not having a Pap smear test is the biggest obstacle to the prevention of cervical cancer. If a woman has never had a Pap smear in her life, the risk of getting cervical cancer increases by 1%. Inadequate education and awareness, cultural problems, economic reasons, misperception about cervical cancer and gynecological examination, psychosocial and demographic characteristics negatively affect women's attitude towards Pap smear test. Accordingly, women never have a Pap smear screening test or they do not adhere to recommended screening intervals. This review was carried out to reveal the obstacles preventing women from having a Pap smear test.
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