The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer

Farajzadegan, Ziba; Fathollahi-Dehkordi, Fariba; Hematti, Simin; Shokri, Reza; Tavakoli, Nasim; Rouzbahani, Reza

doi:10.4103/1735-1995.193513

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…cues to action such as information, past health behaviour) influence an individual’s perceptions of illness susceptibility and severity, benefits of treatment, and barriers to accessing treatment. There is a growing body of evidence indicating that the HBM can accurately predict physical health help-seeking behaviours, such as those relating to healthy eating (Mascioli & Davis, 2019), vaccinations (Scherr et al ., 2017), and breast screening (Farajzadegan et al ., 2016).…”

Section: Introductionmentioning

confidence: 99%

Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms

Maguire

Bhullar

Cosh

et al. 2023

Behav. Cogn. Psychother.

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Background: Anxiety is common during the perinatal period and despite effective treatments being available, many women with perinatal anxiety disorders experience barriers when accessing treatment. Aims: The aims of the current study were to explore women’s perceived barriers to treatment uptake; cognitive behavioural therapy (CBT) treatment delivery preferences; and the utility of the Health Belief Model (HBM) in predicting intention to seek psychological help for women with perinatal anxiety symptoms. Method: This study employed a cross-sectional design consisting of women with self-reported anxiety in the perinatal period. A total of 216 women (Mage=28.53 years; SD=4.97) participated in the study by completing a battery of online self-report measures. Results: The results indicated that the most salient barriers to accessing care were: (1) the cost of treatment, (2) wanting to solve the problem on their own, and (3) thinking the problem would go away without treatment. Group-delivered CBT was the least acceptable treatment method, while face-to-face individual CBT was the most acceptable treatment method. The HBM variables predicted approximately 35% of the variance in help-seeking intention. Discussion: This study has important implications for the delivery of psychological care in the perinatal period and may be used to improve treatment uptake.

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Section: Introductionmentioning

confidence: 99%

Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms

Maguire

Bhullar

Cosh

et al. 2023

Behav. Cogn. Psychother.

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“…The American Cancer Society (ACS) recommends mammography in women aged 40 years and above annually and CBE every 3 years by health professionals in 20s and 30s lifelong and after the age of 40 years every year. [ 6 7 ] Although BSE practice as a screening test can increase the probability of detecting breast cancer at an early stage by women themselves, it is associated with an increased number of biopsies for benign breast lesions and increased physician visits. Furthermore, mammography and CBE facilitate early detection and treatment of breast cancer and thus reduce the mortality rate.…”

Section: Introductionmentioning

confidence: 99%

Breast cancer screening behavior and its associated factors in female employees in South Khorasan

Tahergorabi

Mohammadifard

Salmani

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: Breast cancer is a preventable disease, using three secondary preventive methods of mammography, clinical breast examination (CBE), and breast self-examination (BSE) that can lead to early detection of breast cancer. This study was designed to assess breast cancer screening behavior and its associated factors in females employed in South Khorasan. MATERIALS AND METHODS: In this analytic-descriptive study, 2256 female personnel of governmental organizations were investigated in Birjand city in 2016–2017. The data collection tool was a three-part questionnaire: sociodemographic characteristics, knowledge about breast cancer screening methods plus women's performance, and stage of change regarding screening behaviors of mammography, CBE, and BSE. The data were analyzed by SPSS 16 and one-way analysis variance, Tukey's post hoc, and multiple logistic regression model statistical tests. RESULTS: The mean ± standard deviation score of knowledge of the women was 3.45 ± 1.5. There was a significant difference of the mean score of knowledge between the single and married (P = 0.03) and age group (P = 0.04). The stage action of mammography, CBE, and BSE was 6.8%, 12.3%, and 16.8%, respectively. Logistic regression model showed that variables such as age and family history of breast cancer were highly significant related to mammography and also CBE. Knowledge was also highly significant in mammography, CBE, and BSE. Education level in CBE, marital status in BSE and mammography, and job in BSE were also significant (P < 0.001). CONCLUSIONS: This study reveals insufficient knowledge of female workers about breast cancer and the negative influence of low knowledge on the practice of breast cancer screening behavior. Therefore, the establishment and maintenance of regular educational courses for female employees is essential.

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“…However, studies have shown that the rate of participation in breast cancer screening programs is low in this at risk group ( 6 ). Several studies have shown that women’s knowledge, perceived level of sensitivity, risk perception, health motivation, and potential benefit and harm from screening method influence their willingness to participate in breast cancer screening programs ( 7 - 9 ).…”

Section: Introductionmentioning

confidence: 99%

Health education models application by peer group for improving breast cancer screening among Iranian women with a family history of breast cancer: A randomized control trial

Fathollahi-Dehkordi

Farajzadegan

2018

Med. J. Islam. Republic Iran

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Background: Studies have shown that participation of Iranian women with family history of breast cancer in screening service is low. This investigation has evaluated the effectiveness of health models according to peer group in improving clinical breast exam (CBE) among Iranian women with a family history of breast cancer. Methods: This was a randomized control trial conducted during June and August 2015 in Isfahan. A total of 54 women were assigned into intervention and 53 to control group. Women 20 years or older with an affected relative were included. CBE screening, stage of change screening, knowledge, and belief were considered as outcomes after educational program. Data were analyzed by ANOVA and descriptive statistics by SPSS. Significance level was set at 0.025. Results: Investigation was completed by 98 women; and we considered 22% as effect size. Three months after the intervention, screening practice was 52% in interventional versus 18% in control group (p<0.001). Knowledge and all health belief subscales scores were significantly affected by time factor and time-group interaction (p<0.001). The effect of group factor was significantly related to knowledge score and perceived sensitivity, benefits, and health motivation subscales. Three months after the intervention, most women in the intermediation group were in the action stage of CBE compared to the controls who continued to be in contemplation stage (p<0.001). Conclusion: Peer group interventions, which can be organized by health models, have positive effects on CBE in women with positive history of breast cancer.

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The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer

Cited by 8 publications

References 18 publications

Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms

Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms

Breast cancer screening behavior and its associated factors in female employees in South Khorasan

Health education models application by peer group for improving breast cancer screening among Iranian women with a family history of breast cancer: A randomized control trial

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