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Evaluating the Effect of an Educational Program on Increasing Cervical Cancer Screening Behavior Among Rural Women in Guilan, Iran Publisher Pubmed



Eghbal SB1 ; Karimy M2 ; Kasmaei P3 ; Roshan ZA4 ; Valipour R5 ; Attari SM1
Authors
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Authors Affiliations
  1. 1. Reproductive Health Research Center, Department of Obstetrics and Gynecology, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  2. 2. Department of Public Health, Faculty of Health, Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
  3. 3. Department of Health Education and Promotion, Research Center of Health and Environment, School of Health, Guilan University of Medical Sciences, Rasht, Iran
  4. 4. Department of Social Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  5. 5. Department of Public Health, Mazandaran Training and Education Organization, Babol, Iran

Source: BMC Women's Health Published:2020


Abstract

Background: Cervical cancer is one of the major health problems and the third prevalent cancer in women all around the world. As a simple, inexpensive, and with no side-effects, Pap test is a reliable way to screen cervical cancer. This study aimed to investigate, the effects of educational intervention based on the Health Belief Model (HBM) on doing Pap smear tests among the rural women of the north of Iran. Methods: In a quasi-experimental study, 160 rural women were randomly divided into control and experimental groups to experience a three-session intervention. The experimental group received the usual educational programs of rural health center and educational programs based on the HBM constructs through personal consultation, asking/answering questions, and an educational pamphlet. The control group, received the usual educational programs of rural health center. The post-test data were collected 2 months after the intervention and analyzed in SPSS-18. Results: Before the intervention, there was no significant difference between the control and experimental groups regarding the mean score of knowledge, performance and constructs of the HBM. After the intervention, however, there was a significant difference in the mean scores of knowledge performance and all constructs of the HBM in two groups (p < 0.001). Rate of doing the Pap smear test in the experimental group increased from 18.7 to 78.7% in the intervention group. Conclusion: These findings support the effectiveness of cervical cancer prevention programs based on the HBM. Therefore, conducting similar programs in other regions is recommended. © 2020 The Author(s).
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