Jeihooni Ali Khani, Dindarloo Samira Fatehi, Harsini Pouyan Afzali
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa Ibn Sina square, Fasa, 7461686688, Iran.
Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Cancer Educ. 2019 Oct;34(5):920-927. doi: 10.1007/s13187-018-1396-7.
The purpose of the present study is investigating the effect of educational intervention based on health belief model (HBM) on oral cancer prevention in smoker men. This is a quasi-experimental study carried out on 200 smoker men with the age of 40 or older (100 subjects for the experimental group and 100 subjects for control group) resident in Fasa City, Fars Province, Iran, in 2017-2018. The educational intervention for the experimental group included seven educational sessions for 50 or 55 min-based HBM. A questionnaire consisted of items about demographic information, knowledge, HBM constructs (perceived susceptibility, severity, benefits, barriers, self-efficacy, and cues to action) was used to measure the oral cancer prevention before and 6 months after the intervention. The mean age of the men was 51.35±8.41 years in the experimental group and 52.28±8.09 years in the control group. Based on the obtained results, significant enhancement is observed in average scores of knowledge, perceived susceptibility, severity, benefits, self-efficacy, cues to action, and oral cancer prevention behaviors in experimental group; however, no significant changes are observed in average scores of knowledge, perceived susceptibility, severity, benefits, self-efficacy, cues to action, and oral cancer prevention behaviors of control group. Also, results indicated that, the educational program based on HBM model have positive effect on oral cancer prevention with the improvement of subject's knowledge, perceived susceptibility, severity, benefits, and self-efficacy.
本研究的目的是调查基于健康信念模型（HBM）的教育干预对男性吸烟者口腔癌预防的影响。这是一项准实验研究，于2017 - 2018年在伊朗法尔斯省法萨市对200名40岁及以上的男性吸烟者进行（实验组100名受试者，对照组100名受试者）。实验组的教育干预包括基于HBM的七次每次50或55分钟的教育课程。使用一份包含人口统计学信息、知识、HBM构成要素（感知易感性、严重性、益处、障碍、自我效能感和行动线索）的问卷，在干预前和干预后6个月测量口腔癌预防情况。实验组男性的平均年龄为51.35±8.41岁，对照组为52.28±8.09岁。根据所得结果，实验组在知识、感知易感性、严重性、益处、自我效能感、行动线索和口腔癌预防行为的平均得分上有显著提高；然而，对照组在知识、感知易感性、严重性、益处、自我效能感、行动线索和口腔癌预防行为的平均得分上没有显著变化。此外，结果表明，基于HBM模型的教育计划对口腔癌预防有积极影响，可提高受试者的知识、感知易感性、严重性、益处和自我效能感。
