Khani Jeihooni Ali, Darvishi Niloofar, Harsini Pooyan Afzali
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
Fasa Ibn Sina square, Fasa University of Medical Sciences, Fasa, P.Code:7461686688, Iran.
J Cancer Educ. 2020 Apr;35(2):264-273. doi: 10.1007/s13187-018-1460-3.
Mammography is the most special screening method for early diagnosis of breast cancer. The purpose of present research is investigating the effect of educational intervention based on theory of planned behavior on mammography screening of women in Fasa city, Fars province, Iran. In this quasi-experimental study, 400 subjects (200 subjects for experimental group and 200 subjects for control group) were selected in 2017-2018. Educational intervention for the experimental group included 8 educational sessions. A questionnaire used for evaluating demographic information and constructs of theory of planned behavior (knowledge, perceived behavioral control, subjective norms, and attitude) investigated mammography performance of women before and 6 months after intervention. Data were analyzed by using SPSS 22 through chi-square test, McNemar's test, and Wilcoxon-Mann-Whitney test at significance level of P < 0.05. The average age of subjects was 45.52 ± 6.76 years in the experimental group and 45.12 ± 6.64 years in the control group. Six months after intervention, the experimental group showed significant increase in knowledge, perceived behavioral control, subjective norms, and attitude compared to the control group and 174 people (78%) of the experimental group had intention for doing mammography and 148 people (74%) of the experimental group performed mammography. Also, 6 months after educational intervention, 38 people (19%) of the control group had intention for performing mammography and 14 people (7%) of the control group performed mammography.
乳房X线摄影是早期诊断乳腺癌最特殊的筛查方法。本研究的目的是调查基于计划行为理论的教育干预对伊朗法尔斯省法萨市女性乳房X线摄影筛查的影响。在这项准实验研究中,2017 - 2018年选取了400名受试者(实验组200名,对照组200名)。实验组的教育干预包括8次教育课程。使用一份问卷来评估人口统计学信息以及计划行为理论的构成要素(知识、感知行为控制、主观规范和态度),调查干预前和干预后6个月女性的乳房X线摄影情况。使用SPSS 22通过卡方检验、麦克尼马尔检验和威尔科克森 - 曼 - 惠特尼检验在P < 0.05的显著性水平下对数据进行分析。实验组受试者的平均年龄为45.52 ± 6.76岁,对照组为45.12 ± 6.64岁。干预6个月后,与对照组相比,实验组在知识、感知行为控制、主观规范和态度方面有显著增加,实验组有174人(78%)有进行乳房X线摄影的意向,148人(74%)进行了乳房X线摄影。此外,教育干预6个月后,对照组有38人(19%)有进行乳房X线摄影的意向,14人(7%)进行了乳房X线摄影。