Molaei-Zardanjani Maryam, Savabi-Esfahani Mitra, Taleghani Fariba
MSc Student, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2019 Jan 29;8:20. doi: 10.4103/jehp.jehp_138_18. eCollection 2019.
Breast cancer is the most common cancer in women. It can be diagnosed in the first stage by screening. One of the methods for screening breast cancer is mammography. Mammography as a health behavior needs education. The theory of planned behavior examines the factors associated with the behavior.
This research was conducted to compare the individual and peer education on the constructs of the theory of planned behavior in mammography.
This study was a clinical trial. A total of 100 women who attending the selected health centers of Isfahan city were classified randomly into two groups: peer and individual education. Education was based on the constructs of the theory of planned behavior (attitude relative to the mammography behavior, subjective norms, perceived behavioral control, and behavioral intention). The data were collected using a researcher-made questionnaire. Data were analyzed using descriptive-analytical statistics.
The mean score of attitude toward behavior in the individual education group was significantly higher than peer education ( < 0.05). In addition, the average score of subjective norms in peer education group was significantly higher than individual education ( < 0.05). The mean scores of perceived behavioral control constructs and behavioral intention were not significantly different ( > 0.05).
The results of this study showed the effectiveness of education (individual and peer) based on the theory of planned behavior on attitude toward behavior, subjective norms, perceived behavioral control, and behavioral intention related to performing mammography in women. It seems that using educational intervention can be useful to promote the screening behaviors of breast cancer. In general, there were no significant differences between the two methods in changing theoretical constructs.
乳腺癌是女性中最常见的癌症。通过筛查可在第一阶段诊断出乳腺癌。乳腺钼靶摄影是筛查乳腺癌的方法之一。乳腺钼靶摄影作为一种健康行为需要进行教育。计划行为理论研究与该行为相关的因素。
本研究旨在比较个体教育和同伴教育对乳腺钼靶摄影中计划行为理论各构成要素的影响。
本研究为一项临床试验。总共100名前往伊斯法罕市选定健康中心的女性被随机分为两组：同伴教育组和个体教育组。教育基于计划行为理论的构成要素（对乳腺钼靶摄影行为的态度、主观规范、感知行为控制和行为意向）。数据通过研究者自制的问卷收集。数据采用描述性分析统计方法进行分析。
个体教育组中对行为的态度平均得分显著高于同伴教育组（<0.05）。此外，同伴教育组中主观规范的平均得分显著高于个体教育组（<0.05）。感知行为控制构成要素和行为意向的平均得分无显著差异（>0.05）。
本研究结果表明，基于计划行为理论的教育（个体教育和同伴教育）对女性在乳腺钼靶摄影行为的态度、主观规范、感知行为控制和行为意向方面是有效的。似乎采用教育干预对促进乳腺癌筛查行为可能是有用的。总体而言，两种方法在改变理论构成要素方面没有显著差异。
