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基于健康信念模型的教育干预对伊朗健康中心女性巴氏涂片检查知识、态度和功能的影响:一项随机对照临床试验。

The effect of educational intervention based on the health belief model on knowledge, attitude, and function of women about Pap smear test at Iranian health centers: A randomized controlled clinical trial.

作者信息

Samami Elahe, Seyedi-Andi Seyed Jalil, Bayat Beyrambibi, Shojaeizadeh Davoud, Tori Neda Ahmadzadeh

机构信息

Department of Reproductive Health and Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.

Assistant Professor of Health Education and Promotion, Department of Public Health, School of Public Health Social Determinants of Health Research Center, Health Research Institute Babol University of Medical Sciences, Babol, Iran.

出版信息

J Educ Health Promot. 2021 Jan 28;10:22. doi: 10.4103/jehp.jehp_33_20. eCollection 2021.


DOI:10.4103/jehp.jehp_33_20
PMID:33688531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933686/
Abstract

BACKGROUND AND OBJECTIVE: This study aimed to examine the effect of educational intervention using the health belief model on knowledge, attitude, and function of women about Pap test at health centers. METHODOLOGY: This randomized controlled clinical trial was conducted on 120 women who were allocated into two groups (intervention = 60 and control = 60). The sampling method was a multistage cluster. The training was provided in two sessions for 90 min. Data gathering tool was a 4-part researcher-made questionnaire including demographic characteristics, knowledge, health belief model structures, and function. Women were evaluated and completed the questionnaire in two stages (before and 2 months after training). Data were analyzed by Kolmogorov-Smirnov, Wilcoxon, linear regression, Mann-Whitney U-test, Fisher, Chi-square, and marginal homogeneity tests. RESULTS: At baseline, there was no significant difference between the groups regarding the mean of knowledge and the structures of health belief model scores. The average scores of participants in terms of health belief model structures were increased significantly after the training sessions. Furthermore, the comparison of the performance of Pap smear before training showed that in the intervention group (23.3%) and in the control group (31.7%), there was no significant difference in terms of the history of performing the Pap smear test ( = 0.414). However, a significant difference ( = 0.001) was observed after training in the intervention group (31.7%) and in the control group (3.3%). CONCLUSION: Educational intervention using the health belief model is effective in increasing knowledge, attitude, and function of women in terms of providing useful and required education.

摘要

背景与目的:本研究旨在探讨运用健康信念模型进行教育干预对健康中心女性巴氏试验相关知识、态度及行为的影响。 方法:本随机对照临床试验对120名女性进行,分为两组(干预组 = 60人,对照组 = 60人)。采用多阶段整群抽样方法。培训分两次进行,每次90分钟。数据收集工具为一份由研究者编制的4部分问卷,包括人口统计学特征、知识、健康信念模型结构及行为。女性在两个阶段(培训前和培训后2个月)接受评估并完成问卷。数据采用Kolmogorov-Smirnov检验、Wilcoxon检验、线性回归、Mann-Whitney U检验、Fisher检验、卡方检验和边际同质性检验进行分析。 结果:基线时,两组在知识均值和健康信念模型得分结构方面无显著差异。培训后,参与者在健康信念模型结构方面的平均得分显著提高。此外,培训前巴氏涂片检查执行情况的比较显示,干预组(23.3%)和对照组(31.7%)在巴氏涂片检查史方面无显著差异(P = 0.414)。然而,培训后干预组(31.7%)和对照组(3.3%)观察到显著差异(P = 0.001)。 结论:运用健康信念模型进行教育干预在提供有用且必要的教育方面,对提高女性的知识、态度及行为是有效的。

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The impact of theory-based educational interventions: A three-arm randomized controlled trial comparing face-to-face, mobile-based, and control approaches on pap smear acceptance.

Prev Med Rep. 2025-8-9

[2]
The effect of the music-supported education program on the awareness and health beliefs of Roma women about cervical cancer and screening.

BMC Public Health. 2025-4-25

[3]
Interventional study on cervical cancer health literacy among Anganwadi teachers-An interprofessional approach.

J Educ Health Promot. 2025-2-28

[4]
Impact of virtual education based on health belief model on cervical cancer screening behavior in middle-aged women: A quasi-experimental study.

Cancer Rep (Hoboken). 2024-4

[5]
Educational interventions for cervical cancer prevention: a scoping review.

Rev Bras Enferm. 2023

[6]
Using education based on the health belief model to modifications in performance of behaviors related to sexually transmitted infections in vulnerable women.

J Educ Health Promot. 2023-2-28

[7]
Interventions to increase the uptake of cervical cancer screening in low- and middle-income countries: a systematic review and meta-analysis.

BMC Womens Health. 2023-3-23

[8]
Effect of a community-based multicomponent intervention on cervical cancer behavior among women - A randomized controlled trial.

J Educ Health Promot. 2022-10-31

[9]
Increasing cervical cancer screening in Iran: effectiveness of a theory-based educational intervention.

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[10]
Knowledge, attitudes, and perception toward human papillomavirus among health profession students: A cross-sectional study in King Saud Bin Abdulaziz University for Health Sciences.

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本文引用的文献

[1]
Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis.

J Educ Health Promot. 2020-7-28

[2]
Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.

CA Cancer J Clin. 2018-9-12

[3]
Significant variations in the cervical cancer screening rate in China by individual-level and geographical measures of socioeconomic status: a multilevel model analysis of a nationally representative survey dataset.

Cancer Med. 2018-3-24

[4]
Cervical cancer screening behavior and associated factors among women of Ugrachandi Nala, Kavre, Nepal.

Eur J Med Res. 2017-9-19

[5]
Effects of Group Training Based on the Health Belief Model on Knowledge and Behavior Regarding the Pap Smear Test in Iranian Women: a Quasi-Experimental Study.

Asian Pac J Cancer Prev. 2016

[6]
Turkish social attitudes towards to cancer prevention: a health belief model study.

Asian Pac J Cancer Prev. 2014

[7]
The effects of breast cancer educational intervention on knowledge and health beliefs of women 40 years and older, Isfahan, Iran.

J Educ Health Promot. 2014-5-5

[8]
Portuguese women's knowledge and health beliefs about cervical cancer and its screening.

Soc Work Public Health. 2013

[9]
The Effect of Education on Women's Practice Based on the Health Belief Model About Pap Smear Test.

Int J Prev Med. 2012-8

[10]
Effect of health education about cervical cancer and papanicolaou testing on the behavior, knowledge, and beliefs of Turkish women.

Int J Gynecol Cancer. 2012-10

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