scholarly journals The Effect of Educational Intervention Based on the Theory of Planned Behavior on The Performance on Pap Smear Test Screening in Iranian Women

2020 ◽  
Author(s):  
Maryam Heidari Sarvestani ◽  
zahra moradi ◽  
Ali Khani Jeihooni ◽  
Azizollah Dehghan

Abstract Background: Cervical cancer is the second most common cancer and the fifth deadly cancer among women in Iran. Educational interventions based on proper behavior promoting models can lead to early diagnosis of cervical cancer. The theory of planned behavior pays attention to social factors and motivation for following the significant others. The aim of this study was to determine the factors related to performing regular Pap smear test based on the Theory of Planned Behavior (TPB) among the females living in Fasa, Iran.Methods: A cross-sectional study was conducted on 700 participants. Then the educational intervention based on the results of cross-sectional study was conducted in form of a workshop for 50 women as the intervention group, and 50 women were considered as the control group. After all, the data were entered into the SPSS statistical software and were analyzed via logistic regressions analysis, paired t-test, independent t-test, chi-square test, and McNemar test.Result: According to the results, 45.7% of the patients had a history of undergoing a Pap smear test, and 20.7% of them performed this test regularly. The knowledge, attitude, subjective norms, and perceived behavioral control were the predictors of intention and behavior of Pap smear test among the women (P<0.05). These components accounted for 57.4% and 31.6% of the intention and behavior variance, respectively. After the intervention, a significant increase was observed in the mean scores of attitude, subjective norms, and perceived behavioral control in the intervention group compared to the control group. The results revealed no significant difference between the two groups concerning the behavioral intention (p=0.41) and performance of the Pap smear test (p=0.583). The number of the participants who had undergone the Pap smear test increased from 10 to 26 in the intervention group three months after the intervention. The results of McNemar test indicated that this difference was statistically significant.Conclusion: The results indicated an increase in the women’s performance of the Pap smear screening test by appropriate planning, provision of educational packages based on the women’s needs, and using effective subjective norms.This clinical trial is registered in the Iranian Registry of Clinical Trials (IRCT20160830029608N3).

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maryam Heidari Sarvestani ◽  
Ali Khani Jeihooni ◽  
Zahra Moradi ◽  
Azizallah Dehghan

Abstract Background Cervical cancer is the second most common cancer and the fifth deadliest cancer among women in Iran. Educational interventions based on the proper behavior promoting models can lead to early diagnosis of cervical cancer.This study aimed to investigate the effects of educational intervention on performing Pap smear tests based on the Theory of Planned Behavior among women living in Fasa, Iran. Methods A cross-sectional study was conducted on 700 participants. Thereafter, the educational intervention based on the results of cross-sectional study was conducted in a workshop form for 50 women as the intervention group and 50 women as the control group. Afterward, the data were entered into the SPSS statistical software and then analyzed via logistic regressions analysis, paired t test, independent t test, chi-square test, and McNemar test. Result According to the results, 45.7% of the patients had a history of performing a Pap smear test, and 20.7% of them regularly performed this test. The knowledge, attitude, subjective norms, and perceived behavioral control were the predictors of intention and behavior of Pap smear test among the women (P < 0.05). These components accounted for 57.4% and 31.6% of the intention and behavior variances, respectively. After the intervention, a significant increase was observed in the means of attitude, subjective norms, and perceived behavioral control in the intervention group compared to the control group. The results reveal no significant difference between these two groups regarding the behavioral intention (p = 0.41) and performance of the Pap smear test (p = 0.583). The number of the participants undergone the Pap smear test has increased from 10 to 26 in the intervention group by passing 3 months from the intervention. The results of McNemar test indicated that this difference was statistically significant. Conclusion The results indicated an increase in the women’s performance of the Pap smear screening test by appropriate planning, provision of educational packages based on the women’s needs, and using effective subjective norms. Trial Registration: Current Controlled Trials IRCT20160830029608N3:12/31/2018. “Retrospectively registered”.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bahadur Ali Soomro ◽  
Naimatullah Shah ◽  
Nadia A. Abdelmegeed Abdelwahed

PurposeAt present, the adoption of cryptocurrency investment has brought consideration to the globe. The present paper attempts to investigate the intention to adopt cryptocurrency (IACR) among the potential investors of Pakistan.Design/methodology/approachThe theory of planned behavior (TPB) is applied to underpin the conceptual framework. The study uses a quantitative approach. The study collects cross-sectional data through an online survey questionnaire. In the last, the authors utilized 334 samples for outcomes.FindingsFindings of the SEM reveal a significant positive effect of attitude, subjective norms (SNs), perceived behavioral control (PBC) and trust on IACR.Practical implicationsThe outcomes of an investigation would develop further intention and trust towards cryptocurrency adoption. The results would support developing favorable policies regarding the reduction of the ban on cryptocurrency in Pakistan to make easier transactions of the investors further. Possibly, it brings several opportunities in all segments of society in making the digital transaction modes through cryptocurrency. Finally, the findings would further validate the TPB in the context of cryptocurrency.Originality/valueThe study provides a better understanding of cryptocurrency and investors IACR. The empirical evidence further develops the other individuals' intentions towards cryptocurrency usage.


Author(s):  
Godwin Jiya Gana ◽  
Mansur O. Oche ◽  
Jessica Timane Ango ◽  
Aminu Umar Kaoje ◽  
Kehinde Joseph Awosan ◽  
...  

Cervical cancer is the most common female genital tract carcinoma worldwide. It is increasingly becoming the leading carcinoma seen among women in the developing world. The aim of our study was to showcase the effect of educational intervention on the knowledge of cervical cancer and subsequently the uptake of Pap smear test amongst market women in Niger state, Nigeria. The state has a rich network of markets in all the local government areas because of the fishing activities, bountiful agricultural produce yearly and its situation to the North of the national capital, Abuja. This was a quasi-experimental study conducted in two groups with pre and post intervention data collection. Sample size was determined based on a previous similar study done in Nigeria. Multi stage sampling technique was used for recruiting the study participants. SPSS statistical software was used for data entry, editing and analysis. Respondents’ knowledge of cervical cancer were comparable at pre-intervention but were statistically significantly better (P<0.0001) at post-intervention in the intervention group compared to the control group for every variable measured. However, there was only a (Fisher’s exact, P=0.621) compared to the control group. This study showed an increase in knowledge about cervical cancer and Pap smear test however the uptake of Pap smear test remained low even after intervention. This underscores the need for sustained intervention programs to eventually translate knowledge acquired to habitual practice.


2020 ◽  
Author(s):  
Qingwen Deng ◽  
Wenbin Liu

Abstract Background: Globally, liver cancer is one of the most malignant tumors and has become a great concern to public health. The serious context of liver cancer prevention and control urges researchers to find more evidence about liver cancer screening and to expand its use. The purpose of this study was to determine the predictors associated with physicians’ intention to use liver cancer screening. Methods: We took contrast-enhanced ultrasound (CEUS) as an example, and developed the research framework by adding socials norms to the Theory of Planned Behavior (TPB). Data was collected via a cross-sectional questionnaire survey on a sample of 292 physicians randomly selected from Fujian and Jiangxi provinces in China with a high and low incidence of liver cancer, respectively. Due to the multicollinearity problem of the data, ridge regression was applied to determine the influencing factors of physicians’ intention to use CEUS. Results: Most of the participants (87.30%) reported that they were willing to use liver cancer screening in their clinical practice. The scores of TPB variables were generally higher than those of social norms variables. Regression results indicated that the proposed model was explanatory, which has accounted for 72.6% of the total variance in physicians’ intention. Analyses also illustrated the significant role of TPB variables (attitude and perceived behavioral control) and social norms variables (personal norms, organizational norms, and industrial norms) on the physicians’ intention to use CEUS. Conclusions: The study extended the Theory of Planned Behavior (TPB) by including the concepts of social norms, which is not only conducive to expanding the knowledge of factors associated with physicians’ intention to use liver cancer screening, but also provide implications for developing strategies to promote the use of certain health services or products, such as playing the roles of core members, holding the panel meeting, and establishing an information push system.


Author(s):  
M. Mirzaei-Alavijeh ◽  
B. Karami-Matin ◽  
F. Jalilian ◽  
F. Rakhshan ◽  
M. Mahboubi ◽  
...  

2013 ◽  
Vol 48 (5) ◽  
pp. 636-644 ◽  
Author(s):  
Justin Rigby ◽  
Luzita Vela ◽  
Jeff Housman

Context: Practice guidelines recommend a multifaceted approach for managing concussions, but a relatively small percentage of athletic trainers (ATs) follow these recommendations. Understanding ATs' beliefs toward the recommended concussion practice guidelines is the first step in identifying interventions that could increase compliance. The theory of planned behavior (TPB) allows us to measure ATs' beliefs toward the recommended concussion practice guidelines. Objective: To examine the influence of ATs' beliefs toward the current recommended concussion guidelines on concussion-management practice through an application of the TPB. Design: Cross-sectional study. Setting: A Web link with a survey was e-mailed to 1000 randomly selected members of the National Athletic Trainers' Association (NATA). Patients or Other Participants: A total of 221 certified ATs working in secondary school/clinic, high school, and college/university settings. Main Outcome Measure(s): A 66-item survey reflecting the current recommended concussion guidelines of the NATA and International Conference on Concussion in Sport was created to measure beliefs using the TPB constructs attitude toward the behavior (BA), subjective norms (SN), perceived behavioral control (PBC), and behavioral intention (BI) of ATs. We used a linear multiple regression to determine if the TPB constructs BA, SN, and PBC predicted BI and if PBC and BI predicted behavior according to the TPB model. Results: We found that BA, SN, and PBC predicted BI (R = 0.683, R2 = 0.466, F3,202 = 58.78, P &lt; .001). The BA (t202 = 5.53, P &lt; .001) and PBC (t202 = 9.64, P &lt; .001) contributed to the model, whereas SN (t202 = −0.84, P = .402) did not. The PBC and BI predicted behavior (R = 0.661, R2 = 0.437, F2,203 = 78.902, P &lt; .001). Conclusions: In this sample, the TPB constructs predicted BI and behavior of ATs' compliance with recommended concussion-management guidelines. The BA and PBC were the most influential constructs, indicating that those with positive attitudes toward concussion-management recommendations are more likely to implement them, and ATs are less likely to implement them when they do not believe they have the power to do so. We theorize that interventions targeting ATs' attitudes and control perceptions will lead to improved compliance.


2021 ◽  
Author(s):  
Vahid Ranaei ◽  
Laleh Hassani ◽  
Alireza Shahab Jahanlou ◽  
Ghodratollah Roshanaei ◽  
Forouzan Rezapur-Shahkolai

Abstract Background: Road traffic injuries are known as one of the leading causes of death of young people in the world. Therefore, the present study was conducted to investigating the effective factors on safe traffic behavior of high school students in Hamadan using the theory of planned behavior. Methods: The present study is a cross-sectional-analytical study. The population of this study was all high school male students in Hamadan in the academic year 2020, of which 414 were selected by stratified random sampling method. The data collection tool was a researcher-made questionnaire that was conducted and were confirmed its validity and reliability. Results: Findings from Spearman correlation analysis and multiple regression showed that there is a significant positive relationship between knowledge (p<0.001), attitudes towards behavior (p<0.001), subjective norms (p<0.001) and perceived behavioral control (p<0.001) with students' behavioral intention. Also, was significant the effect of perceived behavioral control (P <0.001) and behavioral intention (P <0.001) on traffic safety behavior. Conclusion: Based on the findings, it can be concluded that the theory of planned behavior can be useful in predicting safe traffic behaviors.


2020 ◽  
Author(s):  
Azamalsadat Navabi ◽  
mohsen shamsi ◽  
mahboobeh khorsandi ◽  
Maryam zamanian

Abstract Background: Considering that neonatal are the most sensitive group to kind of diseases, the present study aimed to evaluation of the predictive power of the Theory of Planned Behavior on the intention of pregnant women to neonatal care.Method: In this cross-sectional study, 100 pregnant women in trimester of pregnancy were selected by random sampling. Data was collected using valid and reliable questionnaire and interviews conducted with pregnant women. The questionnaire included demographic characteristic of the mothers and theory planned behavior construct. Finally the data were analyzed by SPSS 20 T-test, Chi-square, Correlation, ANOVA and regression. Results: The average age of the sample was 26.12±4.9 and the average duration of marriage age was 3.9 ±2.74 years. There was a high correlation between perceived behavioral control and behavioral intention (r=0.40; p < 0.001). Over 40% of pregnant women were shown to lack overall Knowledge about the items related to neonatal care. The mothers who were better prepared for parenting tended to have a higher level of schooling, perceived control behavior and knowledge. Regression analysis showed that the knowledge and perceived behavior control R2 =32% in the prediction of neonatal care intentions.Conclusions: Findings of this study show support for the predictive ability of the theory of planned behavior in predicting for neonatal care therefore the design of educational intervention should be based on intention and knowledge as the most important predictors of maternal behavior.


2020 ◽  
Vol 10 (3) ◽  
pp. 234-243
Author(s):  
Nelson A. Ditching ◽  
Angel Grace F. Furatero ◽  
Razilee Vania S. Iquiña ◽  
Aira Darlyn M. Sabulao ◽  
Jason M. Supremo ◽  
...  

Background: Nursing students, like other healthcare workers, are prone to needlestick injuries. Over the years, studies have been conducted regarding needlestick injuries. However, its prevalence among Filipino nursing students’ is still not known. Also, nursing students’ intention to report needlestick injuries in the Philippines has not been explored.Purpose: The purpose of this research was to determine the factors associated with the intention to report needlestick injuries among nursing students applying the Theory of Planned Behavior.Methods: This cross-sectional study used the Needlestick Injuries Reporting Intention Scale (NIRIS) and was distributed among 233 senior nursing students in Iloilo City, Philippines. Descriptive statistics and Pearson’s correlation were utilized to analyze the data.Results: The results of the study revealed that 15% of nursing students had experienced a needlestick injury. However, only less than half (45.71%) of those who sustained needlestick injury reported the incident. Nursing students exhibited a positive attitude (M=5.41; SD=0.63) toward reporting needlestick injuries. They perceived a high social pressure (M=4.65; SD=0.46), high behavioral control (M=4.19; SD=0.45), and high intention (M=8.99; SD=1.15) in reporting needlestick injuries. Attitude (p=0.000), subjective norm (p=0.000), and perceived behavioral control (p=0.000) were significantly correlated with the intention to report needlestick injuries.Conclusion: This study supports the Theory of Planned Behavior in identifying factors influencing nursing students’ intention to report needlestick injuries.


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