Effect of The Health Belief Model-Based Education on Preventive Behaviors of Breast Cancer

Context: Breast cancer is the main type of cancer affecting women and the fourth most common cancer mortality cause. Approximately one out of eight women worldwide develop breast cancer. Screening prevention plays a vital role in the early detection of breast cancer and reducing mortality rates. Aim: The study aimed to evaluate the effect of the health belief model-based education on breast cancer preventive behaviors. Methods: Quasi-experimental (pre/post-test) design was used in this study. The study was conducted at the obstetrics outpatient clinic affiliated to Benha University Hospital, Egypt, on a purposive sample of 100 women. A self-administered questionnaire, Champion’s Health Belief Model Constructs Scale (CHBMS), and an observation checklist for Breast Self-Examination (BSE) were used to collect the data. Results: The study showed that 62% of the studied women mean age was 35.90±6.45, 53 % of them had secondary education, 93% of them didn't do regular breast self-examination, and 96% of them did not have a mammogram ever. Besides, there were improvements in the studied women's knowledge scores regarding breast cancer post-model implementation (P < 0.001). There was a highly statistically significant difference in total practice scores of preventive behaviors pre and post model implementation (p-value <0.001). Also, there was a positive statistically significant correlation between the studied women's total knowledge (pre and post model implementation), practices (post model implementation), and their total health belief. Conclusions: This study concluded the positive effects of the health belief model-based education on women's knowledge and preventive breast cancer behaviors regarding breast self-examination. The study recommended developing a regular periodic educational program for women to enhance their knowledge and practices toward

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Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

BMC Public Health ◽

10.1186/s12889-019-7951-2 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Triana Kesuma Dewi ◽

Karlijn Massar ◽

Robert A. C. Ruiter ◽

Tino Leonardi

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Self Efficacy ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Breast Self Examination ◽

Belief Model ◽

Self Examination ◽

The Health Belief Model

Abstract Background Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM). Methods This investigation was a cross-sectional survey which was distributed among 1967 women aged 20–60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice. Results 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice. Conclusion This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

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THE EFFECTS OF EMOTION ON BREAST SELF-EXAMINATION: ANOTHER LOOK AT THE HEALTH BELIEF MODEL

Social Behavior and Personality An International Journal ◽

10.2224/sbp.1997.25.3.223 ◽

1997 ◽

Vol 25 (3) ◽

pp. 223-232 ◽

Cited By ~ 7

Author(s):

Murray G. Millar

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Emotional Responses ◽

Health Belief ◽

Emotional States ◽

Breast Self Examination ◽

Belief Model ◽

Self Examination ◽

Belief Models ◽

The Health Belief Model

Research examining the performance of breast self-examination (BSE) has been guided primarily by belief models (e.g., Health Belief Model (HBM)) that focus on cognition. In this paper it was hypothesized that emotional responses, in addition to beliefs, would have an important impact on BSE frequency. To test this hypothesis the participants' emotional states were measured after they had been required to think about BSE. Also, the participants' beliefs about the benefits of BSE, barriers to performing BSE, susceptibility to breast cancer, and severity of breast cancer were measured. The results indicated that the participants' emotional responses to BSE increased the ability of models containing the HBM variables to predict different types of self-reports about BSE frequency.

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Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: an Application of the Health Belief Model

Asian Pacific Journal of Cancer Prevention ◽

10.7314/apjcp.2016.17.3.1463 ◽

2016 ◽

Vol 17 (3) ◽

pp. 1463-1467 ◽

Cited By ~ 5

Author(s):

Khaled Abdulla Al-Sakkaf ◽

Huda Omer Basaleem

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Health Belief ◽

Cancer Knowledge ◽

Breast Self Examination ◽

Breast Cancer Knowledge ◽

Belief Model ◽

Self Examination ◽

The Health Belief Model

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Effect of Health Belief Model-Based Educational Intervention About Breast Cancer on Nursing Students' Knowledge, Health Beliefs and Breast Self-Examination Practice

International Journal of Studies in Nursing ◽

10.20849/ijsn.v3i3.503 ◽

2018 ◽

Vol 3 (3) ◽

pp. 77

Author(s):

Manal Hamed Mahmoud ◽

Samiha Hamdi Sayed ◽

Heba Abdel-Fatah Ibrahim ◽

Eman Mohammed Abd-Elhakam

Keyword(s):

Breast Cancer ◽

Nursing Students ◽

Health Belief Model ◽

Health Beliefs ◽

Educational Intervention ◽

Health Belief ◽

Breast Self Examination ◽

Model Based ◽

Belief Model ◽

Self Examination

Background: Breast cancer is a global health emergency and it is the principal reason of cancer related deaths in Developing Countries owing to the prevailing cultural beliefs and lack of awareness among women. This study aimed to evaluate the effect of health belief model-based education about breast cancer on nursing students' knowledge, health beliefs and breast self-examination practice.Subjects and Methods: A quasi-experimental design was utilized. Setting: The study was conducted at the Faculty of Nursing, Benha University, Benha city. A purposive sample of 104 nursing students were included in the study and divided into a study group (52) and control group (52). Three tools were used for data collection; first tool: self-administrated questionnaire to collect data about the subjects' socio-demographic characteristics, and knowledge regarding breast cancer. Second tool: the health belief model scale. Third tool: an observation checklist to assess the nursing students' practice of breast self-examination.Results: A statistically significant differences were observed between the study and control groups regarding knowledge about breast cancer after educational intervention based on health belief model (t test = 19.53, P=0.000). The mean scores of perceived susceptibility, severity, benefits, cues for action, self-efficacy and total heath belief model were significantly higher in the study group compared to control group (P = 0.000). Moreover a statistically significant difference was observed between both groups regarding breast self-examination practice after educational intervention (t test = 31.266, P= 0.000).Conclusion and recommendation: The health belief model based education is an effective and efficient manner in enhancing girls’ breast self-examination practice and improving their knowledge level and health beliefs about breast cancer. Thus the current study recommends implementing health belief model based educational intervention about breast cancer at different stages of life and settings to reach all targeted women to fight the disease.

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Determinants of Breast Self-Examination Practice among Women in Surabaya, Indonesia: An Application of the Health Belief Model

10.31234/osf.io/hp6nj ◽

2019 ◽

Author(s):

Triana Kesuma Dewi ◽

Karlijn Massar ◽

Robert A.C. Ruiter ◽

Tino Leonardi

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Self Efficacy ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Breast Self Examination ◽

Cues To Action ◽

Belief Model ◽

Self Examination

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

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