Effects of Health Belief Model-Based Education on Health Beliefs and Breast Self-Examination in Nursing Students

Aygül Kıssal, Bahtısen Kartal, Aygül Kıssal, Bahtısen Kartal

Abstract

Objective: This study was carried out to investigate the effect of an education program based on the health belief model (HBM) on nursing students' health beliefs and on their practices of breast self-examination (BSE).

Methods: This research was a semi-experimental intervention study with a single group, pretest and posttest design. The sample of the research consisted of 48 students in the 3rd year of study. Data were collected before the education program and 6 months and 1 year after the training. A sociodemographic information form, the breast cancer knowledge form, the HBM scale, and the BSE proficiency rating instrument were used. Descriptive statistics and repeated measures ANOVA were used to examine the relationships among the variables.

Results: Implementing the educational program was found to be statistically insignificant for the HBM. Knowledge about breast cancer and BSE skills increased after the training. The percentage of students practicing regular BSE was determined as 14.6% before training, 45.8% after 6 months, and 28.1% after 1 year.

Conclusions: The education provided to the students increased their HBM scores, knowledge about breast cancer, and BSE skills. However, the frequency of regular BSE was still quite low after training.

Keywords: Breast self-examination; education; nursing student.

Conflict of interest statement

There are no conflicts of interest.

Copyright: © 2019 Ann & Joshua Medical Publishing Co. Ltd.

References

    1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424.
    1. Gürsoy AA, Yiǧitbaş C, Yilmaz F, Erdöl H, Bulut HK, Mumcu HK, et al. The effects of peer education on university students’ knowledge of breast self-examination and health beliefs. J Cancer Educ. 2009;24:331–3.
    1. Akyolcu N, Uǧraş GA. Breast self-examination: How important is it in early diagnosis? J Breast Health. 2011;7:10–4.
    1. American Cancer Society. History of ACS Recommendations for the Early Detection of Cancer in People without Symptoms. American Cancer Society. 2018. [Last accessed on 2018 Dec 25]. Available from: .
    1. Öktem A. The Detection of Information Level and Practice State of Breast Cancer and Breast Self-Examination 3. and 4. Class Female Students of Departments except for the Health in Afyon Kocatepe University (Master's Thesis). Afyonyakarhisar: Afyon Kocatepe University, Institute of Health Science, Surgical Nursing Department. 2012
    1. Beydaǧ KD, Karaoǧlan H. Effect of breast self examination education to the knowledge and attitudes of female students. TAF Prev Med Bull. 2007;6:106–11.
    1. Sujindra E, Elamurugan TP. Knowledge, attitude, and practice of breast self-examination in female nursing students. Int J Educ Psychol Res. 2015;1:71–4.
    1. Ceber E, Turk M, Ciceklioglu M. The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives. J Clin Nurs. 2010;19:2363–71.
    1. Avcı İA, Atasoy A, Sabah E. The effect on women's beliefs, knowledge, and practices regarding breast self examination of education with video. Florence Nightingale J Nurs. 2007;15:119–28.
    1. Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath KV, editors. Health Behavior and Health Education: Theory, Research and Practice. 4th ed. San Francisco: Jossey-Bass, Inc; 2008.
    1. Glanz K, Rimer BK, Lewis FM. 3rd ed. San Francisco: Jossey-Bass; 2002. Health Behaviour and Health Education.
    1. Çapık C. Statistical power analysis and ıt's use in nursing studies: Basic ınformation. Anadolu J Nurs Health Sci. 2014;17:268–74.
    1. Gözüm S, Aydin I. Validation evidence for Turkish adaptation of champion's health belief model scales. Cancer Nurs. 2004;27:491–8.
    1. Secginli S. The Effects of a Breast Health Promotion Program on Breast Cancer Screening Behaviors (Doctoral Thesis). Istanbul: Istanbul University, Institute of Health Science, Public Health Nursing Department. 2007
    1. Akhtari-Zavare M, Juni MH, Said SM, Ismail IZ, Latiff LA, Ataollahi Eshkoor S, et al. Result of randomized control trial to increase breast health awareness among young females in Malaysia. BMC Public Health. 2016;16:738.
    1. Karayurt Ö, Dicle A, Malak AT. Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turk J Med Sci. 2009;39:59–66.
    1. Attia AK, Rahman A, Mohamed DA, Kamel LI. Effect of an educational film on the health belief model and breast self-examination practice. Eastern Mediterr Health J. 1997;3:435–43.
    1. Moodi M, Mood MB, Sharifirad GR, Shahnazi H, Sharifzadeh G. Evaluation of breast self-examination program using health belief model in female students. J Res Med Sci. 2011;16:316–22.
    1. Secginli S, Nahcivan NO. The effectiveness of a nurse-delivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial. Int J Nurs Stud. 2011;48:24–36.
    1. Akhtari-Zavare M, Juni MH, Said SM, Ismail IZ. Beliefs and behavior of Malaysia undergraduate female students in a public university toward breast self-examination practice. Asian Pac J Cancer Prev. 2013;14:57–61.
    1. Torbaghan AE, Farmanfarma KK, Moghaddam AA, Zarei Z. Improving breast cancer preventive behavior among female medical staff: The use of educational intervention based on health belief model. Malays J Med Sci. 2014;21:44–50.
    1. Malak AT, Dicle A. Assessing the efficacy of a peer education model in teaching breast self-examination to university students. Asian Pac J Cancer Prev. 2007;8:481–4.
    1. Gwarzo UM, Sabitu K, Idris SH. Knowledge and practice of breast self-examination among female under graduate students. Ann Afr Med. 2009;8:55–8.
    1. Habib F, Salman S, Safwat M, Shalaby S. Awareness and knowledge of breast cancer among university students in Al Madina Al Munawara region. MEJC. 2010;1:159–66.
    1. Karayurt O, Ozmen D, Cetinkaya AC. Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health. 2008;8:359.
    1. Salaudeen AG, Akande TM, Musa OI. Knowledge and attitudes to breast cancer and breast self examination among female undergraduates in a state in Nigeria. Eur J Soc Sci. 2009;7:157–65.
    1. Suleiman AK. Awareness and attitudes regarding breast cancer and breast self-examination among female Jordanian students. J Basic Clin Pharm. 2014;5:74–8.
    1. Hajian-Tilaki K, Auladi S. Health belief model and practice of breast self-examination and breast cancer screening in İranian women. Breast Cancer. 2014;21:429–34.

Source: PubMed

3
Subskrybuj