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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 1  |  Page : 39-49

Health Belief Model-based educational program about cervical cancer prevention on women knowledge and beliefs


1 Assistant professor of Maternity and Newborn Health Nursing, Faculty of Nursing, Helwan University, Helwan, Egypt
2 Lecturer of Community Health Nursing, Faculty of Nursing, Helwan University, Helwan, Egypt
3 Faculty of Nursing, Helwan University, Helwan, Egypt

Correspondence Address:
Amany Saad Mohamed Esa
Lecturer of Community Health Nursing, Faculty of Nursing, Helwan University, Helwan
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_38_17

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Background Awareness of cervical cancer causes and the implementation of screening program can help in reduction of morbidity and mortality among women. Aim The aim of this study was to examine the effect of nursing educational program based on Health Belief Model (HBM) on women knowledge and beliefs about cervical cancer prevention. Study design This was a quasi-experimental study (pretest and posttest evaluations). Setting This study was conducted in El-Maasara Maternal and Child Health Center, Helwan City, Egypt. Participants and methods A convenience sample of 150 married women was included. The study was conducted from beginning of August 2016 to the end of January 2017 covering a period of 6 months. Two tools were used to conduct this study: a structured cervical cancer knowledge questionnaire and HBM scale. Knowledge and beliefs were assessed using the study tools and then an educational program was designed based on the results of the pretest. The program was implemented followed by evaluation of its effect using the same tools. Results All the women had poor knowledge score regarding cervical cancer prevention before the program. However, after the program, 16 and 84% of the women had an average and good knowledge, respectively, on cervical cancer prevention. This difference was significant (P<0.001). There were a significant increase in the scores of the perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and the cues to action after the program compared with the scores before the program. Conclusion After implementation of the nursing educational program regarding cervical cancer prevention for married women, knowledge improved significantly, and there were significant improvements in perceived severity, barriers, benefits, and the cues to action scores after program compared with the scores before program (P≤0.001). These study results supported the study hypotheses. Recommendations Propagation of educational programs based on HBM on cervical cancer prevention to various age groups would help raise public awareness about cervical cancer and take action for its prevention.


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