An Educational Intervention Based on Health Belief Model for Improving Breast Self - Examination behavior Among Rural Women in Hai Duong, Vietnam: A random Control Trial

Authors

  • Hang Thi Nguyen Nam Dinh University of Nursing
  • Tung Le Thanh Nam Dinh University of Nursing
  • Viet Tran Van Hai Duong Medical Technical University
  • Huong Truong Thi Thu Hai Duong Medical Technical University
  • Hung Pham Van Phenikaa University

DOI:

https://doi.org/10.47941/ijhmnp.1676

Keywords:

Breast self-examination, Health Belief Model, Education interventions, rural women

Abstract

Purpose: The goal of this study was to assess the effect of an educational intervention on breast self-examination (BES) behavior based on a Health Belief Model among Vietnamese women living in some rural areas of Hai Duong province.

Methodology: A random control trial study was conducted in two rural communes in Hai Duong province, Vietnam. Among 204 women participating in the study, they were allocated randomly into an experimental group (n=99) and a control group (n=105). An educational intervention was developed based on the Health Belief Model. An improving breast self-examination behavior of participants was assessed through doing BSE or not, frequency of BSE, and how to perform BSE.

Findings: At baseline, there were no differences between the two groups about general characteristics and breast self-examination percentage.  After 3 months of the intervention, breast self-examination behavior including the rate of patients doing BSE, frequency of BSE, and performing BSE with good results in the intervention group were higher than those of the control group. (p<0.05).

Unique Contribution to Theory, Policy and Practice: Research results indicated that an educational program based on the Health Belief Model can improve breast self-examination behavior among rural women. Therefore, the educational intervention program based on the Health Belief Model should be expanded to women living in other rural areas of Vietnam.

Downloads

Download data is not yet available.

Author Biographies

Hang Thi Nguyen, Nam Dinh University of Nursing

Ph.D. candidate

Tung Le Thanh, Nam Dinh University of Nursing

Chair of the committee

Viet Tran Van, Hai Duong Medical Technical University

Lecturer

Huong Truong Thi Thu, Hai Duong Medical Technical University

Lecturer

Hung Pham Van, Phenikaa University

Lecturer

References

WHO. Cancer today. http://gco.iarc.fr/today/home (accessed 2021-09-02).

Bá»™ y tế (2020). HÆ°á»›ng dẫn và chẩn Ä‘oán, Ä‘iá»u trị UTV. 60.

Trieu, P. D. (Yun); Mello-Thoms, C.; Brennan, P. C (2015). Female Breast Cancer in Vietnam: A Comparison across Asian Specific Regions. Cancer Biol Med. 12 (3), 238-245.

Azage, M.; Abeje, G.; Mekonnen, A (2013). Assessment of Factors Associated with Breast Self-Examination among Health Extension Workers in West Gojjam Zone, Northwest Ethiopia. Int J Breast Cancer. 814395.

Bộ y tế vn (2015). Chiến lược quốc gia phòng chống bệnh không lây nhiễm giai đoạn 2015 - 2025. 117.

World Health Organization. Breast cancer. https://www.who.int/news-room/fact-sheets/detail/breast-cancer

Trần Quang Mai T. V. T (2015). Truyá»n thông phòng chống ung thÆ°, Tà i liệu dà nh cho há»c viên.

Smith, R. A.; Brooks, D.; Cokkinides, V.; Saslow, D.; Brawley, O. W (2013). Cancer Screening in the United States, 2013: A Review of Current American Cancer Society Guidelines, Current Issues in Cancer Screening, and New Guidance on Cervical Cancer Screening and Lung Can. CA: A Cancer Journal for Clinicians. 63 (2), 87-105.

Bá»™ Y Tế. Quyết định 1639/QÄ-BYT 2021 Tà i liệu sà n lá»c ung thÆ° vú ung thÆ° cổ tá»­ cung tại cá»™ng đồng. https://thuvienphapluat.vn/van-ban/The-thao-Y-te/Quyet-dinh-1639-QD-BYT-2021-Tai-lieu-san-loc-ung-thu-vu-ung-thu-co-tu-cung-tai-cong-dong-468045.aspx (accessed 2022-10-14).

Moey, S.-F.; Mohamed, N. C.; Lim, B.-C (2020). A Path Analytic Model of Health Beliefs on the Behavioral Adoption of Breast Self-Examination. AIMS Public Health. 8 (1), 15-31.

Dewi, T. K.; Massar, K.; Ruiter, R. A. C.; Leonardi, T (2019). Determinants of Breast Self-Examination Practice among Women in Surabaya, Indonesia: An Application of the Health Belief Model. BMC Public Health. 19 (1), 1581.

Yeshitila, Y. G.; Kassa, G. M.; Gebeyehu, S.; Memiah, P.; Desta, M (2021). Breast Self-Examination Practice and Its Determinants among Women in Ethiopia: A Systematic Review and Meta-Analysis. PLOS ONE 16 (1), e0245252.

Khiyali, Z.; Aliyan, F.; Kashfi, S. H.; Mansourian, M.; Jeihooni, A. K (2017). Educational Intervention on Breast Self-Examination Behavior in Women Referred to Health Centers: Application of Health Belief Model. Asian Pac J Cancer Prev. 18 (10), 2833-2838.

Lotfi, B.; Hashemi, S. Z.; Ansari-Moghadam, A (2012). Investigation of the Impact of HBM-Based Training on BSE in Women Referred to Health Centers in Zahedan in 2010-2011. jhs. 1 (1), 39-43.

Champion, V. L (1984). Instrument Development for Health Belief Model Constructs. ANS Adv Nurs Sci. 6 (3), 73-85.

Parsa, P.; Mirmohammadi, A.; Khodakarami, B.; Roshanaiee, G.; Soltani, F (2016). Effects of Breast Self-Examination Consultation Based on the Health Belief Model on Knowledge and Performance of Iranian Women Aged Over 40 Years. Asian Pac J Cancer Prev. 17 (8), 3849-3854.

Occa, A.; Suggs, L. S (2016). Communicating Breast Cancer Screening With Young Women: An Experimental Test of Didactic and Narrative Messages Using Video and Infographics. Journal of Health Communication. 21 (1), 1-11.

Fatemeh, M.; Parisa, S.; Sam, H (2018). Health Beliefs as Predictors of Breast Self-Examination Behavior. Int J Women's Health Wellness. 4 (2).

Asghari, E.; Nahamin, M.; Khoshtarash, M.; Ghanbari, A.; Parizad, N.; Mahdavi, N.; Asgarlo, Z (2015). The Relationship Between Health Belief and Breast Self-Examination Among Iranian University Students. International Journal of Women's Health and Reproduction Sciences. 4, 110-113.

Noman, S.; Shahar, H. K.; Abdul Rahman, H.; Ismail, S.; Abdulwahid Al-Jaberi, M.; Azzani, M (2020). The Effectiveness of Educational Interventions on Breast Cancer Screening Uptake, Knowledge, and Beliefs among Women: A Systematic Review. IJERPH. 18 (1), 263.

Kashfi, S., Khani Jeihooni, A., Yazdankhah, M (2009). The Effect of Education about Breast Self-Examination on Knowledge, Attitude and Practice of Women in Nourabad Mamasani Health Clinics. jjums. 10 (1), 40-45.

Ginsberg, G. M.; Lauer, J. A.; Zelle, S.; Baeten, S.; Baltussen, R (2012). Cost Effectiveness of Strategies to Combat Breast, Cervical, and Colorectal Cancer in Sub-Saharan Africa and South East Asia: Mathematical Modelling Study. BMJ. 344, e614.

Aghamolaei, T.; Hasani, L.; Tavafian, S. S.; Zare, S (2011). Improving Breast Self"Examination: An Educational Intervention Based on Health Belief Model. Int J Cancer Manag. 4 (2).

Kolutek, R.; Avci, I. A.; Sevig, U (2018). Effect of Planned Follow-up on Married Women's Health Beliefs and Behaviors Concerning Breast and Cervical Cancer Screenings. J Canc Educ. 33 (2), 375-382.

Akhtari-Zavare, M.; Juni, M. H.; Said, S. M.; Ismail, I. Z.; Latiff, L. A.; Ataollahi Eshkoor, S (2016). Result of Randomized Control Trial to Increase Breast Health Awareness among Young Females in Malaysia. BMC Public Health. 16, 738.

Ouyang, Y.-Q.; Hu, X (2014). The Effect of Breast Cancer Health Education on The Knowledge, Attitudes, and Practice: A Community Health Center Catchment Area. J Canc Educ. 29 (2), 375-381. https://doi.org/10.1007/s13187-014-0622-1.

Secginli, S.; Nahcivan, N. O (2011). 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. 48 (1), 24-36.

Malak, A. T.; Dicle, A. Assessing the Efficacy of a Peer Education Model in Teaching Breast Self-Examination to University Students.

Gucuk, S.; Uyeturk, U (2013). Effect of Direct Education on Breast Self Examination Awareness and Practice among Women in Bolu, Turkey. Asian Pac J Cancer Prev. 14 (12), 7707-7711.

Downloads

Published

2024-02-11

How to Cite

Nguyen, H. T., Thanh, T. L., Van, V. T. ., Thu, H. T. T. ., & Van, H. P. . (2024). An Educational Intervention Based on Health Belief Model for Improving Breast Self - Examination behavior Among Rural Women in Hai Duong, Vietnam: A random Control Trial. International Journal of Health, Medicine and Nursing Practice, 6(2), 31–43. https://doi.org/10.47941/ijhmnp.1676

Issue

Section

Articles