Effects of Health Belief Model based nursing interventions offered at home visits on lymphedema prevention in women with breast cancer: A randomised controlled trial

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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Effects of Health Belief Model-based Education on Maternal Abilities to Caring for Children With Avoidant Restrictive Food Intake Disorder

Journal of Client-centered Nursing Care ◽

10.32598/jccnc.7.3.376.1 ◽

2021 ◽

Vol 7 (3) ◽

pp. 205-214

Author(s):

Yoyok Bekti Prasetyo ◽

◽

Yulis Setiya Dewi ◽

Keyword(s):

Food Intake ◽

Health Belief Model ◽

Process Model ◽

Controlled Trial ◽

Health Belief ◽

Control Group ◽

Homogeneity Test ◽

Control Group Design ◽

Model Based ◽

Belief Model

Background: Health education, using new approaches in the nursing area, is of great importance. The current study aimed to evaluate the effects of a health belief model-based education on maternal abilities to caring for children with Avoidant Restrictive Food Intake Disorder (ARFID). Methods: This was a quasi-experimental non-randomized controlled trial with pre-test, post-test and a control group design. In total, 30 families with children with ARFID in Malang regency, Indonesia were divided into experimental and control groups. The experimental group was trained based on the Health Belief Model (HBM); however, the control group received an education based on the routine nursing process model. The necessary data were collected by a researcher-made questionnaire constructed based on HBM constructs. The obtained data were analyzed in SPSS. Descriptive statistics, homogeneity test, and Paired-Samples t-test were used to outline the relationship between the dependent and independent variables. Results: HBM effectively improved maternal abilities to manage eating disorders (P=0.009), promoting behaviors (P=0.000), and paternal involvement (P=0.000). Conclusion: HBM-Based education is recommended to be used in the provision of training in the mothers of children with ARFID.

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

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v2i4.168 ◽

2020 ◽

Vol 2 (4) ◽

pp. 11

Author(s):

Amina A. Mahmoud ◽

Taisser H. Abosree ◽

Rehab S. Abd El Aliem

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Health Belief ◽

Preventive Behaviors ◽

Breast Self Examination ◽

Model Based ◽

Belief Model ◽

Self Examination ◽

Women's Knowledge ◽

The Health Belief Model

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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Faculty Opinions recommendation of 2 years versus 1 year of adjuvant trastuzumab for HER2-positive breast cancer (HERA): an open-label, randomised controlled trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718043513.793482079 ◽

2013 ◽

Author(s):

Ana Maria Gonzalez-Angulo

Keyword(s):

Breast Cancer ◽

Randomised Controlled Trial ◽

Controlled Trial ◽

Her2 Positive ◽

Open Label ◽

Adjuvant Trastuzumab ◽

Her2 Positive Breast Cancer ◽

Randomised Controlled ◽

Positive Breast Cancer

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E-health ecosystem with integrated and stepped psychosocial services for breast cancer survivors: study protocol of a multicentre randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-041548 ◽

2021 ◽

Vol 11 (3) ◽

pp. e041548

Author(s):

Cristian Ochoa-Arnedo ◽

Joan Carles Medina ◽

Aida Flix-Valle ◽

Dimitra Anastasiadou

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Randomised Controlled Trial ◽

Emotional Distress ◽

Controlled Trial ◽

Psychosocial Care ◽

Cost Utility ◽

Psychosocial Services ◽

Randomised Controlled

IntroductionPsychosocial interventions for patients with breast cancer (BC) have demonstrated their effectiveness at reducing emotional distress and improving quality of life. The current digitisation of screening, monitoring and psychosocial treatment presents the opportunity for a revolution that could improve the quality of care and reduce its economic burden. The objectives of this study are, first, to assess the effectiveness of an e-health platform with integrated and stepped psychosocial services compared with usual psychosocial care, and second, to examine its cost–utility.Methods and analysisThis study is a multicentre randomised controlled trial with two parallel groups: E-health intervention with integrated and stepped psychosocial services vs usual psychosocial care. An estimated sample of 338 patients with BC in the acute survival phase will be recruited from three university hospitals in Catalonia (Spain) and will be randomly assigned to one of two groups. All participants will be evaluated at the beginning of the study (T1: recruitment), 3 months from T1 (T2), 6 months from T1 (T3) and 12 months from T1 (T4). Primary outcome measures will include number of clinical cases detected, waiting time from detection to psychosocial intervention and proportion of cases successfully treated in the different steps of the intervention, as well as outcomes related to emotional distress, quality of life, post-traumatic stress and growth, treatment adherence and therapeutic alliance. Secondary outcomes will include the acceptability of the platform, patients’ satisfaction and usability. For the cost–utility analysis, we will assess quality-adjusted life years and costs related to healthcare utilisation, medication use and adherence, work absenteeism and infrastructure-related and transport-related costs.Ethics and disseminationThis study was approved by the Ethics committee of the Institut Català d’Oncologia network in Hospitalet, Spain. Findings will be disseminated through peer-reviewed journals, reports to the funding body, conferences among the scientific community, workshops with patients and media press releases.Trial registration numberOnline Psychosocial Cancer Screening, Monitoring and Stepped Treatment in Cancer Survivors (ICOnnectat-B),NCT04372459.

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