Volume 10, Issue 4 (2022)                   Health Educ Health Promot 2022, 10(4): 687-693 | Back to browse issues page

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Nazari M, Shafiei M, Ghahremani L. Effect of Educational Intervention through a Campaign on Health Anxiety Caused by Cancer and the Participation Rate of Middle-Aged People in Colorectal Cancer Screening Using the Health Belief Mode. Health Educ Health Promot 2022; 10 (4) :687-693
URL: http://hehp.modares.ac.ir/article-5-60090-en.html
1- “Student Research Committee” and “Department of Health Promotion, School of Health”, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (862 Views)
Aims: Colorectal cancer is a global health problem, but most of these patients are curable through early diagnosis. The present study aimed to investigate the effect of an educational intervention through a campaign on health anxiety and participation of middle-aged people (ages 50-70 years) in CRC screening based on the Health Belief Model in urban areas.
Materials & Methods: A quasi-experimental study was conducted on 390 people in age range 50-70 years in Parsian in 2021. The participants were selected using convenience sampling. Champion’s Health Belief Model Scale and Health Anxiety Questionnaire were used to collect data. The educational intervention was carried out in the form of a campaign through educational video clips and a banner for four weeks. Data analysis was done in SPSS 26 software using descriptive statistics and univariate analysis of covariance.
Findings: There was a significant difference between the intervention and control groups in terms of the mean scores of the Health Belief Model scale (knowledge, perceived severity, perceived sensitivity, perceived benefits, perceived barriers, perceived self-efficacy, and action guide) and the health anxiety questionnaire (consequences of disease and probability of disease) after the intervention (p<0.001).
Conclusion: The constructs of the Health Belief Model are good determinants of the action of high-risk individuals to undergo fecal occult blood testing. This highlights the necessity of implementing comprehensive educational programs focusing on the constructs of the Health Belief Model in this population.
 
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Article Type: Original Research | Subject: Health Education and Health Behavior
Received: 2022/03/6 | Accepted: 2022/07/27 | Published: 2022/09/20
* Corresponding Author Address: School of Health, Shiraz University of Medical Sciences, Al-Zahra Street, Shiraz, Iran. Postal Code: 75541-71536 (manazari@sums.ac.ir)

References
1. D'Onise K, Iacobini ET, Canuto KJ. Colorectal cancer screening using feacal occult blood tests for Indigenous adults: A systematic literature review of barriers, enablers and implemented strategies. Prev Med. 2020;134:106018. [Link] [DOI:10.1016/j.ypmed.2020.106018]
2. Newton KF, Newman W, Hill J. Review of biomarkers in colorectal cancer. Colorectal Dis. 2012;14(1):3-17. [Link] [DOI:10.1111/j.1463-1318.2010.02439.x]
3. Malekzadeh R, Bishehsari F, Mahdavinia M, Ansari R. Epidemiology and molecular genetics of colorectal cancer in iran: a review. Arch Iran Med. 2009;12(2):161-9. [Link]
4. Beeker C, Kraft JM, Southwell BG, Jorgensen CM. Colorectal cancer screening in older men and women: qualitative research findings and implications for intervention. J Community Health. 2000;25(3):263-78. [Link] [DOI:10.1023/A:1005104406934]
5. Rouzitalab M, Moatari M, Gholamzadeh S, Saberi Firouzi M, Zare N. The effect of health belief on participation of the official administrative personnel in colorectal cancer screening programs in Shiraz University of Medical Sciences: 2004. Govaresh J. 2008;13(1):19-24. [Persian] [Link]
6. World Health Organization. Global status report on noncommunicable diseases 2014 [Internet]. Geneva: World Health Organization; 2014 [cited 2022 Apr 30]. Available from: https://apps.who.int/iris/handle/10665/148114. [Link]
7. Lebel S, Mutsaers B, Tomei C, Leclair CS, Jones G, Petricone-Westwood D, et al. Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates. PloS One. 2020;15(7):e0234124. [Link] [DOI:10.1371/journal.pone.0234124]
8. Asmundson GJ, Taylor S, Carleton RN, Weeks JW, Hadjstavropoulos HD. Should health anxiety be carved at the joint? A look at the health anxiety construct using factor mixture modeling in a non-clinical sample. J Anxiety Disord. 2012;26(1):246-51. [Link] [DOI:10.1016/j.janxdis.2011.11.009]
9. Miles A, Wardle J. Adverse psychological outcomes in colorectal cancer screening: does health anxiety play a role? Behav Res Ther. 2006;44(8):1117-27. [Link] [DOI:10.1016/j.brat.2005.08.011]
10. Guvenc G, Akyuz A, Açikel CH. Health belief model scale for cervical cancer and Pap smear test: psychometric testing. J Adv Nurs. 2011;67(2):428-37. [Link] [DOI:10.1111/j.1365-2648.2010.05450.x]
11. Namdar A, Bigizadeh S, Naghizadeh MM. Measuring Health Belief Model components in adopting preventive behaviors of cervical cancer. J Fasa Univ Med Sci. 2012;2(1):34-44. [Persian] [Link]
12. Alavi Langroodi S, Fallahzadeh H, Mostafavi F. The effect of education based on health belief model on knowledge and attitude of health care workers towards colon cancer screening in Yazd. J Health Syst Res. 2019;15(3):177-83. [Persian] [Link] [DOI:10.32592/hsr.2020.15.3.109]
13. Durkin SJ, Broun K, Spittal MJ, Wakefield MA. Impact of a mass media campaign on participation rates in a National Bowel Cancer Screening Program: a field experiment. BMJ Open. 2019;9(1):e024267. [Link] [DOI:10.1136/bmjopen-2018-024267]
14. Morowatisharifabad M, Bahmani A, Ahmadian F, Vatankhah M, Gharib A. Assessing the effectiveness of cholera prevention campaign in students. J Nurs Educ. 2015;3(4):11-8. [Persian] [Link]
15. Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. Lancet. 2010;376(9748):1261-71. [Link] [DOI:10.1016/S0140-6736(10)60809-4]
16. Shouri Bidgoli AR, Taheri Kharame Z, Asayesh H, Sharififard F, Sheydaiyan Arani M, Hajaligol A, et al. A study of knowledge, attitude, and practiceoncolorectal cancer screening among individuals older than 50 years based on health belief model. Qom Univ Med Sci J. 2015;9(1):59-65. [Persian] [Link]
17. Salkovskis PM, Rimes KA, Warwick HMC, Clark D. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-53. [Link] [DOI:10.1017/S0033291702005822]
18. Nargesi F, Izadi F, Kariminejad K, Rezaii Sharif Ali. The investigation of the reliability and validity of persian version of health anxiety questionnaire in students of Lorestan University of Medical Sciences. Q Educ Measurement. 2017;7(27):147-60. [Persian] [Link]
19. Gimeno-García A, Quintero E, Nicolás-Pérez D, Jiménez-Sosa A. Public awareness of colorectal cancer and screening in a Spanish population. Public Health. 2011;125(9):609-15. [Link] [DOI:10.1016/j.puhe.2011.03.014]
20. Maxwell AE, Bastani R, Danao LL, Antonio C, Garcia GM, Crespi CM. Results of a community-based randomized trial to increase colorectal cancer screening among Filipino Americans. Am J Public Health. 2010;100(11):2228-34. [Link] [DOI:10.2105/AJPH.2009.176230]
21. Mojica CM, Morales-Campos DY, Carmona CM, Ouyang Y, Liang Y. Breast, cervical, and colorectal cancer education and navigation: results of a community health worker intervention. Health Promot Pract. 2016;17(3):353-63. [Link] [DOI:10.1177/1524839915603362]
22. Kouhpayeh A, Jeihooni AK, Kashfi SH, Bahmandoost M. Effect of an educational intervention based on the model of health beliefs in self-medication of Iranian mothers. Invest Educ Enferm. 2017;35(1):59-68. [Link] [DOI:10.17533/udea.iee.v35n1a07]
23. Khani Jeihooni A, Askari A, Kashfi SM, Khiyali Z, Kashfi SH, Safari O, et al. Application of health belief model in prevention of osteoporosis among primary school girl students. Int J Pediatr. 2017;5(11):6017-29. [Link]
24. Alidosti M, Sharifirad G, Hemate Z, Delaram M, Najimi A, Tavassoli E. The effect of education based on health belief model of nutritional behaviors associated with gastric cancer in housewives of Isfahan city. Daneshvar Med. 2011;18(94):1-11. [Persian] [Link]
25. Roozitalab M, Moatari M, Gholamzadeh S, SaberiFiroozi M, Zare N. The effect of health belief on participation of the official administrative personnel in colorectal cancer screening programs in Shiraz University of Medical Sciences: 2004. Govaresh. 2012;13(1):19-24. [Persian] [Link]
26. Kalan Farmanfarma K, Zareban I, Jalili Z, Shahrakipour M. Effectiveness of education based on the health belief model on performing pre-ventive measures for breast cancer among female teachers in Zahedan. J Educ Community Health. 2014;1(1):11-8. [Link] [DOI:10.20286/jech-010111]
27. Kolutek R, Avci IA, Sevig U. 84 the effects of scheduled observation at home on health beliefs related to breast and cervical cancer screening and attitudes of married women. Eur J Oncol Nurs. 2014;18(1):S25. [Link] [DOI:10.1016/S1462-3889(14)70103-6]
28. Wang W-L, Hsu S-D, Wang J-H, Huang L-C, Hsu W-L. Survey of breast cancer mammography screening behaviors in Eastern Taiwan based on a health belief model. Kaohsiung J Med Sci. 2014;30(8):422-7. [Link] [DOI:10.1016/j.kjms.2014.04.007]
29. Pirzadeh A, Mazaheri MA. The effect of education on women's practice based on the health belief model about pap smear test. Int J Prev Med. 2012;3(8):585-90. [Link]
30. Ma GX, Shive S, Tan Y, Gao W, Rhee J, Park M, et al. Community-based colorectal cancer intervention in underserved Korean Americans. Cancer Epidemiol. 2009;33(5):381-6. [Link] [DOI:10.1016/j.canep.2009.10.001]
31. Rakhshanderou S, Maghsoudloo M, Safari-Moradabadi A, Ghaffari M. Theoretically designed interventions for colorectal cancer prevention: a case of the health belief model. BMC Med Educ. 2020;20(1):1-8. [Link] [DOI:10.1186/s12909-020-02192-4]
32. Abood DA, Black DR, Feral D. Nutrition education worksite intervention for university staff: application of the health belief model. J Nutr Educ Behav. 2003;35(5):260-7. [Link] [DOI:10.1016/S1499-4046(06)60057-2]
33. Hay JL, Ford JS, Klein D, Primavera LH, Buckley TR, Stein TR, et al. Adherence to colorectal cancer screening in mammography-adherent older women. J Behav Med. 2003;26(6):553-76. [Link] [DOI:10.1023/A:1026253802962]
34. Braun KL, Fong M, Kaanoi ME, Kamaka ML, Gotay CC. Testing a culturally appropriate, theory-based intervention to improve colorectal cancer screening among Native Hawaiians. Prev Med. 2005;40(6):619-27. [Link] [DOI:10.1016/j.ypmed.2004.09.005]
35. Gholampour Y, Jaderipour A, Jeihooni AK, Kashfi SM, Harsini PA. The effect of educational intervention based on health belief model and social support on the rate of participation of individuals in performing fecal occult blood test for colorectal cancer screening. Asian Pac J Cancer Prev. 2018;19(10):2777-87. [Link]
36. Wong RK, Wong ML, Chan YH, Feng Z, Wai CT, Yeoh KG. Gender differences in predictors of colorectal cancer screening uptake: a national cross sectional study based on the health belief model. BMC Public Health. 2013;13(1):677. [Linkvv] [DOI:10.1186/1471-2458-13-677]
37. Javadzadeh Sha, Mostafavi F, Emami Smh, Hassanzadeh A, Sharifirad G. Factors associated with the fecal occult blood testing for colorectal cancer screening based on health belief model structures in moderate risk individuals, Isfahan, Iran. Health System Research. J Educ Health Promot. 2012;1:18. [Link] [DOI:10.4103/2277-9531.99218]
38. Shokar NK, Carlson CA, Weller SC. Factors associated with racial/ethnic differences in colorectal cancer screening. The Journal of the American Board of Family Medicine. 2008;21(5):414-26. [Link] [DOI:10.3122/jabfm.2008.05.070266]
39. Cyr A, Dunnagan TA, Haynes G. Efficacy of the health belief model for predicting intention to pursue genetic testing for colorectal cancer. J Genet Couns. 2010;19(2):174-86. [Link] [DOI:10.1007/s10897-009-9271-7]
40. Moghimi-Dehkordi B, Safaee A. An overview of colorectal cancer survival rates and prognosis in Asia. World J Gastrointest Oncol. 2012;4(4):71-5. [Link] [DOI:10.4251/wjgo.v4.i4.71]
41. Moattar M, Roozitalab M, Gholamzadeh S, Firoozi M, Zare N. Practical application of health belief model to enhance the uptake of colorectal cancer screening. J Community Med Health Educ. 2014;4(4):297. [Link] [DOI:10.4172/2161-0711.1000297]
42. Bae N, Park S, Lim S. Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs. 2014;18(1):72-7. [Link] [DOI:10.1016/j.ejon.2013.09.001]

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