Volume 13, Issue 2 (2025)                   Health Educ Health Promot 2025, 13(2): 289-296 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hosseinzadeh S, Bahmani A, Nili S, Fallahi A. Effect of Protection Motivation Theory-Based Training on Intention to Perform Mammography among Teachers. Health Educ Health Promot 2025; 13 (2) :289-296
URL: http://hehp.modares.ac.ir/article-5-80709-en.html
1- Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Department of Public Health, School of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract:   (154 Views)
Aims: Early detection of breast cancer through mammography is effective in reducing mortality associated with this cancer. This study aimed to determine the effect of Protection Motivation Theory-based education on the intention to undergo mammography among teachers in District 4 of Tehran.
Materials & Methods: This interventional study was conducted on 250 teachers in Tehran, who were randomly divided into an intervention group (125 participants) and a control group (125 participants) in 2024. The data collection tool was a questionnaire on women’s participation in breast cancer screening based on protection motivation theory, which included 56 items and 8 dimensions. The educational intervention based on protection motivation theory was conducted in four sessions, held bi-weekly, for the intervention group. Data were analyzed by SPSS 26 using chi-square tests, paired t-tests, and covariance analysis.
Findings: After the educational intervention, the mean scores of the constructs of protection motivation theory and the intention to undergo mammography showed a significant difference between the intervention and control groups (p<0.05).
Conclusion: The educational intervention using protection motivation theory is effective in increasing women’s intention to participate in breast cancer screening programs and undergo mammography.
Full-Text [PDF 631 kb]   (126 Downloads) |   |   Full-Text (HTML)  (5 Views)  
Article Type: Original Research | Subject: Health Education and Health Behavior
Received: 2025/05/5 | Accepted: 2025/06/20 | Published: 2025/06/25
* Corresponding Author Address: Department of Public Health, School of Health, Kurdistan University of Medical Sciences, Pasdaran Boulevard, Sanandaj, Iran. Postal Code: 66177-13446 (a_bahmani59@yahoo.com)

References
1. Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022;66:15-23. [Link] [DOI:10.1016/j.breast.2022.08.010]
2. WHO. Breast cancer [Internet]. Geneva: World Health Organization; 2025 [cited 2024 March 13]. Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer. [Link]
3. Dolatkhah R, Hosseinalifam M, Sanaat Z, Dolatkhah N, Dastgiri S. Molecular epidemiology of breast cancer in Iran: A review article. J Obstet Gynecol Cancer Res. 2023;8(5):422-30. [Link] [DOI:10.30699/jogcr.8.5.422]
4. Sreehari E, Dhinesh Babu LD. A novel aggregated coefficient ranking based feature selection strategy for enhancing the diagnosis of breast cancer classification using machine learning. Sci Rep. 2025;15(1):4171. [Link] [DOI:10.1038/s41598-025-87826-7]
5. Coleman C. Early detection and screening for breast cancer. Semin Oncol Nurs. 2017;33(2):141-55. [Link] [DOI:10.1016/j.soncn.2017.02.009]
6. Puliti D, Miccinesi G, Zappa M, Manneschi G, Crocetti E, Paci E. Balancing harms and benefits of service mammography screening programs: A cohort study. Breast Cancer Res. 2012;14(1):R9. [Link] [DOI:10.1186/bcr3090]
7. Van Den Ende C, Oordt-Speets AM, Vroling H, Van Agt HME. Benefits and harms of breast cancer screening with mammography in women aged 40-49 years: A systematic review. Int J Cancer. 2017;141(7):1295-306. [Link] [DOI:10.1002/ijc.30794]
8. Dibden A, Offman J, Duffy SW, Gabe R. Worldwide review and meta-analysis of cohort studies measuring the effect of mammography screening programmes on incidence-based breast cancer mortality. Cancers. 2020;12(4):976. [Link] [DOI:10.3390/cancers12040976]
9. Edgar L, Glackin M, Hughes C, Rogers KM. Factors influencing participation in breast cancer screening. Br J Nurs. 2013;22(17):1021-6. [Link] [DOI:10.12968/bjon.2013.22.17.1021]
10. Fan L, Strasser-Weippl K, Li JJ, St Louis J, Finkelstein DM, Yu KD, et al. Breast cancer in China. Lancet Oncol. 2014;15(7):e279-89. [Link] [DOI:10.1016/S1470-2045(13)70567-9]
11. Wang B, He M, Wang L, Engelgau MM, Zhao W, Wang L. Breast cancer screening among adult women in China, 2010. Prev Chronic Dis. 2013;10:E183. [Link] [DOI:10.5888/pcd10.130136]
12. Zhang M, Wei W, Li Q, Chen X, Zhang M, Zuo D, et al. Determinants of intention to participate in breast cancer screening among urban Chinese women: An application of the protection motivation theory. Int J Environ Res Public Health. 2021;18(21):11093. [Link] [DOI:10.3390/ijerph182111093]
13. Momenimovahed Z, Tiznobaik A, Taheri S, Hassanipour S, Salehiniya H. A review of barriers and facilitators to mammography in Asian women. Ecancermedicalscience. 2020;14:1146. [Link] [DOI:10.3332/ecancer.2020.1146]
14. Wu Z, Liu Y, Li X, Song B, Ni C, Lin F. Factors associated with breast cancer screening participation among women in mainland China: A systematic review. BMJ Open. 2019;9(8):e028705. [Link] [DOI:10.1136/bmjopen-2018-028705]
15. Bashirian S, Mohammadi Y, Barati M, Moaddabshoar L, Dogonchi M. effectiveness of the theory-based educational interventions on screening of breast cancer in women: A systematic review and meta-analysis. Int Q Community Health Educ. 2020;40(3):219-36. [Link] [DOI:10.1177/0272684X19862148]
16. Yee LM, McGuire JM, Taylor SM, Niznik CM, Simon MA. Factors promoting diabetes self-care among low-income, minority pregnant women. J Perinatol. 2016;36(1):13-8. [Link] [DOI:10.1038/jp.2015.134]
17. Conner M. Theory of planned behavior. In: Handbook of sport psychology. Hoboken: John Wiley & Sons; 2020. p. 3-18. [Link] [DOI:10.1002/9781119568124.ch1]
18. Caussidier C, El Hage F, Munoz F, Remki L, Larribi R, Khzami SE, et al. In search of a health education model: Teachers' conceptions in four Mediterranean countries. Glob Health Promot. 2011;18(4):5-15. [Link] [DOI:10.1177/1757975911422962]
19. Estebsari F, Rahimi Khalifehkandi Z, Latifi M, Farhadinasab A, Vasli P, Mostafaie D. Protection motivation theory and prevention of breast cancer: A systematic review. Clin Breast Cancer. 2023;23(4):e239-46. [Link] [DOI:10.1016/j.clbc.2023.02.013]
20. Taheri AM, Mohebi S, Gharlipour Z. Effect of educational program-based protection motivation theory on preventive behaviors of skin cancer among farmers in Kashan. Int J Cancer Manag. 2019;12(3):e85944. [Link]
21. Eftekhari MJ, Peyman N. Effect of educational intervention based on protection motivation theory on promoting pediculosis preventive behaviors among elementary school girls in Neyshabur. J Educ Community Health. 2018;5(2):1-7. [Persian] [Link] [DOI:10.21859/jech.5.2.1]
22. Li Q, Liu Q, Chen X, Tan X, Zhang M, Tuo J, et al. Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women. Psychooncology. 2020;29(3):564-71. [Link] [DOI:10.1002/pon.5307]
23. Nazari M, Ghazaani FM, Kaveh MH, Karimi M, Ghahremani L. Investigating the predictors of breast cancer screening behaviors (breast self-examination, clinical examination or examination by physician/midwife and mammography) based on protection motivation theory (PMT) in women. J Prev Med Hyg. 2021;62(3):E736-41. [Link]
24. Hakimi Hashjin L, Rohani C, Matbouei M, Nasiri M. The effect of an educational intervention based on the protective motivation theory on awareness and early detection behaviours of breast cancer in women. Int J Health Promot Educ. 2024;62(4):269-85. [Link] [DOI:10.1080/14635240.2021.2019601]
25. Khani Jeihooni A, Darvishi N, Harsini PA. The effect of educational intervention based on the theory of planned behavior on mammography screening in Iranian women. J Cancer Educ. 2020;35(2):264-73. [Link] [DOI:10.1007/s13187-018-1460-3]
26. Khodayarian M, Peyghambari F, Mazloomy Mahmoodabad S, Morowatisharifabad MA, Lamyian M. Development and psychometric evaluation of a protection motivation theory-based scale assessing the adherence of Iranian women breast cancer prevention behaviors. Iran J Breast Dis. 2019;12(1):8-18. [Persian] [Link] [DOI:10.30699/acadpub.ijbd.12.01.8]
27. Zahabi M, Tafazoli M, Tehrani H, Sadeghi T. The effect of group counseling based on protection motivation theory on the perceived severity, perceived sensitivity and perceived reward of women's breast self-examination behaviour. J Midwifery Reproductive Health. 2024;12(2):4187-96. [Link]
28. Mahboobighazaani F, Karimi M, Azadbakht M, Ghahremani L. The effectiveness of educational intervention based on the Health Action Model (HAM) in improving breast cancer screening behaviors. BMC Womens Health. 2024;24(1):21. [Link] [DOI:10.1186/s12905-023-02816-z]
29. Lwin MO. Examining Asian women's motivations to undergo breast cancer screening. J Womens Health Care. 2014;3(3). [Link] [DOI:10.4172/2167-0420.1000158]
30. Pirzadeh A, Ansari S, Golshiri P. The effects of educational intervention on breast self-examination and mammography behavior: Application of an integrated model. J Educ Health Promot. 2021;10(1):196. [Link] [DOI:10.4103/jehp.jehp_1119_20]
31. Sinicrope PS, Bauer MC, Patten CA, Austin-Garrison M, Garcia L, Hughes CA, et al. Development and evaluation of a cancer literacy intervention to promote mammography screening among Navajo women: A pilot study. Am J Health Promot. 2020;34(6):681-5. [Link] [DOI:10.1177/0890117119900592]
32. Ghaffari M, Esfahani SN, Rakhshanderou S, Koukamari PH. Evaluation of health belief model-based intervention on breast cancer screening behaviors among health volunteers. J Cancer Educ. 2019;34(5):904-12. [Link] [DOI:10.1007/s13187-018-1394-9]
33. Ghofranipour F, Pourhaji F, Delshad MH, Pourhaji F. Determinants of breast cancer screening: Application of protection motivation theory. Int J Cancer Manag. 2020;13(5):e100535. [Link] [DOI:10.5812/ijcm.100535]
34. Chen L, Yang X. Using EPPM to evaluate the effectiveness of fear appeal messages across different media outlets to increase the intention of breast self-examination among Chinese women. Health Commun. 2019;34(11):1369-76. [Link] [DOI:10.1080/10410236.2018.1493416]
35. Ersin F, Gözükara F, Polat P, Erçetin G, Bozkurt ME. Determining the health beliefs and breast cancer fear levels of women regarding mammography. Turk J Med Sci. 2015;45(4):775-81. [Link] [DOI:10.3906/sag-1406-74]
36. Abdulabbas Z, Ursavas FE. Relationship between breast cancer fear and mammography self-efficacy among women over 40 in Babylon, Iraq. Kufa J Nurs Sci. 2024;14(2):124-32. [Link] [DOI:10.36321/kjns.vi20242.16998]
37. Termeh Zonouzy V, Niknami S, Ghofranipour F, Montazeri A. An educational intervention based on the extended parallel process model to improve attitude, behavioral intention, and early breast cancer diagnosis: A randomized trial. Int J Womens Health. 2018;11:1-10. [Link] [DOI:10.2147/IJWH.S182146]
38. Emami L, Ghahramanian A, Rahmani A, Mirza Aghazadeh A, Onyeka TC, Nabighadim A. Beliefs, fear and awareness of women about breast cancer: Effects on mammography screening practices. Nurs Open. 2021;8(2):890-9. [Link] [DOI:10.1002/nop2.696]
39. Lee H, Ghebre R, Le C, Jang YJ, Sharratt M, Yee D. Mobile phone multilevel and multimedia messaging intervention for breast cancer screening: Pilot randomized controlled trial. JMIR Mhealth Uhealth. 2017;5(11):e154. [Link] [DOI:10.2196/mhealth.7091]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.