Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women

Abstract Background Oral cancer has created an alarming situation around the world, and being the 16th most common cancer worldwide, it has become a global concern. The present study aimed to investigate the effect of educational intervention based on a theory of planned behavior (TPB) on promoting...

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Main Authors: Siamak Najafi, Fatemeh Mohammadkhah, Pooyan Afzali Harsini, Mojtaba Sohrabpour, Ali Khani Jeihooni
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-023-02411-2
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author Siamak Najafi
Fatemeh Mohammadkhah
Pooyan Afzali Harsini
Mojtaba Sohrabpour
Ali Khani Jeihooni
author_facet Siamak Najafi
Fatemeh Mohammadkhah
Pooyan Afzali Harsini
Mojtaba Sohrabpour
Ali Khani Jeihooni
author_sort Siamak Najafi
collection DOAJ
description Abstract Background Oral cancer has created an alarming situation around the world, and being the 16th most common cancer worldwide, it has become a global concern. The present study aimed to investigate the effect of educational intervention based on a theory of planned behavior (TPB) on promoting preventive behaviors of oral cancer in rural women. Methods This quasi-experimental study was conducted on 120 female hookah users referring to rural health centers in Fasa and Shiraz city, Fars province, Iran. The subjects were divided into experimental and control groups by simple random sampling. The educational intervention for the experimental group consisted of 8 training sessions of 50 min. Both groups completed a questionnaire including demographic characteristics and constructs of TPB before and four months after the educational intervention. Data were analyzed using SPSS 22 software through independent t-test, chi-square, and paired t-test (p = 0.05). Results The mean age of the experimental and control group subjects were 41.12 ± 8.86 and 40.63 ± 9.62 years, respectively (p = 0.185). The mean age of onset of hookah use in the experimental and control group was 24.16 ± 9.50 and 23.35 ± 9.44 years, respectively (p = 0.182). Also, before the educational intervention, there was a significant difference between the experimental and control groups in terms of knowledge (p < 0.189), attitude (p < 0.122), perceived behavioral control (p < 0.142), subjective norms (p < 0.236), behavioral intention (p < 0.126), oral cancer prevention behaviors (p < 0.108) and nicotine dependence (p < 0.218); however, four months after the educational intervention, there was a significant increase in the experimental group in all variables except nicotine dependence (p < 0.005). Conclusion Due to the alarming situation of oral cancer and the prevalence of hookah use among women, educational programs based on TPB could effectively prevent hookah use and oral cancer.
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spelling doaj.art-058cf824db774c11956e70f153d4c4552023-05-14T11:26:24ZengBMCBMC Women's Health1472-68742023-05-012311910.1186/s12905-023-02411-2Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural womenSiamak Najafi0Fatemeh Mohammadkhah1Pooyan Afzali Harsini2Mojtaba Sohrabpour3Ali Khani Jeihooni4Department of Internal Medicine, School of Medicine, Fasa University of Medical SciencesDepartment of Community health, child nursing and aging, Ramsar School of Nursing, Babol University of Medical SciencesDepartment of Public Health, School of Health, Kermanshah University of Medical SciencesNoncommunicable Diseases Research Center, Fasa University of Medical SciencesNutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical SciencesAbstract Background Oral cancer has created an alarming situation around the world, and being the 16th most common cancer worldwide, it has become a global concern. The present study aimed to investigate the effect of educational intervention based on a theory of planned behavior (TPB) on promoting preventive behaviors of oral cancer in rural women. Methods This quasi-experimental study was conducted on 120 female hookah users referring to rural health centers in Fasa and Shiraz city, Fars province, Iran. The subjects were divided into experimental and control groups by simple random sampling. The educational intervention for the experimental group consisted of 8 training sessions of 50 min. Both groups completed a questionnaire including demographic characteristics and constructs of TPB before and four months after the educational intervention. Data were analyzed using SPSS 22 software through independent t-test, chi-square, and paired t-test (p = 0.05). Results The mean age of the experimental and control group subjects were 41.12 ± 8.86 and 40.63 ± 9.62 years, respectively (p = 0.185). The mean age of onset of hookah use in the experimental and control group was 24.16 ± 9.50 and 23.35 ± 9.44 years, respectively (p = 0.182). Also, before the educational intervention, there was a significant difference between the experimental and control groups in terms of knowledge (p < 0.189), attitude (p < 0.122), perceived behavioral control (p < 0.142), subjective norms (p < 0.236), behavioral intention (p < 0.126), oral cancer prevention behaviors (p < 0.108) and nicotine dependence (p < 0.218); however, four months after the educational intervention, there was a significant increase in the experimental group in all variables except nicotine dependence (p < 0.005). Conclusion Due to the alarming situation of oral cancer and the prevalence of hookah use among women, educational programs based on TPB could effectively prevent hookah use and oral cancer.https://doi.org/10.1186/s12905-023-02411-2Education; womenHookah useTheory of Planned Behaviour (TPB)
spellingShingle Siamak Najafi
Fatemeh Mohammadkhah
Pooyan Afzali Harsini
Mojtaba Sohrabpour
Ali Khani Jeihooni
Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
BMC Women's Health
Education; women
Hookah use
Theory of Planned Behaviour (TPB)
title Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
title_full Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
title_fullStr Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
title_full_unstemmed Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
title_short Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
title_sort effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women
topic Education; women
Hookah use
Theory of Planned Behaviour (TPB)
url https://doi.org/10.1186/s12905-023-02411-2
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