Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis

CONTEXT: Pap smear test is one of the most important actions in preventing cervical cancer. This study aimed to perform a meta-analysis on all related literature about the effects of health belief model (HBM)-based training on Pap smear screening test performance of Iranian women. METHODS: The searc...

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Main Authors: Masoumeh Simbar, Masumeh Ghazanfarpour, Somayeh Abdolahian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=179;epage=179;aulast=Simbar
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author Masoumeh Simbar
Masumeh Ghazanfarpour
Somayeh Abdolahian
author_facet Masoumeh Simbar
Masumeh Ghazanfarpour
Somayeh Abdolahian
author_sort Masoumeh Simbar
collection DOAJ
description CONTEXT: Pap smear test is one of the most important actions in preventing cervical cancer. This study aimed to perform a meta-analysis on all related literature about the effects of health belief model (HBM)-based training on Pap smear screening test performance of Iranian women. METHODS: The search was performed in Scopus, PubMed, and Web of Science. Eligibility criteria were limited to English and Persian language articles with experimental or semi-experimental methods until October 2019 that evaluated the effect of HBM-based training on Iranian women's performance of Pap smear test. We excluded studies that used both cervical and breast cancer screening together. RESULTS: Twelve studies were performed on totally 1605 participants. This meta-analysis showed that all of Health Belief Model (HBM) constructs improved significantly among HBM-based trained women, perceived susceptibility (standard mean division [SMD] =0.785; P = 0.002; confidence interval [CI] = 0.005 to 1.56; Heterogeneity; P = 0.013; I2= 97%)., perceived severity (SMD = 1.14; P = 0.001; CI = 0.66–1.62; heterogeneity; P < 0.001; I2= 92%), perceived benefits (SMD = 1.25; P = 0.001; CI = 0.545–0.135 heterogeneity; P = 0.003; I2= 97%), perceived barrier (SMD = 0.20; P = 0.001; CI = 0.44–1.24; heterogeneity; P < 0.001; I2= 92%) and perceived self-efficacy (SMD = 0.638; P < 0.001; CI =1.76–0.426; heterogeneity; P < 0.001; I2= 97%). CONCLUSION: Cervical screening education program based on the HBM can be effective on Iranian women's performance in their perceived susceptibility, perceived severity, perceived barrier, and perceived self-efficacy about Pap smear test.
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spelling doaj.art-3b3b71732a4b436f9de1b7977500bcf02022-12-21T18:55:23ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312020-01-019117917910.4103/jehp.jehp_684_19Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysisMasoumeh SimbarMasumeh GhazanfarpourSomayeh AbdolahianCONTEXT: Pap smear test is one of the most important actions in preventing cervical cancer. This study aimed to perform a meta-analysis on all related literature about the effects of health belief model (HBM)-based training on Pap smear screening test performance of Iranian women. METHODS: The search was performed in Scopus, PubMed, and Web of Science. Eligibility criteria were limited to English and Persian language articles with experimental or semi-experimental methods until October 2019 that evaluated the effect of HBM-based training on Iranian women's performance of Pap smear test. We excluded studies that used both cervical and breast cancer screening together. RESULTS: Twelve studies were performed on totally 1605 participants. This meta-analysis showed that all of Health Belief Model (HBM) constructs improved significantly among HBM-based trained women, perceived susceptibility (standard mean division [SMD] =0.785; P = 0.002; confidence interval [CI] = 0.005 to 1.56; Heterogeneity; P = 0.013; I2= 97%)., perceived severity (SMD = 1.14; P = 0.001; CI = 0.66–1.62; heterogeneity; P < 0.001; I2= 92%), perceived benefits (SMD = 1.25; P = 0.001; CI = 0.545–0.135 heterogeneity; P = 0.003; I2= 97%), perceived barrier (SMD = 0.20; P = 0.001; CI = 0.44–1.24; heterogeneity; P < 0.001; I2= 92%) and perceived self-efficacy (SMD = 0.638; P < 0.001; CI =1.76–0.426; heterogeneity; P < 0.001; I2= 97%). CONCLUSION: Cervical screening education program based on the HBM can be effective on Iranian women's performance in their perceived susceptibility, perceived severity, perceived barrier, and perceived self-efficacy about Pap smear test.http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=179;epage=179;aulast=Simbarcervical cancer screeninghealth belief modelsmear
spellingShingle Masoumeh Simbar
Masumeh Ghazanfarpour
Somayeh Abdolahian
Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
Journal of Education and Health Promotion
cervical cancer screening
health belief model
smear
title Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
title_full Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
title_fullStr Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
title_full_unstemmed Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
title_short Effects of training based on the health belief model on Iranian women's performance about cervical screening: A systematic review and meta-analysis
title_sort effects of training based on the health belief model on iranian women s performance about cervical screening a systematic review and meta analysis
topic cervical cancer screening
health belief model
smear
url http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=179;epage=179;aulast=Simbar
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AT masumehghazanfarpour effectsoftrainingbasedonthehealthbeliefmodeloniranianwomensperformanceaboutcervicalscreeningasystematicreviewandmetaanalysis
AT somayehabdolahian effectsoftrainingbasedonthehealthbeliefmodeloniranianwomensperformanceaboutcervicalscreeningasystematicreviewandmetaanalysis