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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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. |
first_indexed | 2024-12-21T17:49:40Z |
format | Article |
id | doaj.art-3b3b71732a4b436f9de1b7977500bcf0 |
institution | Directory Open Access Journal |
issn | 2277-9531 |
language | English |
last_indexed | 2024-12-21T17:49:40Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Education and Health Promotion |
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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