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Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study

Background: Breast cancer (BC) is the most prevalent cancer among women. Teachers play a crucial role in promoting healthy behaviors, including breast cancer screening (BCS). This study aimed to assess the impact of an Health Belief Model (HBM)-based educational intervention on BCS uptake, knowledge...

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Main Authors: Noman, Sarah, Elarusy, Nadya Mohamed Elfeturi, Rahman, Hejar Abdul, Ismail, Suriani, Azzani, Meram, Taresh, Sahar Mohammed, Aljaberi, Musheer A.
Format: Article
Language:English
Published: Springer Nature 2024
Online Access:http://psasir.upm.edu.my/id/eprint/114888/1/114888.pdf
http://psasir.upm.edu.my/id/eprint/114888/
https://bmccancer.biomedcentral.com/articles/10.1186/s12885-024-13214-5
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spelling my.upm.eprints.1148882025-02-07T01:23:27Z http://psasir.upm.edu.my/id/eprint/114888/ Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study Noman, Sarah Elarusy, Nadya Mohamed Elfeturi Rahman, Hejar Abdul Ismail, Suriani Azzani, Meram Taresh, Sahar Mohammed Aljaberi, Musheer A. Background: Breast cancer (BC) is the most prevalent cancer among women. Teachers play a crucial role in promoting healthy behaviors, including breast cancer screening (BCS). This study aimed to assess the impact of an Health Belief Model (HBM)-based educational intervention on BCS uptake, knowledge, and beliefs among female Yemeni teachers in Klang Valley, Malaysia. Methods: A cluster-randomized controlled trial was conducted with 180 participants from 12 schools, randomly assigned to intervention or control groups. The intervention group participated in a 90-minute educational session, with follow-up assessments at baseline, and at 1, 3, and 6 months’ post-intervention, using validated Arabic questionnaires. Data analysis was performed using SPSS version 22.0, with Generalized Estimating Equations (GEE) applied to assess differences within and between groups over time. Statistical significance was set at P < 0.05. Results: At baseline, there were no significant differences between groups. Post-intervention, the intervention group showed significantly higher rates of breast self-examination (BSE) and clinical breast examination (CBE) compared to the control group, with adjusted odds ratios (AOR) of 17.51 (CI: 8.22–37.29) for BSE and 2.75 (CI: 1.42–5.32) for CBE. Over six months, BSE performance in the intervention group increased, with AORs improving from 11.01 (CI: 5.05–24.04) to 18.55 (CI: 8.83–38.99). Similarly, CBE uptake rose from 1.60 (CI: 1.02–2.52) to 2.27 (CI: 1.44–3.58). Secondary outcomes revealed significant gains in knowledge and beliefs in the intervention group, including increased confidence in performing BSE and reduced perceived barriers. Conclusions: The HBM-based educational intervention effectively enhanced BCS uptake, improved knowledge, and decreased barriers to BCS among Yemeni teachers in Malaysia, highlighting the potential of targeted educational programs to promote cancer screening behaviors in underserved populations. Clinical trial registration: Retrospectively registered, ANZCTR (ACTRN12618000173291). Registered on February 02, 2018. Springer Nature 2024-12-06 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/114888/1/114888.pdf Noman, Sarah and Elarusy, Nadya Mohamed Elfeturi and Rahman, Hejar Abdul and Ismail, Suriani and Azzani, Meram and Taresh, Sahar Mohammed and Aljaberi, Musheer A. (2024) Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study. BMC Cancer, 24 (1). art. no. 1506. ISSN 1471-2407; eISSN: 1471-2407 https://bmccancer.biomedcentral.com/articles/10.1186/s12885-024-13214-5 10.1186/s12885-024-13214-5
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Breast cancer (BC) is the most prevalent cancer among women. Teachers play a crucial role in promoting healthy behaviors, including breast cancer screening (BCS). This study aimed to assess the impact of an Health Belief Model (HBM)-based educational intervention on BCS uptake, knowledge, and beliefs among female Yemeni teachers in Klang Valley, Malaysia. Methods: A cluster-randomized controlled trial was conducted with 180 participants from 12 schools, randomly assigned to intervention or control groups. The intervention group participated in a 90-minute educational session, with follow-up assessments at baseline, and at 1, 3, and 6 months’ post-intervention, using validated Arabic questionnaires. Data analysis was performed using SPSS version 22.0, with Generalized Estimating Equations (GEE) applied to assess differences within and between groups over time. Statistical significance was set at P < 0.05. Results: At baseline, there were no significant differences between groups. Post-intervention, the intervention group showed significantly higher rates of breast self-examination (BSE) and clinical breast examination (CBE) compared to the control group, with adjusted odds ratios (AOR) of 17.51 (CI: 8.22–37.29) for BSE and 2.75 (CI: 1.42–5.32) for CBE. Over six months, BSE performance in the intervention group increased, with AORs improving from 11.01 (CI: 5.05–24.04) to 18.55 (CI: 8.83–38.99). Similarly, CBE uptake rose from 1.60 (CI: 1.02–2.52) to 2.27 (CI: 1.44–3.58). Secondary outcomes revealed significant gains in knowledge and beliefs in the intervention group, including increased confidence in performing BSE and reduced perceived barriers. Conclusions: The HBM-based educational intervention effectively enhanced BCS uptake, improved knowledge, and decreased barriers to BCS among Yemeni teachers in Malaysia, highlighting the potential of targeted educational programs to promote cancer screening behaviors in underserved populations. Clinical trial registration: Retrospectively registered, ANZCTR (ACTRN12618000173291). Registered on February 02, 2018.
format Article
author Noman, Sarah
Elarusy, Nadya Mohamed Elfeturi
Rahman, Hejar Abdul
Ismail, Suriani
Azzani, Meram
Taresh, Sahar Mohammed
Aljaberi, Musheer A.
spellingShingle Noman, Sarah
Elarusy, Nadya Mohamed Elfeturi
Rahman, Hejar Abdul
Ismail, Suriani
Azzani, Meram
Taresh, Sahar Mohammed
Aljaberi, Musheer A.
Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
author_facet Noman, Sarah
Elarusy, Nadya Mohamed Elfeturi
Rahman, Hejar Abdul
Ismail, Suriani
Azzani, Meram
Taresh, Sahar Mohammed
Aljaberi, Musheer A.
author_sort Noman, Sarah
title Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
title_short Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
title_full Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
title_fullStr Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
title_full_unstemmed Investigating the effect of the educational intervention based on the Health Belief Model on the knowledge and beliefs of Yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
title_sort investigating the effect of the educational intervention based on the health belief model on the knowledge and beliefs of yemeni teachers in the use of breast cancer screening: a randomized controlled trial study
publisher Springer Nature
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/114888/1/114888.pdf
http://psasir.upm.edu.my/id/eprint/114888/
https://bmccancer.biomedcentral.com/articles/10.1186/s12885-024-13214-5
_version_ 1823534621575348224
score 13.244413

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