The Effect of Applying Preventive Intervention Based on Champion Health Believe Model on Breast Cancer Fatalism, Knowledge and Screening Behaviors among Female Employees

Anwaar Anwar Tayel¹, Hanan Hosny El Sherbini², Abeer Abd El Fattah Abou Shosha^3, and Rasha Abd El-Hakim Abdou⁴

¹Obstatric & gynecological nursing Department, Faculty of Nursing Damanhour University Egypt

²Community Health Nursing Department Faculty of Nursing Alexandria University Egypt

³Nursing Education Department, Faculty of Nursing, Damanhour University, Egypt

⁴Community Health Nursing Department, Faculty of Nursing Alexandria University Egypt

Cite this paper:
Anwaar Anwar Tayel, Hanan Hosny El Sherbini, Abeer Abd El Fattah Abou Shosha and Rasha Abd El-Hakim Abdou. The Effect of Applying Preventive Intervention Based on Champion Health Believe Model on Breast Cancer Fatalism, Knowledge and Screening Behaviors among Female Employees. American Journal of Nursing Research. 2019; 7(5):759-770. doi: 10.12691/ajnr-7-5-9

Abstract

Breast cancer (BC) is the most common cancer among women and leading cause of death worldwide, including Egypt. Many factors are identified to be linked with BC, fear and fatalism play a vital role in discouraging women from seeking BC screening. Aim of the study: Is to investigate the effect of applying preventive intervention based on Champion Health Believe Model on breast cancer fatalism, knowledge and screening behaviors among female employees. Subjects & method: Subjects: 200 female employees working in Alexandria & Damanhour universities. Research design: A quasi experimental design was adopted to carry out the study. Tool I: Female employees’ breast cancer screening knowledge and practice scale, Tool II: Powe Cancer Fatalism Scale, & Tool III: Champion’s Health Belief Model Scale. In addition to, female employees’ Basic Data Structured Questionnaire. Data were analyzed using percentages & Pearson Chi-square. Results: the smallest percentages of the female employees had good breast cancer related knowledge and screening measures in the preprogram implementation phase. Statistically significant rise were noticed immediately after the program implementation. Women in both faculties had high cancer fatalism level in the initial assessment, which lessened immediately after the program application, with a statistically significant difference between them. The highest mean and standard deviation in Alexandria and Damanhour in perceived Susceptibility, perceived Seriousness and perceived benefits was immediate after the program. Conclusions: It was concluded that female employees’ ‘knowledge & practice of breast cancer was greatly affected by breast cancer fatalism, applying Breast Cancer related preventive program improve the knowledge and practice of female employees and decrease the level of breast cancer fatalism. Recommendation: Empowering women to take a proactive role in their own health & support health care professional role.

Keywords:
breast cancer breast cancer fatalism fear champion’s health believe model education intervention program screening behavior

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References:

[1]	American Cancer Society (ACS). (2015). Breast cancer facts and figures 2015–2016. Atlanta: American Cancer Society, Inc.
[2]	Ibrahim A, Khaled H, NH Mikhail N, Baraka H, & Kamel H. Cancer Incidence in Egypt: Results of the National Population-Based Cancer Registry Program Journal of Cancer Epidemiology Volume 2014, Article ID 437971, 18 pages.
[3]	American Cancer Society (2014). Breast cancer facts and figures 2009–2010. ttp://www.cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures
[4]	Opoku, S, Y., Benwell M, & Yarney B.Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa. The Pan African Medical Journal 2012; 11:28.
[5]	Al Masry Al Youm Bahya Breast Cancer Hospital report. November 2, 2017.
[6]	American Cancer Society (ACS). (2015). Breast cancer facts and figures 2015–2016. Atlanta: American Cancer Society, Inc. http://www.cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures.
[7]	Mamdouh H, El-Mansy H, Kharboush I, Ismail H, Tawfik M, & Abdel El-Baky M, O. Barriers to breast cancer screening among a sample of Egyptian females . J Family Community Med. 2014; 21(2): 11-124.
[8]	Thomas VN ,Saleem T, Abraham R. Barriers to effective uptake of cancer International journal of palliative nursing 2005, 11(11): 562, 564-71.
[9]	Loerzel, V., Busby, A. Interventions that address cancer health disparities in women. Family & Community Health, 2005, 28(1), 79-89.
[10]	Spurlock WR, Cullins LS. Cancer fatalism and breast cancer screening in African American women. ABNF J. 2006; 17(1): 38-43.
[11]	Lisa M. Holle, FHOPA, BCOP. Cancer Screening and Prevention ACSAP 2017, 7-10. BOOK 1 Oncologic/Hematologic Care.
[12]	Nkala V. Young women’s perceptions of Breast Cancer University of Oslo Master thesis 2014 retrieved from http://www.duo.uio.no.
[13]	Champion, V. L., Monahan, P. O., Springston, J. K., Russell, K., Zollinger, T. W., Saywell Jr., R. M., & Maraj, M. Measuring mammography and breast cancer beliefs in African American women. Journal of Health Psychology, 2008, 13(6), 827-837.
[14]	Thomas, E. African American women’s breast memories, cancer beliefs, and screening behaviors. Cancer Nursing 2004, 27(4), 295-302.
[15]	Aghdash S, & Sheyklo S.Breast Cancer Screening Barriers from the Womans Perspective: a Meta-analysis. Asian Pacific journal of cancer prevention: APJCP 2015, 16(8): 3463-71.
[16]	Karimi M, Hasani M, Khorram R, Ghaffari M, & Niknami S. The effect of education based health belief model on breast self- examination in health liaisons of Zarandieh City. Zaheddan J Res MedI Sci 2008; 10: 283-91.
[17]	Shiryazdi S, Kholasehzadeh G, Neamatzadeh H, & Kargar S. Health Beliefs and Breast Cancer Screening Behaviors among Iranian Female Health Workers. Asian Pacific Journal of Cancer Prevention 2014, 15; 9817-21.
[18]	Aflakseir A,& Abbasi P . Health beliefs as predictors of breast cancer screening behavior in a group of female employees in shiraz. Iran J Cancer Prev 2012, 5, 124-129.
[19]	Avci IA, Kumcagiz H, Altinel B,& Caloglu A . Turkish female academician self- esteem and health beliefs for breast cancer screening. Asian Pac J Cancer Prev 2014, 15, 155-60.
[20]	Canbulat N, & Uzun O. Health beliefs and breast cancer screening behaviors among female health workers in Turkey. Eur J Oncol Nurs 2008, 12, 148-56.
[21]	Powe BD. Fatalism among elderly African Americans: Effects on colorectal screening. Cancer Nursing, (1995) ,18(5), 385-392.
[22]	Tool Powe, B. D. Cancer fatalism among African Americans: A review of the literature. Nursing Outlook, (1996), 44, 18-21.
[23]	Powe BD. Cancer fatalism among African American women: predictors of the intensity of the perceptions. J Psychosoc Oncol. 2001; 19(3/4):85-96.
[24]	Champion, V. L. Instrument development for health belief model constructs. Advances in Nursing Science, (1984), 73-87.
[25]	Champion VL. Revised susceptibility, benefits, barrier scale for mammography screening. Research in Nursing & Health, 1999, 22, 341-348.
[26]	Champion, V. L., Skinner, C. S., Menon, U., Rawl, S., Giesler, R. B., Monahan, P., et al., A breast cancer fear scale: Psychometric Development. Journal of Health Psychology, (2004), 9(6), 753-762.
[27]	Centers for Disease Control and Prevention (2008). Overview: Breast Cancer. Available at www.cdc.gov/cancer/data. Accessed December 2009.
[28]	Centers for Disease Control and Prevention (2010). National Program of Cancer Registries. Available at http://apps.nccd.cdc.gov/USCS. Accessed August 2010.
[29]	Ozaras G, Durualp E, Civelek FE, Gül B, Ünsal M. Analysis of breast self-examination training efficiency in women between 20-60 years of age in Turkey. Asian Pac J Cancer Prev, (2010), 11, 799-802.
[30]	Ozmen V. Breast cancer screening: current controversies. J Breast Health, (2011), 7, 1-4.
[31]	Tavafian SS, Hasani L, Aghamolaei T, Zare S, Gregory D. Prediction of breast self-examination in a sample of Iranian women: an application of the Health Belief Model, (2009), 9, 37.
[32]	Bassey R., Irurhe N., Olowoyeye M., Adeyomoye A., Onajole A. Knowledge, attitude and practice of breast self-examination among nursing students in Lagos University Teaching Hospital, Nigeria. Educational Research. (2011) 2(6) pp. 1232-1236.
[33]	Beydag KD, Yurugen B. The effect of breast self-examination (BSE) education given to midwifery students on their knowledge and attitudes. Asian Pac J Cancer Prev, (2010), 11, 1761-4.
[34]	Ayed A, Eqtait F, Harazneh L, Fashafsheh I, Nazzal S , Talahmeh B, Hajar D, Awawdeh R.. Breast Self-Examination in Terms of Knowledge, Attitude, and Practice among Nursing Students of Arab American University/Jenin. Journal of Education and Practice, (2015), 6; 4, 37-49.
[35]	Baysal HY, Gozum S. Effects of health beliefs about mammography and breast cancer and telephone reminders on re-screening in Turkey. Asian Pac J Cancer Prev. 2011; 12: 1445-50.
[36]	Ahmadian M, Samah AA, Redzuan MR, Emby Z. Predictors of mammography screening among Iranian women attending outpatient clinics in Tehran, Iran. Asian Pac J Cancer Prev. 2012; 13: 969-74.
[37]	Keshavarz Z, Simbar M, Ramezankhani A. Factors for performing breast and cervix cancer screening by Iranian female workers: a qualitative-model study. Asian Pac J Cancer Prev. 2011; 12: 1517-22.
[38]	Marmarà D, Marmarà V, Hubbard G. Health beliefs, illness perceptions and determinants of breast screening uptake in Malta: a cross-sectional survey. BMC public Health. 2017; 17:416.
[39]	Karimi S, Rafiey H, Sajjadi H, Nejad *F. Identifying the Social Determinants of Breast Health Behavior: a Qualitative Content Analysis. Asian Pac J Cancer Prev; (2018) 19(7): 1867-1877.
[40]	Avci IA: Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community. Eur J Oncol Nurs. 2008, 12 (2): 127-133.
[41]	Anbulat N, Uzun O: Health beliefs and breast cancer screening behaviors among female health workers in Turkey. Eur J Oncol Nurs. 2008, 12: 148-156.
[42]	Temiz M, Inandi T, Beshirov E. Knowledge, attitudes, and behaviors of female teachers related to breast cancer and breast examination in southern Turkey. Breast Care. (2008). 3(1):55-60.
[43]	Cam O and Gümüs AB. Breast cancer screening behavior in Turkish women: Relationships with health beliefs and self-esteem, body perception and hopelessness. Asian Pac J Cancer Prev, (2009), 10, 49-56.
[44]	Al-Sharbatti SS, Shaikh RB, Mathew E, Al-Biate MAS. Breast self-examination practice and breast cancer risk perception among female university students in Ajman. Asian Pac J Cancer Prev, (2013)14, 4919-23.
[45]	Che CC, Coomarasamy J, Suppayah DB. Perception of breast health among Malaysian female adolescents. Asian Pac J Cancer Prev, (2014)15, 7175-80.
[46]	Dettenborn L, Duhamel K, Butts G, Thompson H, Jandorf L. Cancer fatalism and its demographic correlates among African American and Hispanic women. J Psychosoc Oncol, (2005) 22, 47-60.
[47]	Kulakci H, Ayyildiz TK, Yildirim N, Ozturk O, Topan AK, Tasdemir N. Effects of Breast Cancer Fatalism on Breast Cancer Awareness among Nursing Students in Turkey. Asian Pac J Cancer Prevention. 2015; 16(8): 3565-72.
[48]	Charkazi A, Samimi A, Razzaghi K, et al. Adherence to recommended breast cancer screening in Iranian Turkmen women. The role of knowledge and beliefs. ISRN Preventive Medicine, 2013, 1-8.
[49]	Mag X, Gao W, Lee S, et al. Health seeking behavioral analysis associated with breast cancer screening among Asian American women. Int J Womens Health (2012) 4, 235-43.
[50]	Gucuk S, Uyeturk U.. Effect of Direct Education on Breast Self-Examination Awareness and Practice among Women in Bolu, Turkey. Asian Pacific Journal of Cancer Prevention, (2013)14 (1), 7707-12.
[51]	Donmez YC, Dolgun E, Yavuz M. Breast Self-examination Practices and the Effect of a Planned Training Program in Western Turkey. Asian Pac J Cancer Prev, (2012), 13, 6159-61.
[52]	Gupta SK. Impact of a Health Education Intervention Program Regarding Breast Self-Examination by Women in a Semi-Urban Area of Madhya Pradesh, India. Asian Pac J Cancer Prev, (2009)10, 1113-7.
[53]	Yoo B, Choi KS, Jung KW, Jun JK. Awareness and practice of breast self-examination among Korean women: results from a nationwide survey. Asian Pac J Cancer Prev, (2012) 13, 123-5.
[54]	Burgess CC, Bish AM, Hunter HS, et al. Promoting early presentation of breast cancer: development of a psychoeducational intervention. Chronic Illn, (2008) 4, 13-27.
[55]	Ceber E, Turk M, Ciceklioglu M. The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives. J Clin Nurs, (2010)19, 2363-71.
[56]	Secginli S and Nahcivan NO. The effectiveness of a nurse-delivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial. Int J Nurs Stud, (2011) 48, 24-36.
[57]	Gözüm S, Karayurt O, Kav S, et al. Effectiveness of peer education for breast cancer screening and health beliefs in eastern Turkey. Cancer Nurs, (2010) 33, 213-320.
[58]	Kim JH and Menon U. Pre- and postintervention differences in acculturation, knowledge, beliefs, and stages of readiness for mammograms among Korean American women. Oncol Nurs Forum, (2009) 36, 80-92.
[59]	Hajian S, Vakilian K, Najabadi KM, et al. Effects of education based on the health belief model on screening behavior in high risk women for breast cancer, Tehran, Iran. Asian Pac J Cancer Prev, (2011)12, 49-54.
[60]	Erbil N, Bolukbas N.. Health beliefs and breast self-examination among female university nursing students in Turkey. Asian Pac J Cancer Prev, (2014) 15, 6525-29.