The Effect of Decision Aid on Breast Cancer Screening Behaviors Based on Theory of Stage of Change: An Interventional Study

Zivar Akbari; Esmat Mehrabi; Mojgan Mirghafourvand; Roghayeh Nourizadeh

E-ISSN : 2148-9696

Crescent Journal of
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Jul 2020, Vol 7, Issue 3

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Original Article
The Effect of Decision Aid on Breast Cancer Screening Behaviors Based on Theory of Stage of Change: An Interventional Study
Zivar Akbari¹, Esmat Mehrabi¹, Mojgan Mirghafourvand², Roghayeh Nourizadeh¹
¹Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran ²Department of Midwifery, Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
CJMB 2020; 7: 404-408 Viewed : 3309 times Downloaded : 1982 times. Keywords : Decision aid, Counseling, Breast cancer screening, Breast control, Mammography
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Abstract

Objectives: The present study aimed to assess the effect of the decision-aid-based intervention on breast cancer screening behaviors in women based on the theory of change. Materials and Methods: This interventional study was conducted among 40-69-year-old women who were randomly selected from the healthcare centers of Tabriz. The intervention group received a decision-aid booklet and an individual counseling session. In addition, the data were gathered before and eight weeks after the intervention using demographic and obstetric questionnaires and a checklist of behavior change stages. Finally, data were analyzed using SPSS24. Results: According to the sequential logistic regression test, women who received the decision-aid-based consultation underwent breast control, breast clinical examination, and mammography significantly more than the control group (P < 0.001). Conclusions: In general, intervention programs with presenting decision-aid-based counseling could change women"s screening behaviors because such programs increase their knowledge about the benefit and harms of a decision in relation to a choice such as doing mammography.