Effects of Model-Based Interventions on Breast Cancer Screening Behavior of Women: a Systematic Review

Document Type: Systematic Review and Meta-analysis

Authors

1 Student Research committee, School of Nursing and Midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University Of Medical Sciences, Tehran, Iran.

2 Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Science, Tehran, Iran.

3 Students Research committee, School of Nursing and Midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University Of Medical Sciences, Tehran, Iran.

Abstract

Background: Breast cancer is a great concern for women’s health; early detection can play a key role in reducing
associated morbidity and mortality. The objective of this study was to systematically assess the effectiveness
of model-based interventions for breast cancer screening behavior of women. Methods: We searched Scopus, PubMed,
Web of Science, Science Direct, Cochrane library and Google scholar search engines for systematic reviews, clinical
trials, pre- and post-test or quasi-experimental studies (with limits to publication dates from 2000-2017), Keywords
were: breast cancer, screening, systematic review, trials, and health model. In this review, qualitative analysis was
used to assess the heterogeneity of data. Results: Thirty six articles with 17,770 female participants were included in
this review. The Health belief model was used in twenty three articles as the basis for intervention. Two articles used
both the Health belief model and the Health Promotion Model, 5 articles used Health belief model and The Trans
theoretical Model, 2 used Hthe ealth belief model and Theory planned behavior, 2 used the Health belief model and
the Trans theoretical Model, 2 used the Trans theoretical Model, 1 used social cognitive theory, and 1 used Systematic
Comprehensive Health Education and Promotion Model. The results showed that model-based educational interventions
are more effective for BSE and CBE and mammography screening behavior of women compare to no model based
intervention. The Health belief model was the most popular model for promoting breast cancer screening behavior.
Conclusions: Educational model-based interventions promote self-care and create a foundation for improving breast
cancer screening behavior of women and increase policy makers’ awareness and efforts towards its enhancement breast
cancer screening behavior.

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