Effect of Consultation on Adherence to Clinical Breast Examination and Mammography in Iranian Women: A Randomized Control Trial

Document Type : Research Articles


1 Chronic Diseases (Home Care) Research Center, Department of Mother and Child Health, Hamadan University of Medical Sciences, Hamadan, Iran.

2 Department of Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Modeling of Non-Communicable Diseases Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.


Background: Early diagnosis of breast cancer is directly related to success in treatment. The aim of this study was
to determine the effect of consultation based on the health belief model on performance of clinical breast examination
(CBE) and mammography in women. Methods: This research was a clinical trial study. Eligible women aged> 40
years attending to Hamadan health care centers in 2016 were randomly assigned to experimental and control groups
(n = 75 in each group). The experimental group received 4 weekly sessions of breast cancer screening consulting based
on Health Belief Model (HBM). Knowledge on breast cancer, HBM constructs, and practices were compared between
two groups before, one and three months after intervention. Results: Before the intervention, no significant differences
were observed in knowledge, HBM constructs and practice between experimental and control groups. While one and
three months post intervention significant differences were detected between two groups on HBM constructs (except
susceptibility and severity) and knowledge (p <0.05). Conclusions: The results showed the consultation promoted
breast cancer screening in women.


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