Effects of a psychosocial intervention based on Transtheoretical Model on breast self-examination attitudes and behaviors

Introduction: Breast cancer is one of non-communicable chronic diseases in women s that threaten the health of them.Then,this study aimed to determine Effects of a psychosocial intervention Transtheoretical Model on breast selfexamination attitudes and behaviors so that an educational intervention to promote breast self-examinations(BSEs)among young women was tested. Material & Methods: This Quasi experimental study was conducted on Two stages.The first to determine the predictive power of the Transtheoretical Model; the questionnaire was distributed among 410 volunteers by stratified into five city health centers.Then,a city health center were randomly selected and 39 of its affiliated health centers were considered as experimental and control groups. Educational programs performed for groups over foursessions.While the control group did not receive intervention. Then the questionnaire distributed among the subjects2 months later. The data was collect and the results were compared.Data were analyzed using SPSS 16.5 software by statistical t-test,Paired t-test, Kendall test. Result: The means’s of age was 33.3±7.6.The Paired t-test results indicate that knowledge scores increased after the training in intervention group s training(P<0.001,t=6.9) But this difference was not observed in the controlgroup (P=0.64).Kendall test results indicate the intervention group during the intervention period were positive significant progress in Transtheoretical Model (p=0.001),While not seen in the control group progress(P=0.8). The Paired t-test indicate attitudes scores increased after the training in intervention group s training(p=0.03,t=2.2).Intervention participants had greater confidence in performing BSEs compared with controls but performed them on an irregular basis. Conclusion: Results were interpreted in terms of Transtheoretical Model, a model that applies the social psychology and health education of persuasion to preventive health.

Keywords:

psychosocial intervention , Breast Self Examination , health volunteers , attitudes