Effect of a Health Belief Model Based Education Program on Women's Cervical Cancer Knowledge and HPV Vaccination Attitudes in Primary Care Settings: A Quasi-Experimental Pre-test-Posttest Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 154
- 试验地点
- 1
- 主要终点
- Change in Cervical Cancer Knowledge Score
研究概览
简要总结
This study evaluated the effect of a Health Belief Model-based educational intervention on women's knowledge of cervical cancer and their attitudes and beliefs toward HPV vaccination. The study was conducted among women aged 18-49 years attending a primary health care center in Van, Türkiye. Participants were assigned to intervention and control groups. The intervention group received a structured, face-to-face educational program, while the control group received routine care. Data were collected using validated questionnaires before and after the intervention. The findings contributed to a better understanding of strategies to improve preventive health behaviors and increase HPV vaccination awareness among women.
详细描述
This study was a quasi-experimental pretest-posttest controlled intervention designed to evaluate the effectiveness of a Health Belief Model (HBM)-based educational program on women's cervical cancer knowledge and HPV vaccination attitudes in a primary care setting. The study was conducted at the Tusba Training Family Health Center in Van, Türkiye, between March 2026 and May 2026.
The study population consisted of women aged 18-49 years attending the Tusba Training Family Health Center. Women who met the inclusion criteria and provided written informed consent were enrolled in the study. A total of 154 participants were assigned to the intervention (n = 77) and control (n = 77) groups using a systematic allocation approach based on the order of admission. Baseline data were collected using a Participant Information Form, the Cervical Cancer Knowledge Scale, and the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS).
The intervention group received a structured educational program based on the Health Belief Model. The program consisted of two face-to-face sessions lasting approximately 30-40 minutes each. The educational content included information on cervical cancer, risk factors, screening methods, HPV infection, HPV vaccination, and common misconceptions. The program was structured around the key constructs of the Health Belief Model, including perceived susceptibility, perceived severity, perceived benefits, and perceived barriers.
The control group received routine primary health care services without any additional structured educational intervention.
Post-intervention data were collected approximately 15 days after completion of the educational program using the same measurement instruments. The data were analyzed using appropriate statistical methods, including descriptive statistics and comparative tests for within-group and between-group differences. Statistical significance was set at p < 0.05.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women aged 18-49 years
- •Applied to a Family Health Center
- •Parents of adolescent girls (aged 10-18 years)
- •Able to read and write Turkish
- •Voluntarily agreed to participate in the study
- •Provided written informed consent
排除标准
- •Previous HPV vaccination
- •Diagnosis of cervical cancer
- •Cognitive or psychiatric disorders that interfered with communication
研究组 & 干预措施
No Intervention
Participants received routine primary health care services without additional structured educational intervention.
Experimental
Participants received a structured face-to-face Health Belief Model-based educational program consisting of two sessions.
干预措施: Health Belief Model-Based Education (Behavioral)
结局指标
主要结局
Change in Cervical Cancer Knowledge Score
时间窗: Baseline and 15 days post-intervention
Change in participants' knowledge of cervical cancer was assessed using the Cervical Cancer Knowledge Scale. The scale consists of 20 items, with total scores ranging from 0 to 20, where higher scores indicate greater knowledge about cervical cancer. Measurements were conducted before the educational intervention and 15 days after the intervention.
Change in HPV Vaccination Attitudes and Beliefs Score
时间窗: Baseline and 15 days post-intervention
Change in participants' attitudes and beliefs toward HPV vaccination was assessed using the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS). The scale consists of 16 items rated on a 4-point Likert scale, with total scores ranging from 16 to 64, where higher scores indicate more negative attitudes and beliefs toward HPV vaccination. Measurements were conducted before the intervention and 15 days after the intervention.
次要结局
未报告次要终点
研究者
Muhammet Faruk Yigit
PhD of Health Sciences
Yuzuncu Yil University