New Educational Model to Promote Breast Cancer–Preventive Behaviors (ASSISTS): Development and First Evaluation. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Khazaee-Pool, Maryam; Pashaei, Tahereh; Alizadeh, Rashin; Ponnet, Koen
• Is Part Of: Cancer nursing. Volume 42:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: Breast cancer -- Educational model -- Preventive behaviors -- Women; Cancer -- Nursing -- Periodicals; 610.736
• DOI: 10.1097/NCC.0000000000000560
• Languages: English
• ISSNs: 0162-220X

Abstract

Abstract : Background: The prevalence of breast cancer in Iran has increased. An effective approach to decrease the burden of breast cancer is prevention. Objective: The aim of this study was to develop and evaluate an educational model, called the ASSISTS, for promoting breast cancer–preventive behaviors in women. Methods: A multiphase method was used to develop the model designed to promote breast cancer prevention behaviors. A conceptual model was generated based on a secondary analysis of qualitative data. Then, a structural equation model technique was used to test the relationships among the model constructs. Results: The analysis revealed that 7 constructs could be extracted, namely, perceived social support, attitude, motivation, self-efficacy, information seeking, stress management, and self-care. Based on these constructs, a conceptual model was built and tested using structural equation modeling. The model fit was good, and the model confirmed significant relationships among the 7 constructs of breast cancer prevention. Conclusion: Findings revealed that self-care behavior and stress management are influenced directly by attitude, motivation, self-efficacy, information seeking, and social support. In addition, women seek more information when they are motivated, have more self-efficacy, have a more positive attitude toward breast cancer prevention, and experience more social support. Implication for Practice: Cancer nurses can be at the forefront of breast cancer prevention. Because they can play a pivotal role in providing information, they can reduce women's stress and increase their self-care behavior. In addition, their social support can positively influence Iranian women's attitude, motivation, and self-care behavior. Furthermore, implementing educational programs based on this model might encourage women to practice preventive behaviors.