RESEARCH ARTICLE


Effect of Utilizing Health Belief Model on Knowledge, Beliefs, and Behaviour of Visually Impaired Women toward Breast Self-examination



Manal Mohamed Elsawy1, *
iD
, Helalia Shalabi Mohamed2, 3, Khadraa Mohamed Mousa1
1 Lecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
2 Assistant professor of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
3 Community Health Nursing, Faculty of Nursing, PAAET, Adailiyah, Kuwait


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Creative Commons License
© 2023 Elsawy et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt; Tel:+201016 266128; Fax: 02 23645336; E-mail: manalelsawy@cu.edu.eg


Abstract

Background:

Breast self-examination is the most important first step in early breast cancer detection. The study aimed to measure the effectiveness of utilizing a health belief model on knowledge, beliefs, and behaviour of visually impaired women toward breast self-examination.

Methods:

A quasi-experimental design (pre/posttest) was utilized in the current study conducted at Al Nour Wal Amal Association for visually impaired women in Cairo governorate, Egypt. A purposive sample of 42 visually impaired women was included in the study. Three tools were used for the purpose of data collection, namely (I): Structured interviewing knowledge questionnaire, (II): A breast self-examination checklist, and (III): Health beliefs assessment scale.

Results:

The findings revealed a highly statistically significant difference in visually impaired women's total knowledge, total practice, and total health beliefs scores for breast self-examination before and after the program. The women's total knowledge, behaviors, and beliefs improved in the posttest compared to the pretest.

Conclusion:

The study results concluded that there was an improvement in knowledge, practice, and health beliefs regarding breast self-examination among visually impaired women after program implementation, which emphasized that educational programs based on the health beliefs model have a significant positive effect in improving women’s knowledge, practice, and health beliefs toward breast self-examination. It is recommended to establish educational programs to raise awareness about breast cancer and breast self-examination among visually impaired women through special schools and community associations. Moreover, community health nurses play a crucial role in educating women about breast self-examination as they are in a unique position to raise breast cancer awareness, especially among at-risk groups.

Keywords: Knowledge, Beliefs, Behaviour, Visually impaired women, Breast self-examination, Health belief model.