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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Jul 2020, Vol 7, Issue 3
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Original Article
The Effect of Decision Aid on Breast Cancer Screening Behaviors Based on Theory of Stage of Change: An Interventional Study
Zivar Akbari1, Esmat Mehrabi1, Mojgan Mirghafourvand2, Roghayeh Nourizadeh1
1Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Midwifery, Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

CJMB 2020; 7: 404-408

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Keywords : Decision aid, Counseling, Breast cancer screening, Breast control, Mammography
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Objectives: The present study aimed to assess the effect of the decision-aid-based intervention on breast cancer screening behaviors in women based on the theory of change.

Materials and Methods: This interventional study was conducted among 40-69-year-old women who were randomly selected from the healthcare centers of Tabriz. The intervention group received a decision-aid booklet and an individual counseling session. In addition, the data were gathered before and eight weeks after the intervention using demographic and obstetric questionnaires and a checklist of behavior change stages. Finally, data were analyzed using SPSS24.

Results: According to the sequential logistic regression test, women who received the decision-aid-based consultation underwent breast control, breast clinical examination, and mammography significantly more than the control group (P < 0.001).

Conclusions: In general, intervention programs with presenting decision-aid-based counseling could change women"s screening behaviors because such programs increase their knowledge about the benefit and harms of a decision in relation to a choice such as doing mammography.


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Arash Khaki
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