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Open Access 01-12-2024 | Prostate Cancer | Research

Effect of health belief model-based educational intervention on prostate cancer prevention; knowledge, practices, and intentions

Authors: Marwa Ibrahim Mahfouz Khalil, Ayat Ashour, Reem Said Shaala, Rasha Mahmoud Allam, Thoraya Mohamed Abdelaziz, Enas Fouad Sayed Mousa

Published in: BMC Cancer | Issue 1/2024

Abstract

Background

Prostate cancer screening is a crucial preventive element for improving the survival rates of prostate cancer. Therefore, our research objective was to investigate the effect of health belief model-based education on prostate cancer knowledge, health beliefs, and preventive health practices among adult and older adult males.

Methods

A one-group pre-test/post-test quasi-experimental study design was carried out at the one-day outpatient clinics affiliated to General Alexandria Main University Hospital. We enrolled 110 men aged 45–75 years old in a health belief model-based educational intervention program. Various questionnaires were utilized to gather data before, immediately after, and three months following the intervention. These questionnaires included the socio-demographic questionnaire, Prostate Cancer Knowledge Questionnaire (PCKQ), Prostate Cancer Screening-Health Belief Model Scale (HBM-PCS), Prostate Cancer Preventive Practices Questionnaire (PCPPQ), and one question regarding the intention to undergo PC screening.

Results

Participants’ knowledge about prostate cancer screening improved significantly immediately after the program and this positive change was maintained at the follow-up (p = 0.000). Furthermore, participants’ perceptions and preventive practices towards prostate cancer screening had changed significantly after program completion and at follow-up (p = 0.000). After program completion, many of the participants (92.7%) expressed their intention to undergo prostate cancer screening within the coming six months (p = 0.000). The younger age group (45–49 years) showed higher scores in their perception of prostate screening (p = 0.001). Higher education and income were significantly associated with higher scores in the three scales (p = 0.000 in all scales).

Conclusion

The study findings emphasized the effectiveness of the designed health educational program based on the HBM on PC preventive behaviors, through significantly improving participants’ knowledge level, perceptions, practices, and intentions to PC screening. The program is highly recommended for prostate cancer preventive health practices among both adult and older adult males.

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Title: Effect of health belief model-based educational intervention on prostate cancer prevention; knowledge, practices, and intentions
Authors: Marwa Ibrahim Mahfouz Khalil
Ayat Ashour
Reem Said Shaala
Rasha Mahmoud Allam
Thoraya Mohamed Abdelaziz
Enas Fouad Sayed Mousa
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Prostate Cancer
Prostate Cancer
Published in: BMC Cancer / Issue 1/2024
Electronic ISSN: 1471-2407
DOI: https://doi.org/10.1186/s12885-024-12044-9

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