AUTHOR=Shoushtari-Moghaddam Elaheh , Shahnazi Hossein , Hassanzadeh Akbar 

TITLE=The effect of educational intervention based on the PEN-3 model on breast cancer screening behaviors

JOURNAL=Frontiers in Public Health

VOLUME=11

YEAR=2023

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1123888

DOI=10.3389/fpubh.2023.1123888

ISSN=2296-2565

ABSTRACT=<sec id="sec1"><title>Background</title><p>Breast cancer is the most important malignancy and the main cause of cancer deaths among women worldwide. Breast cancer screening is an effective way to reduce breast cancer deaths.</p></sec><sec id="sec2"><title>Objectives</title><p>The present study aimed to provide breast cancer screening behavior training for female teachers in Isfahan, Iran.</p></sec><sec id="sec3"><title>Materials and methods</title><p>This randomized controlled trial included 120 teachers who have randomly divided into two groups (60 in the control group and 60 in the intervention group). The data collection tool was a PEN-3 model-based questionnaire. Four 90 min training sessions were held for the intervention group to modify perception and enablers. Breast self-examination (BSE), Clinical breast exam (CBE), and mammography (MMG) were investigated in both groups before and after 6 months after the last training using SPSS20 and appropriate statistical tests.</p></sec><sec id="sec4"><title>Results</title><p>The frequency of BSE (<italic>p</italic> = 0.02), CBE (<italic>p</italic> = 0.04), and MMG (<italic>p</italic> = 0.01) in the intervention group was significantly higher than in the control group 6 months after training. The mean scores of perception and enablers were significantly higher in the intervention group than in the control group 3 and 6 months after training (<italic>p</italic> &lt; 0.001). The logistic regression analysis indicated that perception factors were the strongest predictors of breast cancer screening behavior in teachers.</p></sec><sec id="sec5"><title>Conclusion</title><p>Results of the present study indicated that using the PEN-3 model in the educational intervention was effective in improving breast cancer screening behavior.</p></sec>