Investigation of the Impact of HBM-Based Training on BSE in Women Referred to Health Centers in Zahedan in 2010-2011

Background: women of all ages are at risk for developing breast cancer. more than 90% of patients can be treated if diagnosed early. however, most women do not perform a regular bse (breast self-examination), which is an effective and inexpensive way to prevent considerable cancer-related death and morbidity.objectives: this study was performed to investigate the impact of health belief model (hbm)-based training on bse behavior.patients and methods: the study involved a controlled intervention performed with 200 women referred to health centers in zahedan; 100 women were included in the intervention group and 100 other women in the control group. before undertaking intervention training, a questionnaire designed according to hbm principles was completed by the subjects. the intervention training was then carried out with the intervention group using a lecture, question and answer sessions, and a film. two months after the intervention, the questionnaire was readministered. data were analyzed using spss 19 software, an independent t-test, a paired t-test, and a chi-square analysis; p < 0.05 was considered significant.results: the independent t-test showed that before the intervention, there was no statistically significant difference in mean knowledge scores or hbm parameters among the control and intervention groups (p > 0.05). however, a significant difference was found after the intervention as the mean knowledge score increased and the hbm parameters differed in the intervention group (p < 0.05). a paired t-test showed that the mean differences in knowledge scores and hbm parameters before and after the intervention were statistically significant (p < 0.05), but no significant before and after differences were identified among the control group (p > 0.05). before the study, the percentage of women who regularly performed a bse was 7% in the intervention group, but this was increased to 51% after the intervention.conclusions: it seems that a training program based on hbm principles is effective for inducing bse behavior. also, based on the findings of this study, there may be a need to increase the awareness of the perceived severity of breast cancer and the possible benefits of bse and a self-efficacy approach to health. it is recommended that training programs emphasizing such changes be designed and implemented