Abstract
Objective
Breast cancer is a global health problem with a high rate of incidence and annual
death. The protection motivation model (PMT) is a health psychology theory that has
been introduced to motivate health behaviors using coping appraisal and threat appraisal.
We aimed to systematically review the applicability of PMT to predict and improve
the knowledge and intention (the patient's intent to undergo breast cancer screening
with self/clinical breast exam or mammography) for protective behaviors among women.
Methods
A systematic search was performed in May 2022 in electronic databases to investigate
the role of PMT in the prediction of protection behaviors in addition to improving
the knowledge about the prevention of breast cancer using specific keywords. The relevant
studies were then included for data extraction.
Results
17 articles including 7 interventional and 10 prediction studies were selected for
data assessment. Findings demonstrated that PMT could be used to predict the rate
of knowledge and intention about breast cancer risk among women. It was also shown
that PMT could be considered as a framework for the prevention of breast cancer by
changing the behaviors of individuals by training the participants. Fear arousal,
response efficacy, and response cost were found as the main determinants of knowledge
and intention rate.
Conclusion
PMT can provide a useful framework to evaluate the factors associated with women's
intentions about breast cancer. Periodical educational programs should be implemented
to improve protection behaviors by increasing the intention of women to regular self-examination
Keywords
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References
- Cancer statistics, 2022.A Cancer Journal for Clinicians. 2022; 72: 7-33
- Frequency of Human Papillomavirus Genotypes 6, 11, 16, 18 And 31 in Paraffin-Embedded Tissue Samples of Invasive Breast Carcinoma, North- East of Iran.Iranian journal of pathology. 2015; 10: 192-198
Pashaie S, Estebsari F, Matbouei M, Nasiri M. Evaluation of the effect of patient education on the quality of life cancer patients undergoing radiotherapy: A review article.
- Relationship between health literacy and knowledge, attitude, and performance regarding cancer warning signs.Iranian Journal of Nursing and Midwifery Research. 2021; 26: 399
- Hossein-Nejad A. Health belief model-based intervention on women's knowledge and perceived beliefs about warning signs of cancer.Asia-Pacific journal of oncology nursing. 2019; 6: 431-439
- Purification and modeling amphipathic alpha helical antimicrobial peptides from skin secretions of Euphlyctis cyanophlyctis.Chemical biology & drug design. 2014; 83: 411-417
- Application of Nanotechnology in Biomedicine: A Major Focus on Cancer Therapy.Journal of Nano Research. 2015; 35: 55-66
- Effect of educational program-based protection motivation theory on preventive behaviors of skin cancer among farmers in Kashan.International Journal of Cancer Management. 2019; 12
- Effect of educational intervention based on protection motivation theory on promoting pediculosis preventive behaviors among elementary school girls in Neyshabur.Journal of Education and Community Health. 2018; 5: 1-7
- Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women.Psycho-Oncology. 2020; 29: 564-571
- Effect of an educational intervention based on protection motivation theory on preventing cervical cancer among marginalized women in west Iran.Asian Pacific journal of cancer prevention. 2018; 19: 755-761
- An embodiment perspective on protection motivation theory: the impact of incidental weight sensations on threat-appraisal, coping-appraisal, and protection motivation.Studia Psychologica. 2015; 57: 301
- Predicting COVID-19 vaccination intentions: the roles of threat appraisal, coping appraisal, subjective norms, and negative affect.BMC Public Health. 2023; 23: 230
- Breast self examination and mammography in cancer screening: women health protective behavior.Journal of preventive medicine and hygiene. 2014; 55: 46-49
- Application of the protection motivation theory in predicting cigarette smoking among adolescents in China.Addictive behaviors. 2014; 39: 181-188
- Coping Appraisal and Parents' Intentions to Inform Their Children About Sexual Abuse: A Protection Motivation Theory Analysis.Journal of Social and Clinical Psychology. 1989; 8: 304-316
- Energy Saving and Carbon Reduction Behaviors in Tourism – A Perception Study of Asian Visitors from a Protection Motivation Theory Perspective.Asia Pacific Journal of Tourism Research. 2013; 19: 721-735
- Information security awareness and behavior: a theory-based literature review.Management Research Review. 2014; 37: 1049-1092
- Insights into Flood-Coping Appraisals of Protection Motivation Theory: Empirical Evidence from Germany and France.Risk analysis : an official publication of the Society for Risk Analysis. 2018; 38: 1239-1257
- Protection motivation theory and pro-environmental behaviour: A systematic mapping review.Australian Journal of Psychology. 2020; 71: 411-432
- The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration.BMJ. 2009; 339: b2700
- National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies.NIH, Bethesda, MD2016
- The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses.Oxford, 2000
- The preventative power of "pink": Delineating the effects of social identification and protection motivation theory in breast cancer-related advertisements.Health marketing quarterly. 2016; 33: 274-290
- Women's preferences for contralateral prophylactic mastectomy: An investigation using protection motivation theory.Patient education and counseling. 2016; 99: 814-822
- Understanding women's mammography intentions: a theory-based investigation.Women & health. 2009; 49: 101-118
- The effect of educational intervention based on the protective motivation theory on awareness and early detection behaviours of breast cancer in women.International Journal of Health Promotion and Education. 2022; : 1-17
- Using Protection Motivation Theory to Predict Intentions for Breast Cancer Risk Management: Intervention Mechanisms from a Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education. 2021;
- Effect of Education on Promoting Healthy Lifestyle Behaviors That Prevent Breast Cancer in Middle-Aged Women: Application of Protection Motivation Theory.Korean journal of family medicine. 2021; 42: 166-171
- Investigating the predictors of breast cancer screening behaviors (breast self-examination, clinical examination or examination by physician/midwife and mammography) based on protection motivation theory (PMT) in women.Journal of preventive medicine and hygiene. 2021; 62: E736-EE41
- Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory.International journal of environmental research and public health. 2021; 18
- Investigating the Effectiveness of Protection Motivation, Perceived Self-Efficacy and Perceived Response Costs by Behavior of Breast Self-Examination.The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013; 15: 1-9
- Can protection motivation theory predict behaviour? A longitudinal test exploring the role of previous behaviour.Psychology & Health. 1998; 13: 237-250
- Predicting Adherence to Aromatase Inhibitor Therapy among Breast Cancer Survivors: An Application of the Protection Motivation Theory.Breast cancer : basic and clinical research. 2017; 111178223417694520
- Women's preferences for selective estrogen reuptake modulators: an investigation using protection motivation theory.Patient education and counseling. 2014; 96: 106-112
- An Application of the Protection Motivation Theory to Predict Breast Self-Examination Behavior among Female Healthcare Workers.European journal of breast health. 2019; 15: 90-97
- Application of the protection motivation theory to genetic testing for breast cancer risk.Preventive medicine. 2002; 35: 453-462
- Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran.Breast cancer : basic and clinical research. 2021; 151178223421989657
- Factors Related to Breast Cancer Preventive Behaviors in Middle-aged Women: An Application of Protection Motivation Theory.Iranian Journal of Breast Diseases. 2022; 14: 62-74
- Application of the Protection Motivation Theory (PMT) in Teaching Skin Cancer Prevention Behaviors in Male Students.Journal of Cancer Education. 2022; : 1-8
- A Meta-Analysis of Research on Protection Motivation Theory.Journal of Applied Social Psychology. 2000; 30: 407-429
- Prediction and Intervention in Health-Related Behavior: A Meta-Analytic Review of Protection Motivation Theory.Journal of Applied Social Psychology. 2000; 30: 106-143
- Determinants of Breast Cancer screening: Application of Protection Motivation Theory.Int J Cancer Manag. 2020; 13
- Effect of an Educational Intervention Based on Protection Motivation Theory on Preventing Cervical Cancer among Marginalized Women in West Iran.Asian Pacific journal of cancer prevention : APJCP. 2018; 19: 755-761
- Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory.International journal of environmental research and public health. 2021; 18: 11093
Article info
Publication history
Accepted:
February 28,
2023
Received in revised form:
February 25,
2023
Received:
July 4,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
