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The Effect of Educational Intervention Based on Health Belief Model on Beliefs Towards Human Papillomavirus Vaccination in a Sample of Iranian Female Nursing Students

[ Vol. 17 , Issue. 4 ]


Roghieh Bayrami, Alireza Didarloo, Hamid Reza Khalkhali, Haleh Ayatollahi and Bita Ghorbani*   Pages 351 - 356 ( 6 )


Background: According to the previous studies, Iranian university students do not have a firm belief in the effectiveness of HPV vaccination.

Objective: The present study aimed to investigate the effect of a Health Belief Model (HBM)-based training program on beliefs of Iranian female nursing students towards HPV vaccination.

Materials and Methods: The present quasi-experimental study was conducted on 80 female nursing students in West Azerbaijan province, Iran, in 2019. A total of 80 nursing students were selected as the participants via convenience sampling and were randomly assigned into two groups (40 in each group). The participants in the intervention group attended the HBM training program for 4 weeks and received instructions on HPV related diseases and HPV vaccination, whereas the members of the control group received no education. The HBM questionnaire was administered to the participants in both groups before the intervention, immediately after the intervention, and one month later. The collected data were analyzed using SPSS 22 through chi-square test, independent samples t-test, and repeated measures ANOVA at a significance level of 0.05.

Results: Immediately after the intervention and one month later, the intervention group showed a significant increase in perceived severity, perceived benefits, and cues to action compared to the control group (P < 0.05). There was a difference of borderline significance between the intervention and control groups in terms of perceived barriers immediately after the intervention (P=.061).

Conclusion: According to the results of the present study, HBM-training interventions can be used to change students’ beliefs toward HPV vaccine and its acceptance.


Human papillomavirus, health belief model, vaccine, cervical cancer, Iran, Iranian.


Department of Midwifery, School of Nursing and Midwifery, Patient Safety Research Center, Urmia Universityof Medical Sciences, Urmia, Department of Public Health,School of Health, Social Determinants of Health Research Center ,Urmia University of Medical Sciences, Urmia, Department of biostatistics, School of Medicine, Patient Safety Research Center, Urmia University of Medical Science ،Urmia, Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Midwifery Consultation Masters’ Degree Student, Student Research Center Affiliated to Urmia University of Medical Sciences, Urmia

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