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Investigating the Effect of an Educational Intervention on Health Promotion Behaviors, Hope Enhancement and Mental Health in Cancer Patients


 Background: The aim of this study is investigating the effect of educational intervention based on PRECEDE model on health promotion behaviors, hope enhancement and mental health of cancer patients in Shiraz, Iran in 2017–2018 Methods: In this quasi-experimental study, 200 cancer patients (100 subject in experimental group and 100 subjects in control group) referred to Amir Hospital in Shiraz were investigated. Educational intervention for experimental group consisted of twelve educational sessions for 50-55 minutes. A questionnaire including demographic information, PRECEDE constructs (knowledge, attitude, self-efficacy, enabling factors and social support), was used to measure health promotion behaviors, patients’ hope and mental health before and 6 months after intervention. Results:Data were analyzed by SPSS 22, paired t-test, independent t-test and Chi-square test at the significance level of p < 0.05. The average age of cancer patients of experimental group was 46.82±5.96 years and 46.12±5.48 years in control group. 6 months after intervention, experimental group showed significant increase in knowledge, attitude, self-efficacy, enabling factors, social supports, health promotion behaviors, patients’ hope and mental health compared to the control group. Conclusions:This study showed the effectiveness of intervention based on PRECEDE constructs in mentioned factors 6 months after intervention. Hence, this model can act as a framework for designing and implementing educational intervention for health promotion behaviors of cancer patients.