Educational Interventions for Women based on the Behavioral model/theory concerning Cervical Cancer: A Systematic Review

  • Ali Asadian
  • Seyed Saeed Mazloomy Mahmoodabad
  • Hossein Fallahzadeh
  • Minoo Rajaei
Keywords: Cervical cancer, Theory, Model, Educational intervention, Systemic review, Prevention


Introduction: Cervical cancer is the second most prevalent cancer worldwide among women and is also the second primary cause of cancer-induced mortalities among women at a global scale. The most effective educational programs are based on theoretical approaches derived from behavior change models. The present systematic review aimed to explore and identify the body of research with educational interventions based on a particular behavioral or cognitive model of cervical cancer. Methods: A number of keywords were search in the following databases: PubMed, Web of Science, Science Direct, Google Scholar, Embase, Scopus, Biomedcentral, IranMedex, SID and Magiran. These keywords were: Cervix cancer, uterine cervical neoplasms, screening, prevention and control, Papaniocolaou Test, Pap test, Pap smear, education, intervention, cervical cancer, theory and model, behavior model. The search time span was restricted to 2005 to 2020. Results: From among all the published academic papers with educational interventions, finally 22 papers were selected based on a particular theory or model. Among these papers, those based on the health belief model outnumbered the rest concerning cervical cancer. The Transtheoretical Model (TTM) model was the second most prevalent model adopted in the theory-based educational interventions. Conclusions: Educational interventions based on the behavioral theory or model showed to be effective on the target group concerning screening (secondary behavior) for cervical cancer. To further increase the effectiveness of the educational interventions, there is a need for a combination of new methods and theory-laden education to enhance the primary preventive behaviors of cervical cancer.

Author Biographies

Ali Asadian

PhD Candidate in Health Education and Health Promotion, International Campus,
Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Seyed Saeed Mazloomy Mahmoodabad

Professor, Social Determinants of Health Research Center, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Hossein Fallahzadeh

Professor, Research Center of Prevention and Epidemiology of Non-Communicable Disease, Departments of Biostatistics and Epidemiology, School of Public Health,
Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Minoo Rajaei

Professor, Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Review Articles