Title of article :
The Prediction of Colorectal Cancer Screening Based on the Extended Parallel Process Model: Moderating the Role of Health Literacy and Cancer-Related Empowerment
Author/Authors :
Talepasand Siavash نويسنده Department of Educational Sciences & Development of Handicapped children , Rahimian-Boogar Isaac نويسنده Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran Rahimian-Boogar Isaac , Norouzi Hassan نويسنده Islamic Azad University Norouzi Hassan , Mozafari Sara نويسنده MSc Student in clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, IR Iran , Hosseini Sayed Javad نويسنده Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Mahdishahr, Semnan, Iran
Abstract :
[Background]The aim of this study was the prediction of colorectal cancer screening based on the extended parallel processing model regarding the moderating role of cancer-related literacy and cancer-related empowerment.[Methods]In a cross sectional survey, 366 participants among individuals who attended to the specialized internal clinics of Semnan, Iran were selected by convenience sampling. The participants completed the assessment of colon cancer literacy, health education impact questionnaire, colorectal cancer screening questionnaire, colorectal cancer screening decision quality instrument, and demographic checklist. Finally, the data were analyzed with descriptive statistics and structural equation modeling, using SPSS-20 and LISREL 8.8 software.[Results]The final model was approved and the model had a good fitness of the data observed. Perceived susceptibility, perceived self-efficacy, and perceived response efficacy indirectly predicted defensive avoidance through cancer-related literacy (P < 0.05). Perceived severity and perceived response efficacy indirectly predicted defensive avoidance through fear of cancer (P < 0.05). Perceived susceptibility and perceived response efficacy indirectly predicted defensive avoidance through health-related empowerment (P < 0.05). In addition, the effect of perceived self-efficacy on the fear of cancer was non-significant (P > 0.05) and perceived severity had a direct effect on the defensive avoidance (P < 0.05).[Conclusions]It is concluded that designing the tailored health-promoting programs is crucial to improve perceived self-efficacy, perceived response efficacy, cancer-related literacy, and health-related empowerment for engagement to the colorectal cancer screening. In addition, decreasing or controlling the fear of cancer, perceived susceptibility, and perceived severity, as leading causes of defensive avoidance in colorectal cancer screening, is important.
Journal title :
Astroparticle Physics
