The Effect of a Program Based on the Common‑Sense Model on Illness Perception and Health‑Promoting Behaviors in Women with Breast Cancer: A Randomized Clinical Trial Study
Abstract
Background: Breast cancer survivors face substantial challenges, including the risk of disease recurrence and the development of secondary chronic conditions. These issues create significant burdens for both patients and healthcare systems. Many survivors struggle to maintain health‑promoting behaviors, which highlights the need for tailored educational interventions. This study examines the effectiveness of an intervention program, based on the Common‑Sense Model, in improving illness perception and promoting healthy behaviors among breast cancer survivors. Materials and Methods: A randomized controlled trial was conducted between November 2023 and February 2024, enrolling 72 women with breast cancer from selected treatment centers in Isfahan, Iran. Participants were recruited using convenience sampling and randomly allocated to either the intervention group (n = 36) or the control group (n = 36). The educational intervention was delivered by a multidisciplinary team over four consecutive weeks and included virtual support sessions. Both groups completed validated questionnaires measuring illness perception and health‑promoting behaviors at baseline and post‑intervention. Data analysis employed descriptive and inferential statistical methods. Results: Prior to the intervention, no significant differences were observed between the groups (p > 0.05). However, the intervention group demonstrated significant improvements in the mean scores for overall illness perception and health‑promoting behaviors following the intervention (p < 0.001). Conclusions: The results indicate that educational interventions based on the Common‑Sense Model can effectively enhance illness perception and health‑promoting behaviors among breast cancer patients. It is recommended that nurses incorporate this model into their clinical practice to improve patients’ illness perceptions and promote healthy behaviors alongside standard care protocols.
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Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024;74:229‑63.
Aryannejad A, Saeedi Moghaddam S, Mashinchi B, Tabary M, Rezaei N, Shahin S, et al. National and subnational burden of female and male breast cancer and risk factors in Iran from 1990 to 2019: Results from the Global Burden of Disease study 2019. Breast Cancer Res 2023;25:47.
Meshkat M, Baghestani AR, Zayeri F, Khayamzadeh M, Akbari ME. Survival rate and prognostic factors among Iranian breast cancer patients. Iran J Public Health 2020;49:341‑50.
Kang D, Kang M, Hong YS, Park J, Lee J, Seo HJ, et al. Temporal patterns of chronic disease incidence after breast cancer: A nationwide population‑based cohort study. Sci Rep 2022;12:5489.
Ghosn B, Benisi‑Kohansal S, Ebrahimpour‑Koujan S, Azadbakht L, Esmaillzadeh A. Association between healthy lifestyle score and breast cancer. Nutr J 2020;19:4.
Antoni MH, Moreno PI, Penedo FJ. Stress Management interventions to facilitate psychological and physiological adaptation and optimal health outcomes in cancer patients and survivors. Annu Rev Psychol 2023;74:423‑55.
Adam A, Koranteng F. Availability, accessibility, and impact of social support on breast cancer treatment among breast cancer patients in Kumasi, Ghana: A qualitative study. PLoS One 2020;15:e0231691.
Wang X, Wang N, Zhong L, Wang S, Zheng Y, Yang B, et al. Prognostic value of depression and anxiety on breast cancer recurrence and mortality: A systematic review and meta‑analysis of 282,203 patients. Mol Psychiatry 2020;25:3186‑97.
Wang F, Cai H, Gu K, Shi L, Yu D, Zhang M, et al. Adherence to dietary recommendations among long‑term breast cancer survivors and cancer outcome associations. Cancer Epidemiol Biomarkers Prev 2020;29:386‑95.
Welch WA, Solk P, Auster‑Gussman L, Gavin KL, Whitaker M, Cullather E, et al. User‑centered development of a smartphone application (Fit2Thrive) to promote physical activity in breast cancer survivors. Transl Behav Med 2022;12:203‑13.
Abdous N, Nazarali P, Ramezankhani A, Fallah F. The assessment of knowledge, attitude, nutritional practice and physical activity and its relation with quality of life in patients with breast cancer. Basic Clin Cancer Res 2021;13:72‑83.
Chang YC, Yeh TL, Chang YM, Hu WY. Short‑term effects of randomized mindfulness‑based intervention in female breast cancer survivors: A systematic review and meta‑analysis. Cancer Nurs 2021;44:E703‑14.
Peixoto NMDSM, Peixoto TADSM, Pinto CAS, Santos CSVB. Nursing intervention focusing on health promotion behaviors in adult cancer patients: A scoping review. Rev Esc Enferm USP 2021;55:e03673.
Kugbey N, Oppong Asante K, Meyer‑Weitz A. Illness perception and coping among women living with breast cancer in Ghana: An exploratory qualitative study. BMJ Open 2020;10:e033019.
Mirzaei F, Nourizadeh R, Farshbaf‑Khalili A. Understandings of illness and its predictors in Iranian women with breast cancer referring to oncology centers of ARAK, 2017‑2018. Nurs Midwifery J 2020;18:662‑71.
Breland JY, Wong JJ, McAndrew LM. Are Common Sense Model constructs and self‑efficacy simultaneously correlated with self‑management behaviors and health outcomes: A systematic review. Health Psychol Open 2020;7:2055102919898846.
Hagger MS, Orbell S. The common sense model of illness self‑regulation: A conceptual review and proposed extended model. Health Psychol Rev 2022;16:347‑77.
Shen Z, Xu J, Yin W, Liu Q, Fan M, Luo C. Common Sense Model program on illness perceptions in patients with impaired awareness of hypoglycemia. Contemp Nurse 2022;58:171‑91.
Yasmin F, Ain Q, Liaqat A, Danish AH, Saddique H. Role of home based educational intervention on illness perception and health services utilization among chronic obstructive pulmonary disease patients. J Health Rehabil Res 2024;4:502‑8.
Kordvarkane Z, Oshvandi K, Mohammadi Y, Azizi A. Effect of education based on the Common‑Sense Model of Self‑Regulation on blood pressure and self‑management of hypertensive patients: A clinical trial study. Int J Nurs Sci 2023;10:294‑301.
Fann WC, Hung CC, Chaboyer W, Lee BO. Effectiveness of a nurse‑delivered intervention on illness perceptions and quality of life in patients with injury. J Nurs Res 2021;29:e163.
Ginnerup‑Nielsen E, Jørgensen TS, Dew‑Hattens C, Christensen R, Berg JI, Vase L, et al. The impact of an illness perception conversation on open‑label placebo response in knee osteoarthritis: A randomised controlled trial. Osteoarthritis Cartilage 2024;32:1610‑9.
Sadeh Tabarian M, Ghyasvandian S, Haghani S. Effect of education based on illness perception on glycemic control in diabetic patients. Iran J Endocrinol Metab 2020;21:364‑71.
Soleimani MA, Tabiban S, Bakhshande H, Asghary M. Effect of illness perception intervention on death anxiety in hemodialysis patients: A randomized clinical trial. J Mazandaran Univ Med Sci 2018;28:12‑24.
Hamed Bieyabanie M, Mohammad‑Alizadeh Charandabi S, Mirghafourvand M. Effect of counseling on the health‑promoting lifestyle and quality of life among mastectomised women. Health Educ Health Promot 2021;9:317‑24.
Stan DL, Cutshall SM, Adams TF, Ghosh K, Clark MM, Wieneke KC, et al. Wellness coaching intervention for increasing healthy behaviors in breast cancer survivors. Clin J Oncol Nurs 2020;24:305.
Veličković K, Borrebaeck CAK, Bendahl PO, Hegardt C, Johnsson P, Richter C, et al. One‑year recovery from breast cancer: Importance of tumor and treatment‑related factors, resilience, and sociodemographic factors for health‑related quality of life. Front Oncol 2022;12:891850.
Sadeghi E, Gozali N, Tabrizi FM. Effects of energy conservation strategies on cancer related fatigue and health promotion lifestyle in breast cancer survivors: A randomized control trial. APJCP 2016;17:4783.
Karabulutlu EY, Avcı İA, Karayurt Ö, Gürsoy A, Köşgeroğlu N, Tuna A, et al. Evaluation of illness perception of women with breast cancer in Turkey. Eur J Breast Health 2019;15:98‑104.
Rakhshan M, Rahimi M, Zarshenas L. The effect of an education program based on illness perception on the lifestyle of patients with metabolic syndrome: A randomized controlled clinical trial. Int J Community Based Nurs Midwifery 2019;7:279‑87.
Basharpoor S, NasriNasrabadi B, Heidari F, Molavi P. The role of health beliefs and illness perceptions in predicting health‑promoting behaviors in cancer patients. Iran J Health Educ Health Promot 2018;6:102‑13.
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