Increasing screening mammography in asymptomatic women: evaluation of a second-generation, theory-based program.
Two theory-based programs to increase mammography screening rates among asymptomatic women were implemented and evaluated in the community. One program (E) was based on the Health Belief Model (HBM); the second program (EP) added exercises adapted from the social psychology of compliance. Program impact on screening among 295 primarily Caucasian, middle-class women was evaluated against untreated controls (C) over a 6-month period. Both programs led to increases in HBM components (Perceived Susceptibility, and Perceived Benefits) and Intentions to obtain a mammogram. Screening rates 2 to 3 times higher were observed in the EP and E over C conditions; EP and E did not differ. A mediational model of compliance illustrated the interplay of HBM components in the compliance process.
Aiken
L S
LS
Department of Psychology, Arizona State University, Tempe 85287-1104.
West
S G
SG
Woodward
C K
CK
Reno
R R
RR
Reynolds
K D
KD
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D008960:Models, Psychological; D016017:Odds Ratio; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology