The effects of standard care counseling or telephone/in-person counseling on beliefs, knowledge, and behavior related to mammography screening.
OBJECTIVE
To determine the most effective methods of increasing mammography adherence while also considering ease of intervention delivery in evolving healthcare systems.


METHODS
Experimental.


METHODS
Women from a health maintenance organization and a large general medicine practice.


METHODS
Women 50-85 years of age who had not had breast cancer and did not have a mammogram within the last 15 months.


METHODS
Once consent and baseline information were obtained, women were randomized to receive in-person, telephone, or no mammography counseling.


METHODS
Mammography adherence, perception of susceptibility to breast cancer, and benefits, barriers to, and knowledge of mammography.


RESULTS
Compared to standard care, telephone counseling was more than twice as effective at increasing mammography adherence, whereas in-person counseling resulted in almost three times the mammography adherence postintervention. Both telephone and in-person counseling are successful in changing perceived susceptibility, knowledge, barriers, and benefits.


CONCLUSIONS
Both telephone and in-person counseling interventions were successful in changing beliefs, which, in turn, increased mammography adherence.


CONCLUSIONS
Interventions based on altering beliefs are effective for increasing mammography adherence.
Champion
V L
VL
School of Nursing, Indiana University, Indianapolis, USA. vchampio@iupui.du
Skinner
C S
CS
Foster
J L
JL
D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D003376:Counseling / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010349:Patient Compliance; D013689:Telephone