Promoting repeat mammography use: insights from a systematic needs assessment.
This article describes the process and outcome of a needs assessment conducted to guide the development of interventions to increase repeat mammography use among participants in a federally funded cancer screening program. Health behavior theory and data from a phone survey are used to uncover key barriers to repeat mammography use and to identify fruitful intervention approaches for modifying them. Estimates of (a) compliance with mammography guidelines, (b) readiness to adopt regular mammography use, (c) the most common reasons for not being rescreened, and (d) population attributable risks associated with various predictors of repeat mammography use are presented and, with guidance from the transtheoretical model of behavior change, used to make inferences about the type of intervention strategies most appropriate for promoting repeat mammography use in this population.
Partin
Melissa R
MR
Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, Minnesota 55417, USA. melissa.partin@med.va.gov
Slater
Jonathan S
JS
D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000517:prevention & control*; D002487:Centers for Disease Control and Prevention, U.S.; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data*; D005260:Female; D006078:Government Programs; D015438:Health Behavior; D019538:Health Care Surveys; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D008910:Minnesota; D009313:National Health Programs; D020380:Needs Assessment; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States