title: Comparison of tailored interventions to increase mammography screening in nonadherent older women.
abstract: BACKGROUND
  Recent increases in mammography use have led to a decrease in mortality from breast cancer.
  
  
  METHODS
  Building on the Health Belief Model, the Transtheoretical Model, and past effectiveness of tailored interventions, we conducted a prospective randomized trial (n = 773) to test the efficacy on mammography adherence of tailored interventions delivered by five different methods, i.e., telephone counseling, in-person counseling, physician letter, and combinations of telephone with letter and in-person with letter.
  
  
  RESULTS
  All five interventions increased mammography adherence significantly relative to usual care (odds ratios, 1.93 to 3.55) at 6 months post intervention. The combination of in-person with physician letter was significantly more effective than telephone alone or letter alone. Women thinking about getting a mammogram at baseline were more likely to be adherent by 6 months; even those in usual care achieved 48% adherence compared with 50-70% in the intervention groups. In contrast, women not thinking about getting a mammogram needed the interventions to increase their adherence from 13% to over 30%.
  
  
  CONCLUSIONS
  All five interventions were effective at increasing mammography adherence. Women not thinking about getting a mammogram were most likely to benefit from these tailored interventions while other women might need less intensive interventions.
authors.affiliation: Indiana University School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, USA. vchampio@iupui.edu
authors.forename: Victoria
authors.initials: V
authors.lastname: Champion
authors.forename: Maltie
authors.initials: M
authors.lastname: Maraj
authors.forename: Siu
authors.initials: S
authors.lastname: Hui
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Perkins
authors.forename: William
authors.initials: W
authors.lastname: Tierney
authors.forename: Usha
authors.initials: U
authors.lastname: Menon
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D004522:Educational Status; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007182:Income; D016015:Logistic Models; D008327:Mammography; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic / Q000379:methods; D012307:Risk Factors