title: The effect of telephone versus print tailoring for mammography adherence.
abstract: OBJECTIVE
  The purpose of this intervention was to increase mammography adherence in women who had not had a mammogram in the last 15 months.
  
  
  METHODS
  A prospective randomized intervention trial used four groups: (1) usual care, (2) tailored telephone counseling, (3) tailored print, (4) tailored telephone counseling and print. Participants included a total of 1244 women from two sites-a general medicine clinic setting serving predominately low-income clientele and a Health Maintenance Organization (HMO). Computer-tailored interventions addressed each woman's perceived risk of breast cancer, benefits and/or barriers and self-efficacy related to mammography screening comparing delivery by telephone and mail.
  
  
  RESULTS
  Compared to usual care all intervention groups increased mammography adherence significantly (odds ratio 1.60-1.91) when the entire sample was included.
  
  
  CONCLUSIONS
  All interventions groups demonstrated efficacy in increasing mammography adherence as compared to a usual care group. When the intervention analysis considered baseline stage, pre contemplators (women who did not intend to get a mammogram) did not significantly increase in mammography adherence as compared to usual care.
  
  
  CONCLUSIONS
  Women who are in pre contemplation stage may need a more intensive intervention.
authors.affiliation: Indiana University, School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, United States. vchampio@iupui.edu
authors.forename: Victoria
authors.initials: V
authors.lastname: Champion
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
authors.forename: Siu
authors.initials: S
authors.lastname: Hui
authors.forename: Patrick
authors.initials: P
authors.lastname: Monahan
authors.forename: Beth
authors.initials: B
authors.lastname: Juliar
authors.forename: Joanne
authors.initials: J
authors.lastname: Daggy
authors.forename: Usha
authors.initials: U
authors.lastname: Menon
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods*; D003376:Counseling / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006279:Health Maintenance Organizations; D006801:Humans; D007196:Indiana; D016015:Logistic Models; D008327:Mammography / Q000451:nursing / Q000523:psychology* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000451:nursing / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D008923:Missouri; D015403:Nursing Evaluation Research; D010174:Pamphlets; D010347:Patient Care Planning / Q000458:organization & administration; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D011204:Poverty Areas; D011446:Prospective Studies; D017010:Reminder Systems / Q000592:standards*; D018570:Risk Assessment; D020377:Self Efficacy; D013689:Telephone