The effect of telephone versus print tailoring for mammography adherence.
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.
Champion
Victoria
V
Indiana University, School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, United States. vchampio@iupui.edu
Skinner
Celette Sugg
CS
Hui
Siu
S
Monahan
Patrick
P
Juliar
Beth
B
Daggy
Joanne
J
Menon
Usha
U
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