title: Health belief model variables as predictors of progression in stage of mammography adoption.
abstract: OBJECTIVE
  Identify predictors of change in mammography stage for nonadherent women so that appropriate stage-based interventions can be developed.
  
  
  METHODS
  Participants were randomly assigned to one of four groups in a randomized clinical trial to increase mammography screening. This report focuses on predictors of stages of change of mammography behavior; intervention results are reported elsewhere.
  
  
  METHODS
  Indigent clinic and health maintenance organization.
  
  
  METHODS
  Women, 50 or older, with no breast cancer diagnosis and nonadherent with mammography screening.
  
  
  METHODS
  The intervention and results are described elsewhere.
  
  
  METHODS
  Previously validated belief scales.
  
  
  RESULTS
  Results showed that precontemplators and contemplators differed significantly at baseline and follow-up on all breast cancer beliefs except fear. Changes in barriers, benefits, and self-efficacy scores significantly predicted forward stage movement for women entering the study in precontemplation or contemplation (p = .0009, p = .037, and p = .048, respectively).
  
  
  CONCLUSIONS
  Changes in beliefs predict stage movement, and beliefs differ significantly among stages, leading the way for interventions tailored to both beliefs and stages of behavior adoption. In practical terms, we may be able to cut down on the "bulkiness" of our interventions and the number of tailoring variables, focusing more intensively on tailoring interventions to the beliefs whose changes have now been shown to predict stage advancement. These predictions are in addition to intervention effect which is reported elsewhere.
authors: University of Illinois-Chicago, College of Nursing, 845 S. Damen Avenue, MC 802, Chicago, IL 60612, USA.
authors: Usha
authors: U
authors: Menon
authors: Victoria
authors: V
authors: Champion
authors: Patrick O
authors: PO
authors: Monahan
authors: Joanne
authors: J
authors: Daggy
authors: Siu
authors: S
authors: Hui
authors: Celette Sugg
authors: CS
authors: Skinner
mesh_terms: D001741:Black or African American; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006297:Health Services Accessibility; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D012306:Risk; D020377:Self Efficacy; D012959:Socioeconomic Factors; D016312:Treatment Refusal / Q000523:psychology*; D044465:White People