title: Tailored interventions to promote mammography screening: a meta-analytic review.
abstract: OBJECTIVE
  To evaluate the effectiveness of tailored interventions, designed to reach one specific person based on her unique characteristics, for promoting mammography use.
  
  
  METHODS
  This systematic review used meta-analytic techniques to aggregate the effect size of 28 studies published from 1997 through 2005. Potential study-level moderators of outcomes (sample, intervention, and methodological characteristics) were also examined.
  
  
  RESULTS
  A small but significant aggregate odds ratio effect size of 1.42 indicated that women exposed to tailored interventions were significantly more likely to get a mammogram (p<0.001). The type of population recruited and participants' pre-intervention level of mammography adherence did not significantly influence this effect. Tailored interventions that used the Health Belief Model and included a physician recommendation produced the strongest effects. Interventions delivered in person, by telephone, or in print were similarly effective. Finally, defining adherence as a single recent mammogram as opposed to regular or repeated mammograms yielded higher effect sizes.
  
  
  CONCLUSIONS
  Tailored interventions, particularly those that employ the Health Belief Model and use a physician recommendation, are effective in promoting mammography screening. Future investigations should strive to use more standardized definitions of tailoring and assessments of mammography outcomes.
authors.affiliation: Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2500, USA.
authors.forename: Stephanie J
authors.initials: SJ
authors.lastname: Sohl
authors.forename: Anne
authors.initials: A
authors.lastname: Moyer
mesh_terms: D001294:Attitude to Health; D001524:Behavioral Medicine; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000517:prevention & control; D005260:Female; D006293:Health Promotion; D006801:Humans; D008327:Mammography; D008403:Mass Screening; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care; D040241:Social Marketing