Staging mammography nonadherent women: a qualitative study.
BACKGROUND
Few studies have related stages of mammography screening nonadherence with the rationale used by overdue women.


METHODS
We used a grounded theory approach to obtain and analyze data from focus groups, telephone interviews, and surveys. Emergent specific themes were compared with emerging decision levels of nonadherence. Each decision level was then compared with the Precaution Adoption Process Model and the Transtheoretical Model.


RESULTS
A total of 6 key themes influencing mammogram nonadherence emerged as did 6 decision levels. Variability within themes was associated with specific decision levels. The decision levels were not adequately classified by either stage model.


CONCLUSIONS
Stage-based educational strategies may benefit by tailoring interventions to these 6 decision levels.
University of Massachusetts Medical School, Worcester, MA 01655, USA.
Nancy
N
LaPelle
Mary E
ME
Costanza
Roger
R
Luckmann
Milagros C
MC
Rosal
Mary Jo
MJ
White
Jennifer Rider
JR
Stark
D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening; D008875:Middle Aged; D008962:Models, Theoretical; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D010865:Pilot Projects; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology*