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.
LaPelle
Nancy
N
University of Massachusetts Medical School, Worcester, MA 01655, USA.
Costanza
Mary E
ME
Luckmann
Roger
R
Rosal
Milagros C
MC
White
Mary Jo
MJ
Stark
Jennifer Rider
JR
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*