title: Moving mammogram-reluctant women to screening: a pilot study.
abstract: BACKGROUND
  Effective interventions are needed for women long overdue for screening mammography.
  
  
  OBJECTIVE
  The purpose of this study is to pilot test an intervention for motivating overdue women to receive a mammogram.
  
  
  METHODS
  Subjects aged 45-79 without a mammogram in > or =27 months and enrolled in study practices were identified from claims data. The intervention included a mailed, educational booklet, computer-assisted barrier-specific tailored counseling and motivational interviewing, and facilitated, short-interval mammography scheduling.
  
  
  RESULTS
  Of 127 eligible women, 45 (35.4%) agreed to counseling and data collection. Most were > or =3 years overdue. Twenty-six (57.8%) of the counseled women got a mammogram within 12 months. Thirty-one (72.1%) of 43 counseled women moved > or =1 stage closer to screening, based on a modified Precaution Adoption Process Model.
  
  
  CONCLUSIONS
  It is feasible to reach and counsel women who are long overdue for a mammogram and to advance their stage of adoption. The intervention should be formally evaluated in a prospective trial comparing it to control or to proven interventions.
authors.affiliation: University of Massachusetts Medical School, Worcester, USA. Mary.Costanza@umassmed.edu
authors.forename: Mary E
authors.initials: ME
authors.lastname: Costanza
authors.forename: Roger
authors.initials: R
authors.lastname: Luckmann
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: White
authors.forename: Milagros C
authors.initials: MC
authors.lastname: Rosal
authors.forename: Nancy
authors.initials: N
authors.lastname: LaPelle
authors.forename: Caroline
authors.initials: C
authors.lastname: Cranos
mesh_terms: D000368:Aged; D003376:Counseling; D055088:Early Detection of Cancer; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D008960:Models, Psychological; D010865:Pilot Projects; D016387:Women's Health