title: Predictors of adherence to follow-up recommendations after an abnormal Pap smear among underserved inner-city women.
abstract: OBJECTIVE
  This study aimed to identify cognitive-affective predictors of adherence to initial diagnostic colposcopy and 6-month follow-up recommendations among underserved women.
  
  
  METHODS
  A secondary data analysis was completed of a randomized clinical trial assessing tailored telephone counseling for colposcopy adherence after an abnormal screening Pap smear among 210 underserved inner-city women.
  
  
  RESULTS
  Adherence to initial diagnostic colposcopy was significantly associated with greater self-efficacy (OR=1.504, 95% CI 1.021-2.216). Women with lower monitoring attentional style had significantly greater adherence to 6-month follow-up recommendations compared to women with higher monitoring scores (OR=0.785, 95% CI 0.659-0.935).
  
  
  CONCLUSIONS
  Increasing cervical cancer-related self-efficacy and tailoring cervical cancer risk communication to monitoring attentional style may help improve adherence to follow-up recommendations after an abnormal Pap smear test result.
  
  
  CONCLUSIONS
  Future research is needed to develop and implement psychosocial approaches to improving adherence to diagnostic colposcopy and follow-up recommendations adherence among underserved women.
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA; Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, 3500 N. Broad Street, Philadelphia, PA, 19140, USA. Electronic address: Suzanne.Miller@fccc.edu.
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Miller
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
authors.forename: Erin K
authors.initials: EK
authors.lastname: Tagai
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
authors.forename: Kuang-Yi
authors.initials: KY
authors.lastname: Wen
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
authors.forename: Minsun
authors.initials: M
authors.lastname: Lee
authors.affiliation: Research & Evaluation Group, Public Health Management Corporation, 1500 Market Street, Suite 1500, Philadelphia, PA, 19102, USA.
authors.forename: Siu-Kuen Azor
authors.initials: SA
authors.lastname: Hui
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Kurtz
authors.affiliation: Department of Patient Empowerment and Decision Making, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
authors.forename: John
authors.initials: J
authors.lastname: Scarpato
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, 3500 N. Broad Street, Philadelphia, PA, 19140, USA.
authors.forename: Enrique
authors.initials: E
authors.lastname: Hernandez
mesh_terms: D000328:Adult; D003127:Colposcopy; D003376:Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D065006:Papanicolaou Test; D010349:Patient Compliance; D011315:Preventive Medicine; D013689:Telephone; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears
keywords: Abnormal Pap smear; Cervical cancer risk; Colposcopy; Initial and follow-up behaviors; Psychosocial adherence predictors