BACKGROUND: Recent increases in mammography use have led to a decrease in mortality from breast cancer. METHODS: Building on the Health Belief Model, the Transtheoretical Model, and past effectiveness of tailored interventions, we conducted a prospective randomized trial (n = 773) to test the efficacy on mammography adherence of tailored interventions delivered by five different methods, i.e., telephone counseling, in-person counseling, physician letter, and combinations of telephone with letter and in-person with letter. RESULTS: All five interventions increased mammography adherence significantly relative to usual care (odds ratios, 1.93 to 3.55) at 6 months post intervention. The combination of in-person with physician letter was significantly more effective than telephone alone or letter alone. Women thinking about getting a mammogram at baseline were more likely to be adherent by 6 months; even those in usual care achieved 48% adherence compared with 50-70% in the intervention groups. In contrast, women not thinking about getting a mammogram needed the interventions to increase their adherence from 13% to over 30%. CONCLUSIONS: All five interventions were effective at increasing mammography adherence. Women not thinking about getting a mammogram were most likely to benefit from these tailored interventions while other women might need less intensive interventions.
RCT Entities:
BACKGROUND: Recent increases in mammography use have led to a decrease in mortality from breast cancer. METHODS: Building on the Health Belief Model, the Transtheoretical Model, and past effectiveness of tailored interventions, we conducted a prospective randomized trial (n = 773) to test the efficacy on mammography adherence of tailored interventions delivered by five different methods, i.e., telephone counseling, in-person counseling, physician letter, and combinations of telephone with letter and in-person with letter. RESULTS: All five interventions increased mammography adherence significantly relative to usual care (odds ratios, 1.93 to 3.55) at 6 months post intervention. The combination of in-person with physician letter was significantly more effective than telephone alone or letter alone. Women thinking about getting a mammogram at baseline were more likely to be adherent by 6 months; even those in usual care achieved 48% adherence compared with 50-70% in the intervention groups. In contrast, women not thinking about getting a mammogram needed the interventions to increase their adherence from 13% to over 30%. CONCLUSIONS: All five interventions were effective at increasing mammography adherence. Women not thinking about getting a mammogram were most likely to benefit from these tailored interventions while other women might need less intensive interventions.
Authors: Terrell W Zollinger; Victoria L Champion; Patrick O Monahan; Susan K Steele-Moses; Kim W Ziner; Qianqian Zhao; Sara A Bourff; Robert M Saywell; Kathleen M Russell Journal: Am J Health Promot Date: 2010 Jul-Aug
Authors: Erinn M Hade; David M Murray; Michael L Pennell; Dale Rhoda; Electra D Paskett; Victoria L Champion; Benjamin F Crabtree; Allen Dietrich; Mark B Dignan; Melissa Farmer; Joshua J Fenton; Susan Flocke; Robert A Hiatt; Shawna V Hudson; Michael Mitchell; Patrick Monahan; Salma Shariff-Marco; Stacey L Slone; Kurt Stange; Susan L Stewart; Pamela A Ohman Strickland Journal: J Natl Cancer Inst Monogr Date: 2010
Authors: Usha Menon; Victoria L Champion; Gregory N Larkin; Terrell W Zollinger; Priscilla M Gerde; Sally W Vernon Journal: J Occup Environ Med Date: 2003-08 Impact factor: 2.162
Authors: Victoria L Champion; Patrick O Monahan; Jeffery K Springston; Kathleen Russell; Terrell W Zollinger; Robert M Saywell; Maltie Maraj Journal: J Health Psychol Date: 2008-09