The theory of reasoned action in prediction of breast self-examination: a comparison of two studies.

The purpose of this article is to report the application of the theory of reasoned action (TRA) to predict breast self-examination (BSE) intention and frequency in two studies with middle-aged and older women. The sample in Study 1 consisted of 93 volunteers from church groups; the second sample consisted of 175 randomly selected subscribers to a large health maintenance organization. Questionnaires to measure attitudinal and subjective normative influences relevant to BSE were developed using guidelines specified by Ajzen and Fishbein (1980). The attitudinal components predicted BSE intention in both studies and BSE frequency in Study 1. In contrast, the subjective norm contributed significantly only to the prediction of frequency in Study 1. Findings demonstrate varying degrees of success for the TRA in predicting BSE intention and behavior. Explanations for the inconsistency in the predictive ability of the TRA can be related to differences between the two studies regarding sample and design characteristics.