Moving mammogram-reluctant women to screening: A pilot study

TitleMoving mammogram-reluctant women to screening: A pilot study
Publication TypeJournal Article
Year of Publication2009
AuthorsCostanza, ME, Luckmann, R, White, MJ, Rosal, MC, LaPelle, N, Cranos, C
JournalAnnals of Behavioral Medicine
Date PublishedJun
Publication Languageeng
ISBN Number1532-4796 (Electronic)0883-6612 (Linking)
Accession Number19517203
Keywords*Early Detection of Cancer, *Health Knowledge, Attitudes, Practice, Aged, Counseling, Female, Health Education, Humans, Interviews as Topic, Mammography/*psychology, Middle Aged, Models, Psychological, Pilot Projects, Women's Health

BACKGROUND: Effective interventions are needed for women long overdue for screening mammography. PURPOSE: 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. CONCLUSION: 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.

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