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The effect of telephone versus print tailoring for mammography adherence
Victoria Champion1, Celette Sugg Skinner, Siu Hui
1Indiana University, School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, United States. vchampio@iupui.edu
Objective:
The purpose of this intervention was to increase mammography adherence in women who had not had a mammogram in the last 15 months.
Methods:
A prospective randomized intervention trial used four groups: (1) usual care, (2) tailored telephone counseling, (3) tailored print, (4) tailored telephone counseling and print. Participants included a total of 1244 women from two sites-a general medicine clinic setting serving predominately low-income clientele and a Health Maintenance Organization (HMO). Computer-tailored interventions addressed each woman's perceived risk of breast cancer, benefits and/or barriers and self-efficacy related to mammography screening comparing delivery by telephone and mail.
Results:
Compared to usual care all intervention groups increased mammography adherence significantly (odds ratio 1.60-1.91) when the entire sample was included.
Conclusions:
All interventions groups demonstrated efficacy in increasing mammography adherence as compared to a usual care group. When the intervention analysis considered baseline stage, pre contemplators (women who did not intend to get a mammogram) did not significantly increase in mammography adherence as compared to usual care.
Practice Implications:
Women who are in pre contemplation stage may need a more intensive intervention.
