Comparison of tailored interventions to increase mammography screening in nonadherent older women

Victoria Champion, Maltie Maraj, Siu Hui, Anthony J. Perkins, William M. Tierney, Usha Menon, Celette Sugg Skinner

Research output: Contribution to journalArticlepeer-review

116 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)150-158
Number of pages9
JournalPreventive Medicine
Issue number2
StatePublished - Feb 1 2003


  • Breast cancer
  • Interventions
  • Mammography

ASJC Scopus subject areas

  • Medicine(all)

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