Cancer Causes & Control

, Volume 16, Issue 7, pp 799–807

Impact of a Telephone Counseling Intervention on Transitions in Stage of Change and Adherence to Interval Mammography Screening (United States)

  • Patricia A. Carney
  • Beth G. Harwood
  • Mary Ann Greene
  • Martha E. Goodrich
Article

DOI: 10.1007/s10552-005-2612-4

Cite this article as:
Carney, P.A., Harwood, B.G., Greene, M.A. et al. Cancer Causes Control (2005) 16: 799. doi:10.1007/s10552-005-2612-4

Abstract

Background: Interventions to improve adherence to regular mammography screening have had conflicting results. Many studies have depended on women’s self-report rather than clinical evidence of a mammography encounter.

Methods:

We tested the impact of two interventions on a population-based sample of NH women who were not receiving routine mammography to determine if adherence to screening could be improved. The interventions included a mailing of women’s health information and a telephone counseling intervention based on the Transtheoretical Model. Participant eligibility and outcome measures were based on clinical events obtained from a population-based mammography registry.

Results:

Two hundred and fifty eight women completed all aspects of the intervention study. The women were randomly assigned to one of two study groups: 51% received the mail intervention and 49% received the telephone intervention. Among women who received the telephone counseling intervention, 67% percent reported being in either an action or maintenance stage at Call 1, which increased to 84% at Call 2 (p<0.001). Seventy-six percent of women identified barriers to screening mammography at Call 1, which decreased to 44% at Call 2 (p<0.01). The most frequently identified barrier was confusion over the guidelines for screening mammography. At the first assessment time interval, greater than 60% of women were up-to-date for screening mammography in the group that received telephone counseling versus 48% in the group that received health information by mail (p = 0.04). However, women’s status as up-to-date fell for both groups between the first and second assessment time intervals.

Conclusions:

Tailored telephone counseling based on the Transtheoretical Model can improve adherence to screening mammography, though the duration of this effect is in question.

Copyright information

© Springer 2005

Authors and Affiliations

  • Patricia A. Carney
    • 1
  • Beth G. Harwood
    • 1
  • Mary Ann Greene
    • 1
  • Martha E. Goodrich
    • 1
  1. 1.Department of Community and Family Medicine, Dartmouth Medical SchoolNorris Cotton Cancer CenterLebanonUSA

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