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

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

Research output: Contribution to journalArticlepeer-review

124 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

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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