Increasing Screening Mammography in Asymptomatic Women: Evaluation of a Second-Generation, Theory-Based Program

Leona S. Aiken, Stephen West, Claudia K. Woodward, Raymond R. Reno, Kim D. Reynolds

Research output: Contribution to journalArticle

70 Scopus citations

Abstract

Two theory-based programs to increase mammography screening rates among asymptomatic women were implemented and evaluated in the community. One program (E) was based on the Health Belief Model (HBM); the second program (EP) added exercises adapted from the social psychology of compliance. Program impact on screening among 295 primarily Caucasian, middle-class women was evaluated against untreated controls (C) over a 6-month period. Both programs led to increases in HBM components (Perceived Susceptibility, and Perceived Benefits) and Intentions to obtain a mammogram. Screening rates 2 to 3 times higher were observed in the EP and E over C conditions; EP and E did not differ. A mediational model of compliance illustrated the interplay of HBM components in the compliance process.

Original languageEnglish (US)
Pages (from-to)526-538
Number of pages13
JournalHealth Psychology
Volume13
Issue number6
DOIs
StatePublished - Nov 1994

Keywords

  • health belief model
  • mammography screening intervention
  • mediation of intervention effects

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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