• Victoria Champion, Celette Sugg Skinner, Siu Hui, Patrick Monahan, Beth Juliar, Joanne Daggy, and Usha Menon.
• Indiana University, School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, United States. vchampio@iupui.edu
• Patient Educ Couns. 2007 Mar 1; 65 (3): 416-23.

ObjectiveThe purpose of this intervention was to increase mammography adherence in women who had not had a mammogram in the last 15 months.MethodsA 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.ResultsCompared to usual care all intervention groups increased mammography adherence significantly (odds ratio 1.60-1.91) when the entire sample was included.ConclusionsAll 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 ImplicationsWomen who are in pre contemplation stage may need a more intensive intervention.

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