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- Title
A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening.
- Authors
Lee-Lin, Frances; Nguyen, Thuan; Pedhiwala, Nisreen; Dieckmann, Nathan F.; Menon, Usha
- Abstract
Application of behavior change theories to ethnically diverse groups is limited. In a secondary analysis of intervention study data, we tested the validity of the transtheoretical model (TTM) of change among Chinese American immigrant women. Three hundred mammography non-adherent women were randomized to an intervention or control group. Compared with contemplators (60%), precontemplators reported higher perceived mammography barriers (p < .001) and lower breast cancer susceptibility (p < .01). Baseline contemplators were 1.5 times more likely to have a mammogram post intervention compared with precontemplators. Upward shift in stage of change was higher in the intervention than the control group at 3 months (odds ratio [OR] = 6.14), 6 months (OR = 4.82), and 12 months (OR = 2.85). Women with an upward shift at 3 months were more likely to complete mammography at 12 months (OR = 15.44). The results supported the TTM stages of change. Education targeted to Chinese women’s stages of change has significant potential to decrease breast cancer screening disparities.
- Subjects
OREGON; UNITED States; BEHAVIOR modification; CHINESE people; IMMIGRANTS; AGE distribution; MAMMOGRAMS; CHI-squared test; CONCEPTUAL structures; CONFIDENCE intervals; CULTURE; FISHER exact test; HEALTH attitudes; LONGITUDINAL method; RESEARCH funding; STATISTICAL sampling; SELF-evaluation; THEORY; MULTIPLE regression analysis; SECONDARY analysis; CONTROL groups; TRANSTHEORETICAL model of change; HEALTH literacy; ODDS ratio; MANN Whitney U Test; EVALUATION
- Publication
Western Journal of Nursing Research, 2016, Vol 38, Issue 4, p441
- ISSN
0193-9459
- Publication type
Article
- DOI
10.1177/0193945915618398