Paper Title

Increasing screening mammography in asymptomatic women: Evaluation of a second-generation, theory-based program

Authors

Profile picture of Stephen G. West
Stephen G. West
Profile picture of Leona S. Aiken
Leona S. Aiken
Profile picture of Raymond R Reno
Raymond R Reno
Profile picture of Claudia K Woodward
Claudia K Woodward

Keywords

  • Screening Mammography
  • Asymptomatic Women
  • Health Belief Model (HBM)
  • Social Psychology of Compliance
  • Perceived Susceptibility
  • Perceived Benefits
  • Intentions
  • Screening Rates
  • Mediational Model
  • Compliance Process
  • Community Program
  • Middle-Class Women
  • Theory-Based Program
  • Preventive Health
  • Health Promotion
  • Mammography

Journal

Health Psychology External link

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DOI

DOI Icon 10.1037/0278-6133.13.6.526

Publication Info

Volume: 13 | Issue: 6 | Pages: 526–538

Published On

March, 1994

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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.

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