Staging mammography nonadherent women: a qualitative study
Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Medicine, Division of Hematology/Oncology; Department of Family Medicine and Community Health
Aged; Breast Neoplasms; Female; Focus Groups; Humans; Mammography; *Mass Screening; Middle Aged; Models, Theoretical; *Patient Acceptance of Health Care; *Patient Education as Topic; Pilot Projects; Qualitative Research; Questionnaires; Treatment Refusal
Life Sciences | Medicine and Health Sciences | Women's Studies
BACKGROUND: Few studies have related stages of mammography screening nonadherence with the rationale used by overdue women.
METHODS: We used a grounded theory approach to obtain and analyze data from focus groups, telephone interviews, and surveys. Emergent specific themes were compared with emerging decision levels of nonadherence. Each decision level was then compared with the Precaution Adoption Process Model and the Transtheoretical Model.
RESULTS: A total of 6 key themes influencing mammogram nonadherence emerged as did 6 decision levels. Variability within themes was associated with specific decision levels. The decision levels were not adequately classified by either stage model.
CONCLUSIONS: Stage-based educational strategies may benefit by tailoring interventions to these 6 decision levels.
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Citation: J Cancer Educ. 2008;23(2):114-21. Link to article on publisher's site