Staging mammography nonadherent women: a qualitative study

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Medicine, Division of Hematology/Oncology; Department of Family Medicine and Community Health

Publication Date


Document Type



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.

DOI of Published Version



J Cancer Educ. 2008;23(2):114-21. Link to article on publisher's site

Journal/Book/Conference Title

Journal of cancer education : the official journal of the American Association for Cancer Education

Related Resources

Link to Article in PubMed

PubMed ID