A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening

Frances Lee-Lin, Thuan Nguyen, Nisreen Pedhiwala, Nathan Dieckmann, Usha Menon

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)441-458
Number of pages18
JournalWestern Journal of Nursing Research
Volume38
Issue number4
DOIs
StatePublished - Apr 1 2016

Keywords

  • Chinese immigrants
  • mammography screening
  • transtheoretical model of change

ASJC Scopus subject areas

  • Nursing(all)

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