TY - JOUR
T1 - A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening
AU - Lee-Lin, Frances
AU - Nguyen, Thuan
AU - Pedhiwala, Nisreen
AU - Dieckmann, Nathan F.
AU - Menon, Usha
N1 - Publisher Copyright:
© 2015, © The Author(s) 2015.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - 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.
AB - 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.
KW - Chinese immigrants
KW - mammography screening
KW - transtheoretical model of change
UR - http://www.scopus.com/inward/record.url?scp=84962541332&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84962541332&partnerID=8YFLogxK
U2 - 10.1177/0193945915618398
DO - 10.1177/0193945915618398
M3 - Article
C2 - 26712817
AN - SCOPUS:84962541332
SN - 0193-9459
VL - 38
SP - 441
EP - 458
JO - Western journal of nursing research
JF - Western journal of nursing research
IS - 4
ER -