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Stages of Adopting Regular Screening Mammography

Do Women Differ in Decisional Balance Within Stages?

Brown University, RI, USA

William Rakowski

Brown University, RI, USA

Beverly Ehrich

Brown University, RI, USA

Deborah N. Pearlman

Brown University, RI, USA

Michael Goldstein

Brown University, RI, USA

Catherine E. Dube

Brown University, RI, USA

Barbara K. Rimer

Duke University, NC, USA

Hugh Woolverton

Harvard Pilgrim Health Care of New England, MA, USA

This study examined whether distinct subgroups of women could be identified within stages of adoption for screening mammography. These subgroups may represent differential readiness to move to the next stage of the adoption continuum. Data were from a baseline survey of 1323 women between the ages of 50 and 74 years who were recruited through a staff- model HMO for an intervention study to increase rates of mammography. Multiple regression models were used to identify correlates of positive decisional balance within each of four stages of adoption, and an index of positive indicators was developed from the significant correlates for each stage. Analysis of variance showed that the number of positive indicators discriminated women within each stage. This information can be used to develop more effective tailored interventions to increase the percentage of women receiving mammograms on a regular schedule.

Key Words: decision making • knowledge- attitudes-practices, mammography-psychology, mass screening-psychology, models • -psychological

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