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Increasing Mammography among Women Aged 40–74 by Use of a Stage-Matched, Tailored Intervention

Rakowski, William ; Ehrich, Beverly ; Goldstein, Michael G. ; Rimer, Barbara K. ; Pearlman, Deborah N. ; Clark, Melissa A. ; Velicer, Wayne F. ; Woolverton, Hugh

Preventive Medicine, 09/1998, Vol.27(5), pp.748-756 [Periódico revisado por pares]

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  • Título:
    Increasing Mammography among Women Aged 40–74 by Use of a Stage-Matched, Tailored Intervention
  • Autor: Rakowski, William ; Ehrich, Beverly ; Goldstein, Michael G. ; Rimer, Barbara K. ; Pearlman, Deborah N. ; Clark, Melissa A. ; Velicer, Wayne F. ; Woolverton, Hugh
  • Assuntos: Preadolescents
  • É parte de: Preventive Medicine, 09/1998, Vol.27(5), pp.748-756
  • Descrição: Background. Tailoring is a promising technique for encouraging greater performance of health-related behaviors. Tailored interventions are designed to be more individualized to personal characteristics, in contrast to “standard” interventions where all participants receive the same materials.Methods. A total of N = 1864 women aged 40–74 were recruited from a staff model HMO and randomly assigned to one of three intervention groups: (a) No Educational Materials, (b) Standard Materials, and (c) Stage-Matched Materials. A provider-directed component was common across all three conditions. The Standard and Stage-Matched groups each received two mailed educational packets after baseline and follow-up telephone interviews. The Stage-Matched intervention was based on the Transtheoretical Model of behavior change.Results. Analyses of n = 1397 women (after all attrition) showed that receipt of mammography after the baseline interview was higher for the Stage-Matched group (63.6%) than for the No Materials group (54.9%; OR = 1.43, 95% CI = 1.10, 1.86). The Standard intervention group was intermediate (58.5%). The Standard group did not differ from the No Materials group, but did differ from the Stage-Matched group in multivariate analysis.Conclusions. Stage-matched, tailored materials may be a means to encourage screening mammography. Such interventions can be implemented by telephone and mail. Copyright 1998 American Health Foundation and Academic Press.
  • Idioma: Inglês

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