Randomized trial of DVD, telephone, and usual care for increasing mammography adherence

Champion, Victoria L
Rawl, Susan M
Bourff, Sara A
Champion, Kristen M
Smith, Lisa G
Buchanan, Adam H
Fish, Laura J
Monahan, Patrick O
Stump, Timothy E
Springston, Jeffery K
Gathirua-Mwangi, Wambui G
Skinner, Celette Sugg

¹Indiana University School of Nursing, USA
²Indiana University Simon Cancer Center, USA
³Indiana State Department of Health, USA
⁴Duke University Medical Center, USA
⁵Indiana University School of Medicine, USA
⁶The University of Georgia, USA
⁷Richard M. Fairbanks School of Public Health, USA
⁸The University of Texas Southwestern Medical Center, Harold C Simmons Cancer Center, USA

Victoria L Champion, Indiana University School of Nursing, 1111 Middle Drive, NU 318, Indianapolis, IN 46202, USA. Email: [email protected]

Journal of Health Psychology 21(6):p 916-926, June 2016. | DOI: 10.1177/1359105314542817

The purpose of this study was to test an intervention to increase mammography screening in women 51–75 years of age who had not received a mammogram in the last 15 months. A total of 1681 women were randomized to (1) a mailed tailored interactive DVD, (2) a computer-tailored telephone counseling, or (3) usual care. Women with income below US$75,000 who were in the interactive DVD group had significantly more mammograms than women in usual care. Women with income above US$75,000 had significantly fewer mammograms than women with income less than US$75,000 regardless of group. Further investigation is needed to understand why women with income above US$75,000 did not show the same benefit of the intervention.