Maintaining mammography adherence through telephone counseling in a church-based trial.

OBJECTIVES This study assessed the effectiveness of telephone counseling in a church-based mammography promotion intervention trial. METHODS Thirty churches were randomized to telephone counseling and control conditions; telephone interview data were used in assessing intervention effects on mammography adherence. Separate analyses were conducted for baseline-adherent participants (maintaining adherence) and baseline-nonadherent participants (conversion to adherence). RESULTS Year 1 follow-up data indicated that the telephone counseling intervention maintained mammography adherence among baseline-adherent participants and reduced the nonadherence rate from 23% to 16%. CONCLUSIONS Partnerships between the public health and faith communities are potentially effective conduits to promote maintenance of widely endorsed health behaviors such as regular cancer screening.

[1]  L. Ransdell.  Church-Based Health Promotion: An Untapped Resource for Women 65 and Older , 1995, American journal of health promotion : AJHP.

[2]  B. Israel,et al.  Social Networks and Social Support: Implications for Natural Helper and Community Level Interventions , 1985, Health education quarterly.

[3]  H. Kraemer,et al.  Do we ask too much from community-level interventions or from intervention researchers? , 1997, American journal of public health.

[4]  J. Elder,et al.  Mobilizing churches for health promotion in Latino communities: Compañeros en la Salud. , 1995, Journal of the National Cancer Institute. Monographs.

[5]  R. Carleton,et al.  Religious Organizations and Large-Scale Health Related Lifestyle Change Programs , 1991 .

[6]  B. Israel,et al.  Social Networks among Elderly Women: Implications for Health Education Practice , 1983, Health education quarterly.

[7]  C. Ellison.  Religious involvement and the subjective quality of family life among African Americans. , 1997 .

[8]  R. Hiatt,et al.  Unsolved problems in early breast cancer detection: Focus on the underserved , 1996, Breast cancer research and treatment.

[9]  G. Taubes.  Mammography: NCI Reverses One Expert Panel, Sides With Another , 1997, Science.

[10]  S. Woolf,et al.  Preserving scientific debate and patient choice: lessons from the Consensus Panel on Mammography Screening. National Institutes of Health. , 1997, JAMA.

[11]  M. Cohen,et al.  Papanicolaou test coverage without a cytology registry. , 1989, American journal of epidemiology.

[12]  J. Hildes,et al.  The changing picture of neoplastic disease in the western and central Canadian Arctic (1950-1980). , 1984, Canadian Medical Association journal.

[13]  J. Jackson,et al.  Family Life in Black America , 1998 .

[14]  Mitchell H. Gail,et al.  Community Intervention Trial for Smoking Cessation (COMMIT): I. cohort results from a four-year community intervention. , 1995, American journal of public health.

[15]  M. Feinleib.  New directions for community intervention studies. , 1996, American journal of public health.

[16]  A. Gh.  Report of a national workshop on screening for cancer of the cervix , 1992 .

[17]  L Kessler,et al.  Changes in the use of screening mammography: evidence from the 1987 and 1990 National Health Interview Surveys. , 1994, American journal of public health.

[18]  N. Duan,et al.  Breast Cancer Screening Adherence: Does Church Attendance Matter? , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[19]  A. Leitch,et al.  American Cancer Society guidelines for the early detection of breast cancer: Update 1997 , 1997, CA: a cancer journal for clinicians.

[20]  A. Dellinger,et al.  A Trial to Increase Mammography Utilization Among Los Angeles Hispanic Women , 1998, Journal of health care for the poor and underserved.

[21]  J. Zapka,et al.  Mammography use among sociodemographically diverse women: the accuracy of self-report. , 1996, American journal of public health.

[22]  I. Rosenstock.  Why people use health services. , 1966, The Milbank Memorial Fund quarterly.

[23]  R. A. Fisher,et al.  Design of Experiments , 1936 .

[24]  Woolf Sh,et al.  Preserving scientific debate and patient choice: lessons from the Consensus Panel on Mammography Screening. National Institutes of Health. , 1997 .

[25]  B. Rimer.  Interventions to increase breast screening: Lifespan and ethnicity issues , 1994, Cancer.

[26]  E. Pitman.  Significance Tests Which May be Applied to Samples from Any Populations , 1937 .

[27]  D. Becker,et al.  Synthesis of Findings and Issues from Religious ..Based Cardiovascular Disease Prevention Trials , 1997 .