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

Am J Public Health. 2000 Sep;90(9):1468-71. doi: 10.2105/ajph.90.9.1468.


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.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • African Americans / psychology
  • Aged
  • Aged, 80 and over
  • Clergy*
  • Counseling / methods*
  • Follow-Up Studies
  • Health Promotion / methods*
  • Hispanic or Latino / psychology
  • Humans
  • Los Angeles
  • Mammography / psychology*
  • Middle Aged
  • Patient Compliance / psychology*
  • Program Evaluation
  • Surveys and Questionnaires
  • Telephone*
  • Whites / psychology