Increasing screening mammography in asymptomatic women: evaluation of a second-generation, theory-based program

Health Psychol. 1994 Nov;13(6):526-38. doi: 10.1037//0278-6133.13.6.526.


Two theory-based programs to increase mammography screening rates among asymptomatic women were implemented and evaluated in the community. One program (E) was based on the Health Belief Model (HBM); the second program (EP) added exercises adapted from the social psychology of compliance. Program impact on screening among 295 primarily Caucasian, middle-class women was evaluated against untreated controls (C) over a 6-month period. Both programs led to increases in HBM components (Perceived Susceptibility, and Perceived Benefits) and Intentions to obtain a mammogram. Screening rates 2 to 3 times higher were observed in the EP and E over C conditions; EP and E did not differ. A mediational model of compliance illustrated the interplay of HBM components in the compliance process.

Publication types

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

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Case-Control Studies
  • Female
  • Follow-Up Studies
  • Health Education / methods*
  • Health Promotion / methods*
  • Health Services Accessibility
  • Humans
  • Logistic Models
  • Mammography / psychology*
  • Middle Aged
  • Models, Psychological*
  • Odds Ratio
  • Outcome and Process Assessment, Health Care*
  • Patient Compliance / psychology