Individually Tailored Intervention to Promote Mammography Screening

Program Overview 

Funded by the National Institute of Health and the National Cancer Institute, this innovative research study (5R21CA127825-02) developed and tested the feasibility of using individually tailored theoretically-based intervention strategies to promote mammography screening among non-adherent Chinese-American women.

Program Accomplishments 

  • Developed a tailored telephone counseling intervention to demonstrate its feasibility and acceptability among Chinese American women and, evaluate the intervention efficacy in increasing the;
    • outcome measures, i.e. uptake of mammography screening and stage of mammography adoption.
    • Positive changes in mediators, i.e. improved knowledge about breast cancer risk and screening guidelines, increased perceived benefits and self-efficacy, and decreased barriers

Chinese American women who met the eligibility criteria were randomized into two groups, tailored telephone intervention, or control condition. The tailored group received a pamphlet on mammography screening. The intervention group had increased screening to 40% compared with 33% for the control group at 4 months; the difference was not statistically significant. When the sub-analysis were preformed, the intervention is effective in certain demographic groups (i.e. elderly women aged 65 or more and recent immigrants). The study intervention was well accepted by participants and perceived as feasible and culturally appropriate based on process evaluation.