LaPelle Nancy, Costanza Mary E, Luckmann Roger, Rosal Milagros C, White Mary Jo, Stark Jennifer Rider
University of Massachusetts Medical School, Worcester, MA 01655, USA.
J Cancer Educ. 2008;23(2):114-21. doi: 10.1080/08858190802039094.
Few studies have related stages of mammography screening nonadherence with the rationale used by overdue women.
We used a grounded theory approach to obtain and analyze data from focus groups, telephone interviews, and surveys. Emergent specific themes were compared with emerging decision levels of nonadherence. Each decision level was then compared with the Precaution Adoption Process Model and the Transtheoretical Model.
A total of 6 key themes influencing mammogram nonadherence emerged as did 6 decision levels. Variability within themes was associated with specific decision levels. The decision levels were not adequately classified by either stage model.
Stage-based educational strategies may benefit by tailoring interventions to these 6 decision levels.
很少有研究将乳腺钼靶筛查不依从的阶段与逾期未筛查女性的理由联系起来。
我们采用扎根理论方法从焦点小组、电话访谈和调查中获取并分析数据。将浮现出的特定主题与不依从的新出现的决策水平进行比较。然后将每个决策水平与预防采用过程模型和跨理论模型进行比较。
共出现了6个影响乳腺钼靶检查不依从的关键主题以及6个决策水平。主题内的变异性与特定决策水平相关。这两个阶段模型都没有对决策水平进行充分分类。
基于阶段的教育策略可能通过针对这6个决策水平量身定制干预措施而受益。