A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening

Lee-Lin, Frances; Nguyen, Thuan; Pedhiwala, Nisreen; Dieckmann, Nathan F.; Menon, Usha

doi:10.1177/0193945915618398

Cited by 10 publications

(4 citation statements)

References 27 publications

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“…The perceived barriers to breast self-examination, for example, were smaller among women who had already performed breast self-examination (Tavafian et al 2009 ). With respect to mammography, women at the no-intention level perceived greater barriers compared to women who classified themselves at the intention level (Lee-Lin et al 2016 ; Salinas-Martinez et al 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of prevention behaviour and its influencing factors with respect to cancer screening

Dawid

Borzikowsky

Freitag‐Wolf

et al. 2022

J Cancer Res Clin Oncol

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Purpose Every year, about 4.6 million people are diagnosed with cancer in Europe. However, based on preclinical changes and using appropriate examination procedures certain cancers can be detected in symptom-free patients at an early stage and treatment initiated. In Germany, various cancer screening examinations are currently offered to the relevant age groups and sexes free of charge. Participation rates are affected by a number of factors and barriers. The study aimed at identifying potential obstacles and barriers to uptake, taking into account demographic and socio-economic variables. Materials and methods Data collection was conducted in the context of routine examination appointments at the City of Kiel Occupational Health Department from September 2013 to September 2014 using an anonymised questionnaire. In addition to recording socio-demographic data and tobacco consumption, the questionnaire also catalogued participation in statutory health insurance cancer screening examinations using the “stages of change” from the Transtheoretical Model. Eight potential barriers to participation were recorded. Results The results are based on 718 completed questionnaires. It was found that women, older age, and non-smoking status were associated with a higher probability of participating in cancer screening. It was also found that various barriers affecting (regular) participation were perceived significantly different according to the individual stages of change. This influence of the stages was moderated by gender. Conclusion The results showed interesting trends in the different barriers and how they are influenced by socioeconomic factors and the stages of change. Especially the stages require different gender-specific approaches to mobilisation for cancer screening.

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Section: Discussionmentioning

confidence: 99%

Evaluation of prevention behaviour and its influencing factors with respect to cancer screening

Dawid

Borzikowsky

Freitag‐Wolf

et al. 2022

J Cancer Res Clin Oncol

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“…However, in our study, the breast cancer screening rate was only 54.9%. In addition, a summary of studies conducted in multiple provinces found that the breast cancer screening rates for Chinese women were only 15.17% to 65.6%, 8–10,42 far lower than the 81% target set by the United States 43 . Our findings suggest that healthcare providers need to better understand the determinants of women's satisfaction with the healthcare system and the perceptions of different sociodemographic groups on the satisfaction with healthcare providers to promote healthy behaviors and improve breast cancer screening practices.…”

Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening Practices and Satisfaction With Healthcare Providers in Chinese Women

Zhang

et al. 2021

Cancer Nurs

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Background:The Chinese government has proposed cancer screening guidelines and launched 2 cancer screening programs to improve screening practices. However, the screening participation rates of Chinese women remain low. Exploring the factors affecting breast cancer screening to promote cancer screening is necessary. Objective:The aim of this study was to investigate women's satisfaction with healthcare providers and screening practices. Methods: A cross-sectional survey was conducted from November 2019 to April 2020 in Changchun, Jilin Province, China. The Medical Care Satisfaction Scale and SERVQUAL were used to quantify women's satisfaction with doctors and nurses, respectively. Results: Women's satisfaction with doctors (68. 81 ± 11.08; range, 20-100) and with nurses (87.64 ± 16.17; range, 22-110) was moderate. Compared with women who had not participated in screening within the past 2 years, screened women reported higher satisfaction with doctors (P = .026) and nurses (P = .012). Older age (P = .004) was an independent predictor of women's satisfaction with doctors. Similarly, women's education level (P = .049), chronic disease history (P = .029), and physical examination history (P = .039) were 3 independent predictors of women's satisfaction with nurses. Conclusions: Future intervention strategies can not only increase the screening rates by providing existing intervention methods but also

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“…A useful model for understanding barriers to modifying health behaviors is the transtheoretical model (TTM), which has been successfully used to increase physical activity, smoking cessation, mammography screening, and more recently, CRC screening [16][17][18][19]. The TTM provides categories for understanding an individual's "Stage of Change," or readiness to take action [20].…”

Section: Introductionmentioning

confidence: 99%

Examining intrafamilial communication of colorectal cancer risk status to family members and kin responses to colonoscopy: a qualitative study

McGarragle,

Hare,

Holter

et al. 2023

Preprint

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Background First-degree relatives (FDRs) of probands with colorectal cancer (CRC) may be at increased risk of CRC and require colonoscopy. Proband disclosure about this risk and need for colonoscopy is essential for FDRs to take appropriate action. Low colonoscopy rates are reported among FDRs and little is known about the proband disclosure process. A better understanding of the barriers surrounding colonoscopy and disclosure is needed. Methods CRC probands (n = 16) and FDRs (n = 9), recruited from a Canadian CRC Consortium, completed interviews to determine barriers to disclosure and colonoscopy, respectively. Interviews were analyzed using thematic analysis and participants’ motivation to disclose to FDRs or undertake colonoscopy was categorized into Stages of Change (i.e., Precontemplation, Contemplation, Preparation, Action, or Maintenance) using the transtheoretical model. Results 25% of probands had not disclosed to any first-degree kin and were categorized in the Precontemplation or Contemplation Stage of Change. Barriers to disclosure included lack of information, negative expectations about familial reaction, assuming FDRs were aware of risk or already being screened, dysfunctional family dynamics, and cultural barriers. 75% of FDRs were categorized in the Precontemplation or Contemplation Stage of Change. Barriers included negative perceptions about colonoscopy, health-care provider related factors, practical concerns, and lack of information about CRC, risk, and colonoscopy. Conclusions In the absence of barriers such as cost and accessibility, this Canadian sample still reported several challenges to disclosure and colonoscopy adherence. Future research should explore interventions such as motivational interviewing to improve proband disclosure and to increase FDR adherence to colonoscopy.

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A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening

Cited by 10 publications

References 27 publications

Evaluation of prevention behaviour and its influencing factors with respect to cancer screening

Evaluation of prevention behaviour and its influencing factors with respect to cancer screening

Breast Cancer Screening Practices and Satisfaction With Healthcare Providers in Chinese Women

Examining intrafamilial communication of colorectal cancer risk status to family members and kin responses to colonoscopy: a qualitative study

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