Abstract
Background. Few studies have related stages of mammography screening nonadherence with the rationale used by overdue women. Methods. 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. Results. 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. Conclusions. Stage-based educational strategies may benefit by tailoring interventions to these 6 decision levels. J Cancer Educ. 2008; 23:114–121.
Supported by funding from National Institutes of Health Grant 5R21CA100286-02.