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American Journal of Public Health, Vol 90, Issue 9 1468-1471, Copyright © 2000 by American Public Health Association


JOURNAL ARTICLE

Maintaining mammography adherence through telephone counseling in a church-based trial

N Duan, SA Fox, KP Derose and S Carson
Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles. naihua@mednet.ucla.edu

OBJECTIVES: This study assessed the effectiveness of telephone counseling in a church-based mammography promotion intervention trial. METHODS: Thirty churches were randomized to telephone counseling and control conditions; telephone interview data were used in assessing intervention effects on mammography adherence. Separate analyses were conducted for baseline-adherent participants (maintaining adherence) and baseline-nonadherent participants (conversion to adherence). RESULTS: Year 1 follow-up data indicated that the telephone counseling intervention maintained mammography adherence among baseline-adherent participants and reduced the nonadherence rate from 23% to 16%. CONCLUSIONS: Partnerships between the public health and faith communities are potentially effective conduits to promote maintenance of widely endorsed health behaviors such as regular cancer screening.


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