Intentions to maintain adherence to mammography.

Journal Article (Journal Article)


Recent attention has focused on moving women from having initial mammograms to maintaining adherence to regular mammography schedules. We examined behavioral intentions to maintain mammography adherence, which include the likelihood of performing a behavior, and implementation intentions, specific action plans to obtain mammograms. Potential predictors were Theory of Planned Behavior constructs, previous barriers, previous mammography maintenance, and age.


Respondents were 2062 currently adherent women due for their next mammograms in 3-4 months according to American Cancer Society recommendations for annual screening. Statistical models were used to examine predictors of behavioral and two implementation intentions, including having thought about where women would get their next mammograms and having thought about making appointments.


With the exception of pros, cons, and subjective norms, all variables predicted behavioral intentions (p ConclusionsOur findings suggest that among women currently adherent to mammography, volitional factors, such as barriers, may be better predictors of implementation intentions than motivational factors, such as attitudes. Implementation variables may be useful in understanding how women move from intentions to action. Future research should examine how such factors relate to mammography maintenance behaviors and can be integrated into behavior change interventions.

Full Text

Duke Authors

Cited Authors

  • O'Neill, SC; Bowling, JM; Brewer, NT; Lipkus, IM; Skinner, CS; Strigo, TS; Rimer, BK

Published Date

  • September 2008

Published In

Volume / Issue

  • 17 / 7

Start / End Page

  • 1133 - 1141

PubMed ID

  • 18657041

Pubmed Central ID

  • PMC2575244

Electronic International Standard Serial Number (EISSN)

  • 1931-843X

International Standard Serial Number (ISSN)

  • 1540-9996

Digital Object Identifier (DOI)

  • 10.1089/jwh.2007.0600


  • eng