scholarly journals Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain the Correlates of Mammography Screening among Asian American Women

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 126
Author(s):  
Manoj Sharma ◽  
Chia-Liang Dai ◽  
Kavita Batra ◽  
Ching-Chen Chen ◽  
Jennifer R. Pharr ◽  
...  

Globally, breast cancer is the most common malignancy affecting women. The incidence of breast cancer has been growing among Asian American women. Mammography is a screening procedure that provides early diagnosis for the timely treatment to reduce premature mortality due to breast cancer. However, there are no national data available that summarize the rates of mammography screening among Asian American women. Some small-scale studies have reported low rates of mammography uptake among Asian American women. This cross-sectional study utilized the fourth-generation, multi-theory model (MTM) of health behavior change to explain the correlates of mammography screening among Asian American women between the ages of 45–54 years. A 44-item instrument was evaluated for face, content, and construct validity (using structural equation modeling) and reliability (Cronbach’s alpha) and administered electronically to a nationally representative sample of Asian American women (n = 374). The study found that Asian American women who have had received mammograms in the past 12 months as per recommendations, all three constructs of MTM, namely, participatory dialogue (β = 0.156, p < 0.05), behavioral confidence (β = 0.236, p < 0.001), and changes in the physical environment (β = 0.426, p < 0.001) were statistically significant and crucial in their decision to initiate getting a mammogram, accounting for a substantial 49.9% of the variance in the decision to seek mammography. The study also found that the MTM constructs of emotional transformation (β = 0.437, p < 0.001) and practice for change (β = 0.303, p < 0.001) were significant for maintaining the repeated behavior of getting annual mammograms and were responsible for 53.9% of the variance. This evidence-based study validates the use of MTM in designing and evaluating mammography screening promotion programs among Asian American women aged 45–54 years.

2004 ◽  
Vol 39 (2) ◽  
pp. 253-262 ◽  
Author(s):  
Stephenie C Lemon ◽  
Jane G Zapka ◽  
Lynn Clemow

2002 ◽  
Vol 21 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Jenny K. Yi ◽  
Cielito C. Reyes-Gibby

Cancer is the leading cause of death among Asian-American women in the United States and breast cancer is the most commonly diagnosed cancer among Asian-American women. Early detection through breast cancer screening has been found to improve the rate of survival for breast cancer. This study examined factors associated with breast cancer screening among 345 Vietnamese women ≥40 years old residing in a low-income Houston area. Data were collected through a self-administered questionnaire assessing socio-demographic characteristics, access to care factors, acculturation, and perceived susceptibility and severity of risks. Results showed 38 percent, 49 percent, and 33 percent of the respondents reporting having had a breast self-exam, a clinical breast exam, and a mammogram, respectively. Predictors of breast cancer screening include education, employment, ability to speak English, having lived in the United States for more than five years, and having a regular place of care. Implications of this study include the need for a culturally-relevant educational program for this understudied population.


2013 ◽  
Vol 58 (4) ◽  
pp. 603-613 ◽  
Author(s):  
Lisa Steinhilper ◽  
Siegfried Geyer ◽  
Stefanie Sperlich

2009 ◽  
Vol 120 (1) ◽  
pp. 203-210 ◽  
Author(s):  
Linda Morris Brown ◽  
Gloria Gridley ◽  
Anna H. Wu ◽  
Roni T. Falk ◽  
Michael Hauptmann ◽  
...  

2007 ◽  
Vol 28 (7) ◽  
pp. 1561-1566 ◽  
Author(s):  
Anna H. Wu ◽  
Mimi C. Yu ◽  
Chiu-Chen Tseng ◽  
Frank Z. Stanczyk ◽  
Malcolm C. Pike

2006 ◽  
Vol 120 (4) ◽  
pp. 844-852 ◽  
Author(s):  
Anna H. Wu ◽  
Mimi C. Yu ◽  
Chiu-Chen Tseng ◽  
Malcolm C. Pike

Author(s):  
Vinayak K. Nahar ◽  
Julia K. Wells ◽  
Robert E. Davis ◽  
Elizabeth C. Johnson ◽  
Jason W. Johnson ◽  
...  

Veterinary students across the United States face the challenge of stress during school every day. When managed improperly, stress can become chronic and manifest in physical and emotional consequences. The purpose of this study was to examine the utility of the multi-theory model (MTM) of health behavior change in predicting the initiation and sustenance of stress management behaviors among veterinary students. A cross-sectional design was used to study the efficacy of the MTM in predicting initiation and sustenance of stress management behaviors among veterinary students at a private College of Veterinary Medicine in the Southeast United States. Researchers collected data using a 54-item valid and reliable survey. Only students who did not already engage in daily stress management behaviors were included in the study. After recruitment and exclusion, a total of 140 students remained and participated in the study. Hierarchical multiple regression revealed that, for initiation of stress management behaviors, 49.5% of the variance was explained by depression, academic classification, and behavioral confidence. Regarding sustenance of stress management behaviors, 50.4% of the variance was explained by perceived stress, depression, academic classification, and emotional transformation. MTM serves as a promising framework for predicting initiation and sustenance of health behavior change. Based on the results of this study, interventions aimed to promote stress management behaviors in veterinary students should focus on the MTM constructs of behavioral confidence and emotional transformation.


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