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Applying the Transtheoretical Model to Cancer Screening Behavior

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Objective: To provide a comprehensive review of published research on the application of the transtheoretical model (TTM) to cancer screening behavior. Methods: Studies were categorized by design, given an internal validity rating where appropriate, and rated. Results: Forty-two studies were reviewed. Stage-matched mammography interventions were supported; however, the body of literature was of limited size. Research on the TTM as it applies to other cancer screenings is sparse. Conclusions: Stage-of-change and decisional balance appear to apply to mammography. More validation research is needed on the application of the TTM to all cancer screening behaviors.

Keywords: PSA; cancer screening; colonoscopy; mammography; sigmoidoscopy; sun avoidance; transtheoretical model

Document Type: Research Article


Affiliations: 1: Department of Health and Exercise Science, Rowan University, Glassboro, NJ 2: Department of Exercise and Wellness, Arizona State University, Mesa, AZ

Publication date: January 1, 2005

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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