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Adherence Characteristics After Abnormal Screening Results Between Mammogram and Papanicolaou Test Groups

Fang, Su-Ying MSN, RN, PhD(c); Shu, Bih-Ching PhD, RN

doi: 10.1097/NCC.0b013e3181ab5747
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The purpose of this study was to evaluate whether the adherence concerns related to follow-up were different between groups of women after abnormal screening results of mammography (Mam) and Papanicolaou (Pap) test. Taiwanese women with abnormal Mam screening results (n = 42) and abnormal Pap test results (n = 109) provided data via a self-administered survey. Data were collected in 2005. After providing informed consent, women completed the AFAR, an 18 item questionnaire that measured the Adherence concerns of Follow-up after Abnormal screening Results. The results showed that (1) for both Mam and Pap test groups, the most important adherence concern for clinical follow-up after abnormal screening results is disease related, followed by others' response and resource accessibility; and (2) in these 2 clinical follow-up groups, women in the Mam group were more likely to be concerned with all of the 18 adherence factors than those in the Pap test group (OR, 2.46-9.86). The most important adherence concern on clinical follow-up after abnormal screening results for Mam and Pap test women is disease related. Mammography women considered significantly more adherence concerns than Pap test women. These differences imply that improving follow-up after Mam or Pap screen may require different interventions.

Authors' Affiliations: Institute of Allied Health Sciences, College of Medicine (Ms Fang and Dr Shu), and Department of Nursing (Dr Shu), College of Medicine, National Cheng Kung University, Taiwan.

The study was supported by the BHP grant DOH94-HP-1502 in Taiwan.

Corresponding author: Bih-Ching Shu, PhD, RN, Department of Nursing, and Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd, Tainan 701, Taiwan (shubih@mail.ncku.edu.tw).

Accepted for publication April 22, 2009.

© 2009 Lippincott Williams & Wilkins, Inc.