Gathirua-Mwangi, Wambui G.Monahan, Patrick O.Stump, TimothyRawl, Susan M.Skinner, Celette SuggChampion, Victoria L.2017-06-192017-06-192016-02Gathirua-Mwangi, W. G., Monahan, P. O., Stump, T., Rawl, S. M., Skinner, C. S., & Champion, V. L. (2016). Mammography Adherence in African American Women: Results of a Randomized Controlled Trial. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, 50(1), 70–78. http://doi.org/10.1007/s12160-015-9733-0https://hdl.handle.net/1805/13108BACKGROUND: Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer. PURPOSE: The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women. METHODS: A subsample of African-American women (n = 244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care. RESULTS: The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000. CONCLUSION: Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.en-USPublisher PolicyRandomized interventionMammography adherenceAfrican-AmericanInteractive DVDControlled trialHealth disparitiesArticle