EXPANDING THE STAGES OF CHANGE TRANSTHEORETICAL MODEL THROUGH QUALITATIVE INQUIRY: MAMMOGRAPHY SCREENING AND AMERICAN INDIAN WOMEN

2.50
Hdl Handle:
http://hdl.handle.net/10755/165505
Category:
Abstract
Type:
Presentation
Title:
EXPANDING THE STAGES OF CHANGE TRANSTHEORETICAL MODEL THROUGH QUALITATIVE INQUIRY: MAMMOGRAPHY SCREENING AND AMERICAN INDIAN WOMEN
Author(s):
Canales, Mary; Rakowski, William
Author Details:
Mary Canales, PhD, RN, University of Vermont, Burlington, Virginia, USA; William Rakowski, Ph.D.
Abstract:
The presentation will focus on the process for translating qualitative data gathered from interviews with American Indian women (AIW) in Vermont, into statements used to empirically test how to integrate AIW themes into an existing model of behavior change – the stages of change, Transtheoretical Model (TTM). The TTM proposes a sequence of stages along a continuum of behavior change, from precontemplation (not intending to adopt), to contemplation (considering adoption), to action (initial adoption), to maintenance (sustained performance). Relapse (inconsistent use) is also possible. Although TTM-based mammography research has been conducted since the early 1990s, AIW have not been a focus to date Analysis from a qualitative study with AIW in Vermont suggested that traditionality influenced women’s screening decisions. Is traditionality a separate dimension or can it be incorporated into existing TTM constructs? New items reflecting traditionality were developed for each of the TTM’s major constructs (pros, cons, and processes of change), based on the qualitative analysis and a literature review. A separate traditionality scale was also developed, based on qualitative data and existing measures of ethnic identity, and tailored for AIW living off-reservation. The Vermont Breast Cancer Surveillance System, a statewide database of women who have had a mammogram in the state, was used to invite participants and compare self-report data from the survey with mammography registry data. This type of validation has not been reported with previous TTM research and provides another avenue for assessing the accuracy of self-report data. This method for instrument development provides an example of how culturally relevant data and existing theoretical constructs can be combined to create an instrument that is specific for diverse populations. Through this tandem approach, existing theories can be usefully adapted for populations whose special features were not major considerations when the theories were originally developed. Designing tailored mammography interventions so they are relevant for AIW requires understanding of their perspectives as well as having a strong theoretical foundation. The qualitative-quantitative approach for survey design presented holds much promise for developing future nursing interventions for AIW and other populations whose screening rates are currently below national objectives.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEXPANDING THE STAGES OF CHANGE TRANSTHEORETICAL MODEL THROUGH QUALITATIVE INQUIRY: MAMMOGRAPHY SCREENING AND AMERICAN INDIAN WOMENen_GB
dc.contributor.authorCanales, Maryen_US
dc.contributor.authorRakowski, Williamen_US
dc.author.detailsMary Canales, PhD, RN, University of Vermont, Burlington, Virginia, USA; William Rakowski, Ph.D.en_US
dc.identifier.urihttp://hdl.handle.net/10755/165505-
dc.description.abstractThe presentation will focus on the process for translating qualitative data gathered from interviews with American Indian women (AIW) in Vermont, into statements used to empirically test how to integrate AIW themes into an existing model of behavior change – the stages of change, Transtheoretical Model (TTM). The TTM proposes a sequence of stages along a continuum of behavior change, from precontemplation (not intending to adopt), to contemplation (considering adoption), to action (initial adoption), to maintenance (sustained performance). Relapse (inconsistent use) is also possible. Although TTM-based mammography research has been conducted since the early 1990s, AIW have not been a focus to date Analysis from a qualitative study with AIW in Vermont suggested that traditionality influenced women’s screening decisions. Is traditionality a separate dimension or can it be incorporated into existing TTM constructs? New items reflecting traditionality were developed for each of the TTM’s major constructs (pros, cons, and processes of change), based on the qualitative analysis and a literature review. A separate traditionality scale was also developed, based on qualitative data and existing measures of ethnic identity, and tailored for AIW living off-reservation. The Vermont Breast Cancer Surveillance System, a statewide database of women who have had a mammogram in the state, was used to invite participants and compare self-report data from the survey with mammography registry data. This type of validation has not been reported with previous TTM research and provides another avenue for assessing the accuracy of self-report data. This method for instrument development provides an example of how culturally relevant data and existing theoretical constructs can be combined to create an instrument that is specific for diverse populations. Through this tandem approach, existing theories can be usefully adapted for populations whose special features were not major considerations when the theories were originally developed. Designing tailored mammography interventions so they are relevant for AIW requires understanding of their perspectives as well as having a strong theoretical foundation. The qualitative-quantitative approach for survey design presented holds much promise for developing future nursing interventions for AIW and other populations whose screening rates are currently below national objectives.en_GB
dc.date.available2011-10-27T12:19:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:19:50Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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