ABSTRACT
Manystudieshavebeenfocusedonpromoting 50mammographyscreeningamongethnicminority
womenusingavarietyofinterventionstrategies.For example,promotora(layhealthadvisor)interventions havebeengenerallywellreceivedbyethnicminority women,positivelyaffectingtheiruseofpreventive
55healthservices,includingmammography(Erwinetal., 2003;Mocketal.,2007;Navarroetal.,1998;Tayloret al.,2002).Withoutasufficientamountofmonitoring, support,andopportunitiesforadvancement,however, theutilityofthepromotoraapproachisuncertainbe-
60causethecontentandfrequencyofinteractionsbetweenthepromotoraandthestudyparticipantmay changebythediscretionofthepromotora(Suarezet al.,1997;Wasserman,Bender,&Lee,2007).Wellvalidatedtheoriescanbeusedtoguideanintervention
65effectivelybyspecifyingtheingredientsandcorrect implementationoftheintervention,makingreplication oftheinterventioneasier(Sidani&Braden,1998). Theory-guidedtailoredinterventions(i.e.,providing interventionmaterialsadjustedtothecharacteristicsof
70anindividual)havebeeneffectiveinpromotingvarious formsofhealthbehaviorsuchashealthydiet(Parket al.,2008;Resnicowetal.,2008)andsmokingcessation (Schumannetal.,2008).Likewise,recentstrategiesto promotebreastcancerscreeningincludetheory-based
75tailoredinterventions(Alien&Bazargan-Hejazi,2005; Championetal.,2006,2007;Jibaja-Weiss,Yolk, Kingery,Smith,&Holcomb,2003),althoughnosystematicevaluationofthisinterventionapproachacross studieshasbeendone.
