Applying the transtheoretical model to cancer screening behavior

Leslie Spencer, Francie Pagell, Troy Adams

Research output: Contribution to journalReview articlepeer-review

61 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)36-56
Number of pages21
JournalAmerican Journal of Health Behavior
Issue number1
StatePublished - Jan 1 2005

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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