{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:04:52Z","timestamp":1791237892683,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T00:00:00Z","timestamp":1368144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to develop a structural model for mammography adoption in Japanese middle\u2010aged women by using constructs from the transtheoretical model (TTM), the theory of planned behavior (TPB), implementation intentions, and cancer worry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Questionnaires based on items including TTM, TPB, implementation intentions, cancer worry\u2010related variables, and demographic variables were distributed to 1000 adult women aged 40 to 59\u2009years, with 641 subjects being used in the final analysis (response rate\u2009=\u200964.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding the stage of adoption, 79 participants (12.3%) were at the precontemplation stage, 30 (4.7%) were at the relapse stage, 142 (22.2%) were at the contemplation stage, 88 (13.7%) were at the action stage, and 302 (47.1%) were at the maintenance stage. Our model, derived from structural equation modeling, revealed that the stage of mammography adoption was significantly affected by goal intentions, implementation intentions, perceived barriers, history of breast cancer screening, and relative risk. A logistic regression analysis revealed that goal intentions and implementation intentions significantly predicted mammography uptake within 1\u2009year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study developed an integrated model constructed from TTM, TPB, implementation intentions, and cancer worry to account for mammography adoption in Japan, and also confirmed the predictive validity of the model. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3293","type":"journal-article","created":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T07:50:46Z","timestamp":1368172246000},"page":"2339-2346","source":"Crossref","is-referenced-by-count":21,"title":["Structural equation modeling for implementation intentions, cancer worry, and stages of mammography adoption"],"prefix":"10.1002","volume":"22","author":[{"given":"Kei","family":"Hirai","sequence":"first","affiliation":[{"name":"Department of Complementary and Alternative Medicine Osaka University Graduate School of Medicine  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Harada","sequence":"additional","affiliation":[{"name":"Graduate School of Sport Sciences Waseda University  Tokorozawa Saitama Japan"},{"name":"Japan Society for the Promotion of Sciences  Chiyoda\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiko","family":"Seki","sequence":"additional","affiliation":[{"name":"Graduate School of Human Sciences Osaka University, Japan  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miwa","family":"Nagatsuka","sequence":"additional","affiliation":[{"name":"National Hospital Organization Osaka Medical Center  Tyuo\u2010ku Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirokazu","family":"Arai","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Letters Hosei University  Chiyoda\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Hazama","sequence":"additional","affiliation":[{"name":"Public Health Graduate School of Medicine Osaka University  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Public Health Jichi Medical School  Shimono City Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chisato","family":"Hamashima","sequence":"additional","affiliation":[{"name":"Screening Assessment and Management Division Research Center for Cancer Prevention and Screening, National Cancer Center  Chuo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Saito","sequence":"additional","affiliation":[{"name":"Screening Assessment and Management Division Research Center for Cancer Prevention and Screening, National Cancer Center  Chuo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Shibuya","sequence":"additional","affiliation":[{"name":"Cancer Detection Center Miyagi Cancer Society  Sendai Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,10]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Cancer Trends Progress Report: U.S. National Institute of Health","author":"Institute NC","year":"2012"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2008.07.010"},{"key":"e_1_2_5_4_1","unstructured":"Ministory of Health Labour and Welfare.The reports of the Community Health Care and Elderly Health Care 2007 2007."},{"key":"e_1_2_5_5_1","unstructured":"Foundation for Promotion of Cancer Research.International comparisons of cancer mortality and cancer screening rates. 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