A model of stage of change to recommend colonoscopy among urban primary care physicians

Keiko Honda, Sherri Sheinfeld Gorin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


Theory is little used in the prediction of physician cancer screening stage of change. Structural equation modeling was used to evaluate the theoretical predictors of stage of change to recommend colonoscopy among 235 urban physicians. Constructs from the theory of planned behavior, social-cognitive theory, and the transtheoretical model were systematically tested. As predicted, contextual factors, such as the physicians' ages, their race-ethnicities, patient race-ethnicity, and office-related barriers to preventive care were associated with stage of change through self-efficacy, normative beliefs, and negative behavioral beliefs. The findings demonstrate the relevance of these models to studying the behavior of physicians and support the development of interventions that are tailored to normative beliefs and specific physician cognitions for colonoscopy recommendation.

Original languageEnglish
Pages (from-to)65-73
Number of pages9
JournalHealth Psychology
Issue number1
Publication statusPublished - 2006 Jan
Externally publishedYes


  • Colonoscopy screening
  • Colorectal cancer
  • Physician recommendation
  • Stage of change

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health


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