Su-I Hou1. 1. Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, 309 Ramesy Center, GA 30602, USA. shou@uga.edu
Abstract
BACKGROUND: The purposes of the study were to (1) assess the impact of direct-mail communications with and without phone intervention, and (2) examine the characteristics of women who were more likely to respond. METHODS:Women were recruited from female family members of inpatients admitted to one of the major teaching hospitals in Taiwan (n = 424), and were randomly assigned into an intervention group, who received direct-mails and a phone follow-up, or a control group, who received placebo messages. RESULTS: Logistic regression analysis showed that women in the intervention group (ORadj. = 2.31) and contemplation stage (ORadj. = 4.18) were more likely to receive a screening at the end of the program. Among women in the intervention group, contemplators were 5.58 times more likely to receive a screening before the phone intervention (early adopters); and 40% of the screening adopters responded after the phone intervention (late adopters). Late and early adopters were similar in their stage, age, and education. CONCLUSIONS: Stage and intervention are both significant predictors of screening adoption. The study provides justification for programs to target women in contemplation stage. It also suggests that the boost of a later phone intervention may be consequential for encouraging more women with similar demographics to take action.
RCT Entities:
BACKGROUND: The purposes of the study were to (1) assess the impact of direct-mail communications with and without phone intervention, and (2) examine the characteristics of women who were more likely to respond. METHODS:Women were recruited from female family members of inpatients admitted to one of the major teaching hospitals in Taiwan (n = 424), and were randomly assigned into an intervention group, who received direct-mails and a phone follow-up, or a control group, who received placebo messages. RESULTS: Logistic regression analysis showed that women in the intervention group (ORadj. = 2.31) and contemplation stage (ORadj. = 4.18) were more likely to receive a screening at the end of the program. Among women in the intervention group, contemplators were 5.58 times more likely to receive a screening before the phone intervention (early adopters); and 40% of the screening adopters responded after the phone intervention (late adopters). Late and early adopters were similar in their stage, age, and education. CONCLUSIONS: Stage and intervention are both significant predictors of screening adoption. The study provides justification for programs to target women in contemplation stage. It also suggests that the boost of a later phone intervention may be consequential for encouraging more women with similar demographics to take action.
Authors: Thomas Everett; Andrew Bryant; Michelle F Griffin; Pierre Pl Martin-Hirsch; Carol A Forbes; Ruth G Jepson Journal: Cochrane Database Syst Rev Date: 2011-05-11
Authors: Melissa C Brouwers; Carol De Vito; Lavannya Bahirathan; Angela Carol; June C Carroll; Michelle Cotterchio; Maureen Dobbins; Barbara Lent; Cheryl Levitt; Nancy Lewis; S Elizabeth McGregor; Lawrence Paszat; Carol Rand; Nadine Wathen Journal: Implement Sci Date: 2011-09-29 Impact factor: 7.327
Authors: Melissa C Brouwers; Carol De Vito; Lavannya Bahirathan; Angela Carol; June C Carroll; Michelle Cotterchio; Maureen Dobbins; Barbara Lent; Cheryl Levitt; Nancy Lewis; S Elizabeth McGregor; Lawrence Paszat; Carol Rand; Nadine Wathen Journal: Implement Sci Date: 2011-09-29 Impact factor: 7.327