Literature DB >> 19517203

Moving mammogram-reluctant women to screening: a pilot study.

Mary E Costanza1, Roger Luckmann, Mary Jo White, Milagros C Rosal, Nancy LaPelle, Caroline Cranos.   

Abstract

BACKGROUND: Effective interventions are needed for women long overdue for screening mammography.
PURPOSE: The purpose of this study is to pilot test an intervention for motivating overdue women to receive a mammogram.
METHODS: Subjects aged 45-79 without a mammogram in > or =27 months and enrolled in study practices were identified from claims data. The intervention included a mailed, educational booklet, computer-assisted barrier-specific tailored counseling and motivational interviewing, and facilitated, short-interval mammography scheduling.
RESULTS: Of 127 eligible women, 45 (35.4%) agreed to counseling and data collection. Most were > or =3 years overdue. Twenty-six (57.8%) of the counseled women got a mammogram within 12 months. Thirty-one (72.1%) of 43 counseled women moved > or =1 stage closer to screening, based on a modified Precaution Adoption Process Model.
CONCLUSION: It is feasible to reach and counsel women who are long overdue for a mammogram and to advance their stage of adoption. The intervention should be formally evaluated in a prospective trial comparing it to control or to proven interventions.

Entities:  

Mesh:

Year:  2009        PMID: 19517203      PMCID: PMC2746252          DOI: 10.1007/s12160-009-9107-6

Source DB:  PubMed          Journal:  Ann Behav Med        ISSN: 0883-6612


  24 in total

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3.  Underutilizers of mammography screening today: characteristics of women planning, undecided about, and not planning a mammogram.

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Review 6.  The precaution adoption process.

Authors:  N D Weinstein
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8.  Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence.

Authors:  Mary E Costanza; Roger Luckmann; Mary Jo White; Milagros C Rosal; Caroline Cranos; George Reed; Robin Clark; Susan Sama; Robert Yood
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9.  The integrated screening action model (I-SAM): A theory-based approach to inform intervention development.

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