Literature DB >> 9808807

Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention.

W Rakowski1, B Ehrich, M G Goldstein, B K Rimer, D N Pearlman, M A Clark, W F Velicer, H Woolverton.   

Abstract

BACKGROUND: Tailoring is a promising technique for encouraging greater performance of health-related behaviors. Tailored interventions are designed to be more individualized to personal characteristics, in contrast to "standard" interventions where all participants receive the same materials.
METHODS: A total of N = 1864 women aged 40-74 were recruited from a staff model HMO and randomly assigned to one of three intervention groups: (a) No Educational Materials, (b) Standard Materials, and (c) Stage-Matched Materials. A provider-directed component was common across all three conditions. The Standard and Stage-Matched groups each received two mailed educational packets after baseline and follow-up telephone interviews. The Stage-Matched intervention was based on the Transtheoretical Model of behavior change.
RESULTS: Analyses of n = 1397 women (after all attrition) showed that receipt of mammography after the baseline interview was higher for the Stage-Matched group (63.6%) than for the No Materials group (54.9%; OR = 1.43, 95% CI = 1.10, 1.86). The Standard intervention group was intermediate (58. 5%). The Standard group did not differ from the No Materials group, but did differ from the Stage-Matched group in multivariate analysis.
CONCLUSIONS: Stage-matched, tailored materials may be a means to encourage screening mammography. Such interventions can be implemented by telephone and mail. Copyright 1998 American Health Foundation and Academic Press.

Entities:  

Mesh:

Year:  1998        PMID: 9808807     DOI: 10.1006/pmed.1998.0354

Source DB:  PubMed          Journal:  Prev Med        ISSN: 0091-7435            Impact factor:   4.018


  42 in total

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9.  Randomized trial of a lay health advisor and computer intervention to increase mammography screening in African American women.

Authors:  Kathleen M Russell; Victoria L Champion; Patrick O Monahan; Sandra Millon-Underwood; Qianqian Zhao; Nicole Spacey; Nathan L Rush; Electra D Paskett
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