A randomized trial of telephone counseling to promote screening mammography in two HMOs
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UMass Chan Affiliations
Department of Family Medicine & Community HealthDepartment of Medicine, Division of Hematology/Oncology
Document Type
Journal ArticlePublication Date
2003-12-04Keywords
AgedAged, 80 and over
Breast Neoplasms
Counseling
Female
Health Maintenance Organizations
Health Promotion
Humans
Mammography
Middle Aged
New England
*Patient Acceptance of Health Care
*Reminder Systems
Telephone
Life Sciences
Medicine and Health Sciences
Women's Studies
Metadata
Show full item recordAbstract
Tailored telephone counseling (TTC) is effective in increasing utilization of screening mammography, but has received limited testing on a large scale in a contemporary HMO setting in which most eligible women get regular screening. We conducted a randomized controlled trial comparing TTC to an active control (mailed reminders) among women aged 50-80 enrolled in two HMOs in New England (n=12,905). Over a 1-year period counselors attempted to contact women in the intervention arm who had not had a mammogram within the last 15 months. The absolute increase in mammography use due to the intervention was 4.9% (OR 1.3, 95% CI 1.0-1.6) in one HMO and 3.1% (OR 1.2, 95% CI 1.0-1.3) in the other. We estimated that one additional woman was screened for each 10.9 women eligible for counseling. An intervention process analysis documented a high level of acceptance of TTC and identified subgroups that could be targeted for counseling to improve the efficiency of TTC.Source
Cancer Detect Prev. 2003;27(6):442-50.
DOI
10.1016/j.cdp.2003.09.003Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50627PubMed ID
14642552Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.cdp.2003.09.003