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dc.contributor.authorLuckmann, Roger S.
dc.contributor.authorSavageau, Judith A.
dc.contributor.authorClemow, Lynn
dc.contributor.authorStoddard, Anne M.
dc.contributor.authorCostanza, Mary E.
dc.date2022-08-11T08:11:04.000
dc.date.accessioned2022-08-23T17:30:59Z
dc.date.available2022-08-23T17:30:59Z
dc.date.issued2003-12-04
dc.date.submitted2007-07-30
dc.identifier.citation<p>Cancer Detect Prev. 2003;27(6):442-50.</p>
dc.identifier.issn0361-090X (Print)
dc.identifier.doi10.1016/j.cdp.2003.09.003
dc.identifier.pmid14642552
dc.identifier.urihttp://hdl.handle.net/20.500.14038/50627
dc.description.abstractTailored 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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14642552&dopt=Abstract">Link to article in PubMed</a></p>
dc.relation.urlhttp://dx.doi.org/10.1016/j.cdp.2003.09.003
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectBreast Neoplasms
dc.subjectCounseling
dc.subjectFemale
dc.subjectHealth Maintenance Organizations
dc.subjectHealth Promotion
dc.subjectHumans
dc.subjectMammography
dc.subjectMiddle Aged
dc.subjectNew England
dc.subject*Patient Acceptance of Health Care
dc.subject*Reminder Systems
dc.subjectTelephone
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.subjectWomen's Studies
dc.titleA randomized trial of telephone counseling to promote screening mammography in two HMOs
dc.typeJournal Article
dc.source.journaltitleCancer detection and prevention
dc.source.volume27
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/wfc_pp/155
dc.identifier.contextkey330391
html.description.abstract<p>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.</p>
dc.identifier.submissionpathwfc_pp/155
dc.contributor.departmentDepartment of Family Medicine & Community Health
dc.contributor.departmentDepartment of Medicine, Division of Hematology/Oncology
dc.source.pages442-50


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