Mammography Interventions for 65- to 74-Year-Old HMO Women

This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated that only 13% of control group women compared to 27% who received phone counseling and 32% who received counseling and a letter obtained a mammogram within 120 days following the baseline survey and/or intervention. Results of the logistic regression analysis indicated that having received either of the interventions, mammography history, access ease, breast cancer/mammography beliefs, and having a friend or family member with breast cancer were independently and significantly related to mammography use.

[1]  E H Wagner,et al.  Self-help quit smoking interventions: effects of self-help materials, social support instructions, and telephone counseling. , 1991, Journal of consulting and clinical psychology.

[2]  A. Marcus,et al.  Screening mammography rates and barriers to use: a Los Angeles County survey. , 1991, Preventive medicine.

[3]  B. Rimer,et al.  Multistrategy health education program to increase mammography use among women ages 65 and older. , 1992, Public health reports.

[4]  A. Stoddard,et al.  Breast cancer screening by mammography: utilization and associated factors. , 1989, American journal of public health.

[5]  W. Rakowski,et al.  Integrating behavior and intention regarding mammography by respondents in the 1990 National Health Interview Survey of Health Promotion and Disease Prevention. , 1993, Public health reports.

[6]  R Yancik,et al.  Breast cancer in aging women. A population‐based study of contrasts in stage, surgery, and survival , 1989, Cancer.

[7]  E. Feuer,et al.  Screening mammography: a missed clinical opportunity? Results of the NCI Breast Cancer Screening Consortium and National Health Interview Survey Studies. , 1990, JAMA.

[8]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[9]  C. Jepson,et al.  Behavioral Interventions to Increase Adherence in Colorectal Cancer Screening , 1991, Medical care.

[10]  B. Trock,et al.  Factors associated with repeat adherence to breast cancer screening. , 1990, Preventive medicine.

[11]  L. Tabár,et al.  REDUCTION IN MORTALITY FROM BREAST CANCER AFTER MASS SCREENING WITH MAMMOGRAPHY Randomised Trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare , 1985, The Lancet.

[12]  Karen Hooker.  Possible selves and perceived health in older adults and college students. , 1992, Journal of gerontology.

[13]  I. Janis,et al.  Decision Making: A Psychological Analysis of Conflict, Choice, and Commitment , 1977 .

[14]  R. Yancik,et al.  Cancer in the aged. An epidemiologic perspective on treatment issues , 1991, Cancer.

[15]  B. Rimer,et al.  Promoting mammography use through progressive interventions: is it effective? , 1994, American journal of public health.

[16]  B. Rimer,et al.  Some reasons for compliance and noncompliance in a health maintenance organization breast cancer screening program. , 1988, The Journal of compliance in health care : JCHC.

[17]  S Shapiro,et al.  Selection, follow-up, and analysis in the Health Insurance Plan Study: a randomized trial with breast cancer screening. , 1985, National Cancer Institute monograph.

[18]  Stewart Ja,et al.  Navelbine: a new step in cancer therapy? , 1989 .

[19]  G R Newell,et al.  Cancer and age. , 1989, Seminars in oncology.

[20]  Suzanne M. Miller,et al.  Telephone counseling improves adherence to colposcopy among lower-income minority women. , 1992, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[21]  I. Ajzen,et al.  Understanding Attitudes and Predicting Social Behavior , 1980 .

[22]  D. Lane,et al.  Age Group Differences in the Use of Breast Cancer Screening Tests , 1990, Journal of aging and health.

[23]  R. Yancik,et al.  Cancer in the Elderly: Approaches to Early Detection and Treatment , 2004 .

[24]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[25]  R. Warnecke,et al.  Results of an intervention to improve compliance with referrals for evaluation of suspected malignancies at neighborhood public health centers. , 1990, American journal of public health.

[26]  Lawrence Green,et al.  HEALTH PROMOTION AND THE COMPRESSION OF MORBIDITY , 1989, The Lancet.

[27]  R. Heidel,et al.  Healthy People 2000: national health promotion and disease prevention objectives (excerpts). US Public Health Service. , 1991, Journal of allied health.

[28]  B. Rimer,et al.  Mammography-Related Beliefs of Older Women , 1993, Journal of aging and health.

[29]  S. Fletcher,et al.  Mammography and age: Are we targeting the wrong women? A community survey of women and physicians , 1991, Cancer.

[30]  A. Richardson,et al.  The effectiveness of breast cancer screening by mammography in younger women. , 1993, The Online journal of current clinical trials.