4.4 Article

Randomized trial of DVD, telephone, and usual care for increasing mammography adherence

Journal

JOURNAL OF HEALTH PSYCHOLOGY
Volume 21, Issue 6, Pages 916-926

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105314542817

Keywords

breast cancer; cancer screening; health promotion; randomized trials

Funding

  1. Institute for Nursing Research at the National Institutes of Health [R01 NR008434]
  2. National Cancer Institute of the National Institutes of Health [R25CA117865]

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The purpose of this study was to test an intervention to increase mammography screening in women 51-75years of age who had not received a mammogram in the last 15months. A total of 1681 women were randomized to (1) a mailed tailored interactive DVD, (2) a computer-tailored telephone counseling, or (3) usual care. Women with income below US$75,000 who were in the interactive DVD group had significantly more mammograms than women in usual care. Women with income above US$75,000 had significantly fewer mammograms than women with income less than US$75,000 regardless of group. Further investigation is needed to understand why women with income above US$75,000 did not show the same benefit of the intervention.

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