Journal
CANCER DETECTION AND PREVENTION
Volume 27, Issue 6, Pages 442-450Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.cdp.2003.09.003
Keywords
screening mammography; breast cancer prevention; telephone counseling; randomized controlled trial; health behavior
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Funding
- NATIONAL CANCER INSTITUTE [R01CA060130] Funding Source: NIH RePORTER
- NCI NIH HHS [R01 CA 60130] Funding Source: Medline
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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-SO 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% Cl 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. (C) 2003 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.
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