The Implementation Guide is a resource for implementing this program. It provides important information about the staffing and functions necessary for administering this program in the user's setting. Additionally, the steps needed to carry out the research-tested program, relevant program materials, and information for evaluating the program are included. The Implementation Guide can be viewed and downloaded in the Products page.
Proactive System to Improve Breast Cancer Screening
|Program Title||Proactive System to Improve Breast Cancer Screening|
|Purpose||Designed to increase breast cancer screening by encouraging women to schedule and keep mammography appointments. (2007)|
|Program Focus||Awareness building and Behavior Modification|
|Topic||Breast Cancer Screening|
|Age||This information has not been reported.|
|Gender||This information has not been reported.|
|Race/Ethnicity||This information has not been reported.|
|Setting||This information has not been reported.|
|Funded by||This information is not available.|
|User Reviews||(Be the first to write a review for this program)|
Breast cancer is the most common non-dermatologic cancer in women in the United States, and early detection can reduce mortality dramatically. This research was conducted based on the U.S. Preventive Services Task Force screening guidelines at the time, prior to the release of the current USPSTF recommendations on breast cancer screening. The previous guidelines advised for annual or biannual mammography screening for women aged 40 and older. However, many women do not undergo regular mammography screening. Primary care practices need a proactive system to manage the mammography screening needs of their patients.
Women between the ages of 40 and 75 who were patients of a large primary care practice were randomly assigned to either an intervention group or a usual-care control group. Of the 6,665 women identified to have consented to participate in this specific study or had documented authorization allowing access to their medical records for general research, 3,326 were assigned to the treatment group, and 3,339 were assigned to the usual-care control group; 232 women assigned to the treatment group and 286 women assigned to the control group declined participation. The sample included a subsample of employees of the primary care practice. Women in the treatment group received personalized letters or e-mails to remind them to schedule a mammography appointment, an informational brochure, and a follow-up phone call if they did not respond to reminders within a specified time. Women in the usual-care group did not receive reminders, a brochure, or a phone call.
The outcomes measure was mammography screening rates assessed from participant medical records.
Following the intervention, 64.3% of women in the intervention group received mammography screening, compared to 55.3% of women in the usual-care control group (p<.001).
Overall, mammography screening rates were higher for employees of the primary care practice than for nonemployees; 70% of intervention group employees received an annual mammography screening, compared to 57.5% of usual-care control group employees (p<.001).
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