Terry C. Davis|Hans J. Berkel|Connie L. Arnold|Indrani Nandy|Robert H. Jackson|Peggy W. Murphy
Intervention to increase mammography utilization in a public hospital
Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center|Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center|University Hospital and Clinics|Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center|University Hospital and Clinics|Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center|Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center|Louisiana State University Health Sciences Center Shreveport|Louisiana State University|University Medical Center
objective study effects three approaches increasing utilization screening mammography public hospital setting northwest louisiana design randomized intervention study population four hundred fortyfive women aged 40 years predominantly lowincome low literacy skills mammogram preceding year intervention interventions chosen motivate women get mammogram group 1 received personal recommendation one investigators group 2 received recommendation plus easytoread national cancer institute nci brochure group 3 received recommendation brochure 12minute interactive educational motivational program including soapoperastyle video developed collaboration women target population measurements main results mammography utilization determined 6 months 2 years intervention significant increase p05 mammography utilization observed intervention designed collaboration patients 29 compared recommendation alone 21 recommendation brochure 18 6 months however 2 years difference favoring custommade intervention longer significant conclusions 6 months least 30 increase mammography utilization rate group receiving intervention designed collaboration patients compared receiving recommendation alone recommendation brochure giving patients easytoread nci brochure personal recommendation effective giving recommendation alone suggesting simply providing women public hospital lowliteracylevel culturally appropriate brochure sufficient increase screening mammography rates multivariate analysis significant predictor mammography use 6 months custommade intervention