Tailored telephone counseling to improve adherence to follow-up regimens after an abnormal pap smear among minority, underserved women.
Tailored telephone counseling to improve adherence to follow-up regimens after an abnormal pap smear among minority, underserved women.
复制标题
量身定制的电话咨询，以提高少数族裔、服务不足的女性在子宫颈抹片检查异常后对后续治疗方案的依从性。
DOI：
10.1016/j.pec.2013.08.008
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发表时间：
2013
影响因子：
3.5
通讯作者：
Hernandez,EnriqueE
中科院分区：
文献类型：
--
作者：
Miller,SuzanneM;Hui,Siu-kuenAzor;Wen,Kuang-Yi;Scarpato,John;Zhu,Fang;Buzaglo,Joanne;Hernandez,EnriqueE
ObjectiveThe present study explored the impact of a tailored telephone counseling intervention on increasing follow-up adherence after an abnormal Pap smear result among low-income, minority women, which may reduce cervical cancer disparity.MethodsParticipants (N= 211) were randomly assigned to receive: (1) a telephone reminder that included an assessment of barriers to adherence, as well as counseling tailored to the barriers elicited; (2) telephone reminder and barriers assessment, followed by a mailed home tailored barriers print brochure; or (3) enhanced standard care comprising telephone reminder and barriers assessment. Assessments were obtained at initial contact and 1-week later, as well as at 6- and 12-months after the initial colposcopy.ResultsThe telephone counseling group showed greater adherence to follow-up recommendations than did the combined other two groups (p< 0.05). For the initial colposcopy, tailored telephone barriers counseling was more effective among women with a high school education or less.ConclusionTailored telephone barriers counseling improves adherence to initial colposcopy, as well as to longer-term medical follow-up, among low-income, inner-city women.Practice ImplicationsDissemination of barriers counseling into ongoing telephone reminder calls and contacts may decrease disparities in cancer outcomes, especially among women with less than post-secondary education.
