Effectiveness of telephone counseling for mammography: results from five randomized trials.

Effectiveness of telephone counseling for mammography: results from five randomized trials.
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乳房X光检查电话咨询的有效性:五项随机试验的结果。

DOI:
10.1006/pmed.2001.0960
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发表时间:
2002
影响因子:
5.1
通讯作者:
NCIBreastScreeningConsortium
NCIBreastScreeningConsortium
中科院分区:
医学2区
文献类型:
--
作者:
Stoddard,AnneM;Fox,SarahA;Costanza,MaryE;Lane,DorothyS;Andersen,MRobyn;Urban,Nicole;Lipkus,Isaac;Rimer,BarbaraK;NCIBreastScreeningConsortium

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背景50岁以上的妇女仍然没有得到足够的乳腺癌筛查。本报告的目的是比较的有效性的障碍,具体的电话咨询干预的五个研究地点的乳腺癌筛查联盟(BCSC)。MethodsEach的BCSC项目是一个随机研究的有效性的电话咨询(TC)相比,控制条件。在实施干预措施之前和之后,通过电话确定并调查了合格的未充分使用者。共分析了3,461名未充分使用者的数据。我们测试了在随访调查中,随机分配到TC组的女性是否比对照组的女性更经常使用乳房X线摄影。数据分别进行了分析site.ResultsOverall,TC是不是更有效的比控制在鼓励定期乳房X光检查。合并财团范围内的优势比为1.08(95%置信区间:0.91至1.27)。需要进行修改以最大限度地发挥这一潜力,并应与TC一起使用其他方法,以覆盖乳房X线摄影使用不足的妇女。
BackgroundWomen over age 50 continue to be underscreened for breast cancer. The purpose of this report is to compare the effectiveness of a barrier-specific telephone counseling intervention across the five study sites of the Breast Cancer Screening Consortium (BCSC).MethodsEach of the BCSC projects was a randomized study of the effectiveness of telephone counseling (TC) in comparison to a control condition. Eligible underusers were identified and surveyed by telephone before and after the implementation of the interventions. Data from a total of 3,461 underusers were analyzed. We tested whether significantly more women randomized to TC than to control were regular mammography users at the follow-up survey. Data were analyzed separately by site.ResultsOverall, TC was not significantly more effective than control in encouraging regular mammography. The pooled consortium-wide odds ratio was 1.08 (95% confidence interval: 0.91 to 1.27).ConclusionsTC has the potential to support maintenance of mammogram use. Modifications are needed to maximize this potential and additional methods should be used in conjunction with TC to reach women who are underusers of mammography.
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发表时间: 1998
期刊:
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