Effectiveness of a telephone outcall intervention to promote screening mammography among low-income women.
Effectiveness of a telephone outcall intervention to promote screening mammography among low-income women.
复制标题
电话上门干预对促进低收入妇女进行乳房X光检查的有效性。
DOI：
10.1006/pmed.1998.0395
复制
发表时间：
1998
影响因子：
5.1
通讯作者：
Warnecke,RB
中科院分区：
文献类型：
--
作者：
Crane,LA;Leakey,TA;Rimer,BK;Wolfe,P;Woodworth,MA;Warnecke,RB
背景这项研究评估了电话外呼干预(基于跨理论模型)在低收入老年妇女中筛查乳房X光检查行为的影响。方法使用地理人口数据库INFOLAR，识别整个科罗拉多州的低收入和少数族裔社区。居住地被随机分配到三个研究组：(1)对照组，(2)只呼出，(3)提前“邀请”+呼出。癌症信息服务中心的信息专家执行了该协议。在6个月和2年后的电话采访中评估乳房X光检查的依从性。结果在6个月的随访期内，两种干预措施都没有对主要结果、接受乳房X光检查的情况产生显著影响。在6个月时，与对照组相比，干预组接受乳房X光检查的意向明显增强，特别是那些在基线时是预见者的人。2年的随访表明，由于提前邀请+叫号，乳房X光检查的依从性略有增加，但这种影响仅限于基线时的粘附者。在6个月的随访期内，决策平衡、意图、接受体格检查和临床乳房检查以及既往的乳房X光检查行为强烈地预测了乳房X光检查的行为。OutCall干预可能有希望鼓励重复的乳房X光检查行为，但更密集的干预可能是必要的，以促进未遵守规定的女性的行为改变。
BackgroundThis study evaluated the impact of a telephone outcall intervention (based on the Transtheoretical Model) on screening mammography behavior among lower income, older women.MethodsA geodemographic database, INFORUM, was used to identify low-income and minority neighborhoods throughout the state of Colorado. Residences were assigned randomly to three study groups: (1) control, (2) outcall only, and (3) advance “invitation” + outcall. Information Specialists of the Cancer Information Service implemented the protocol. Mammography adherence was assessed in telephone interviews conducted 6 months and 2 years after the initial call.ResultsNeither intervention had a significant effect on the main outcome, receipt of mammography in the 6-month follow-up period. At 6 months, intentions to have a mammogram were significantly stronger in the intervention groups compared with the control group, particularly among those who were precontemplators at baseline. The 2-year follow-up indicated a small increase in mammography adherence attributable to the advance invitation + outcall, but this effect was restricted to those adherent at baseline. Mammography behavior during the 6-month follow-up period was predicted strongly by decisional balance, intentions, receipt of a physical and clinical breast exam, and previous mammography behavior.ConclusionsThe intervention promoted minimal movement in the stages of change for mammography. Outcall interventions may have promise for encouraging repeat mammography behavior, but more intensive interventions are likely to be necessary to promote behavior change among nonadherent women.