Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention
Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention
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DOI：
10.1006/pmed.1998.0354
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发表时间：
1998-09-01
影响因子：
5.1
通讯作者：
Woolverton, H
中科院分区：
文献类型：
--
作者：
Rakowski, W;Ehrich, B;Woolverton, H
背景。裁剪是一种很有前途的技术，可以鼓励健康相关行为的更好表现。与所有参与者接受相同材料的“标准”干预相比，量身定制的干预是针对个人特征而设计的。共有N = 1864名年龄在40-74岁之间的女性从工作人员模型HMO中招募，并随机分配到三个干预组之一：(A)无教育材料，(b)标准材料，(c)阶段匹配材料。面向提供者的组件在所有三种情况下都很常见。标准组和阶段匹配组在基线和后续电话访谈后各收到两份邮寄的教育包。阶段匹配干预是基于行为改变的跨理论模型。对n = 1397名妇女的分析显示，在基线访谈后接受乳房x光检查的阶段匹配组（63.6%）高于无材料组（54.9%;OR = 1.43, 95% CI = 1.10, 1.86），标准干预组为中等水平（58.5%）。标准组与无材料组无差异，但在多变量分析中与分期匹配组有差异。阶段匹配，量身定制的材料可能是鼓励筛查乳房x光检查的一种手段，这种干预措施可以通过电话和邮件实施。(C) 1998年美国卫生基金会和学术出版社。
Background. Tailoring is a promising technique for encouraging greater performance of health-related behaviors. Tailored interventions are designed to be more individualized to personal characteristics, in contrast to "standard" interventions where all participants receive the same materials.Methods. A total of N = 1864 women aged 40-74 were recruited from a staff model HMO and randomly assigned to one of three intervention groups: (a) No Educational Materials, (b) Standard Materials, and (c) Stage-Matched Materials. A provider-directed component was common across all three conditions. The Standard and Stage Matched groups each received two mailed educational packets after baseline and followup telephone interviews. The Stage-Matched intervention was based on the Transtheoretical Model of behavior change.Results. Analyses of n = 1397 women (after all attrition) showed that receipt of mammography after the baseline interview was higher for the Stage-Matched group (63.6%) than for the No Materials group (54.9%; OR = 1.43, 95% CI = 1.10, 1.86), The Standard intervention group was intermediate (58.5%). The Standard group did not differ from the No Materials group, but did differ from the Stage-Matched group in multivariate analysis.Conclusions. Stage-matched, tailored materials may be a means to encourage screening mammography, Such interventions can be implemented by telephone and mail. (C) 1998 American Health Foundation and Academic Press.