Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data.
Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data.
复制标题
使用医疗记录数据为低收入和少数族裔妇女提供乳腺癌和宫颈癌筛查的定制信息。
DOI：
10.1016/s0738-3991(02)00119-2
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发表时间：
2003
影响因子：
3.5
通讯作者：
Holcomb,JDavid
中科院分区：
文献类型：
--
作者：
Jibaja-Weiss,MariaL;Volk,RobertJ;Kingery,Paul;Smith,QuentinW;Holcomb,JDavid
筛查和早期发现方面的障碍往往导致低收入和少数群体妇女在癌症诊断阶段太晚而无法获得最佳治疗。这项随机对照试验研究了包含通用癌症信息的个性化表格（PF）信件和包含基于病历数据的最小定制个性化风险因素信息的个性化定制（PT）信件是否影响1574名城市低收入和少数民族妇女的乳腺癌和宫颈癌筛查。与定制信件组和对照组相比，个性化表格信件组更有可能安排筛查预约，并在干预后1年内接受巴氏试验和乳房X光检查（所有比较P<0.001）。包含个性化癌症风险因素信息的个性化定制信件可能会降低医疗服务不足的低收入和少数民族妇女接受癌症筛查的可能性，但包含通用癌症信息的个性化表格信件可能会提高这一弱势群体的癌症筛查率。
Barriers to screening and early detection often result in cancers in low-income and minority women diagnosed at stages too advanced for optimal treatment. This randomized controlled trial examined whether a personalized form (PF) letter containing generic cancer information and a personalized tailored (PT) letter containing minimally tailored individualized risk factor information based on medical records data affected breast and cervical cancer screening among 1574 urban low-income and minority women. The personalized form-letter group was significantly more likely to schedule a screening appointment and to have undergone a Pap test and mammography within 1 year after the intervention than were the tailored letter and control groups (P<0.001 for all comparisons). Personalized tailored letters that contain individualized cancer risk factor information may decrease the likelihood of receiving cancer screening among medically underserved low-income and minority women, but personalized form letters that contain generic cancer information may improve these rates in this disadvantaged population.