Screening rarely screened women: time-to-service and 24-month outcomes of tailored interventions.
Screening rarely screened women: time-to-service and 24-month outcomes of tailored interventions.
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对很少进行筛查的女性进行筛查：定制干预措施的服务时间和 24 个月结果。
DOI：
10.1016/s0091-7435(03)00165-8
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发表时间：
2003
影响因子：
5.1
通讯作者：
Glasgow,RussellE
中科院分区：
文献类型：
--
作者：
Valanis,Barbara;Whitlock,EvelynE;Mullooly,John;Vogt,Thomas;Smith,Sabina;Chen,ChuHe;Glasgow,RussellE
背景管理的护理组织和其他向筛查不足的妇女伸出援手的组织寻求鼓励乳房X光检查和巴氏筛查的策略。方法HMO成员年龄50-69岁，逾期接受乳房X光检查和巴氏检查(n=501)，干预开始后对其进行了24个月的跟踪调查。在24个月时，将外展干预(定制信件和激励性电话访谈)、in Reach干预(在诊所进行激励性访谈)以及inReach/Extreme干预相结合与常规护理进行比较。Logistic回归和COX风险模型分别检验了获得筛查服务和服务时间的预测因素。结果与常规护理相比，50岁至的外展妇女在24个月时接受乳房X光检查(OR=2.06；95%CI=1.59-5.29)和/或巴氏检查(OR=1.97；95%CI=1.12-3.53)的几率仍然显著增加(OR=2.53；95%CI=1.40-4.63)。外展妇女的平均服务时间减少了4个月。尽管卫生计划为改善对所有妇女的筛查做出了密集、持续的努力，但外展效果仍在持续。结论他的简短、量身定制的外展干预措施是一种有效的策略，可以鼓励在这两项筛查服务中过期的妇女进行宫颈癌和乳腺癌筛查。它还缩短了服务时间，这是早期发现和治疗的一个重要好处。对于仍未接受筛查的妇女，需要采取替代战略。
BACKGROUNDManaged care organizations and others reaching out to underscreened women seek strategies to encourage mammogram and Pap screening.METHODSFemale HMO members aged 50–69 years and overdue for a mammogram and a Pap test (n = 501) were followed for 24 months after interventions began. An Outreach intervention (tailored letters and motivational telephone interviews), an Inreach intervention (motivational interview delivered in clinics), and a Combined Inreach/Outreach intervention were compared to Usual Care at 24 months. Logistic regression and Cox hazard models examined predictors of obtaining screening services and time-to-service, respectively.RESULTSCompared with Usual Care, the odds of Outreach women aged 50–64 obtaining a mammogram (OR = 2.06; 95% CI = 1.59–5.29), a Pap test (OR = 1.97; 95% CI = 1.12–3.53), or both (OR = 2.53; 95% CI = 1.40–4.63) remained significantly increased at 24 months. The average time-to-service for Outreach women was reduced by 4 months. Outreach effects persisted despite intensive, ongoing health plan efforts to improve screening of all women.CONCLUSIONSThis brief, tailored outreach intervention was an effective strategy for encouraging cervical and breast cancer screening among women overdue for both screening services. It also shortened time-to-service, an important benefit for early detection and treatment. Alternative strategies are needed for women who remain unscreened.
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当代心理治疗师：关于特征、实践、取向和态度的全国调查。
DOI：
--
发表时间：
1983
期刊：
影响因子：
--
作者：
J. Prochaska;J. Norcross
通讯作者：
J. Norcross
提高管理护理人群中乳房 X 光检查依从性的 5 种干预措施的成本效益。
DOI：
--
发表时间：
2003
期刊：
The American journal of managed care.
影响因子：
--
作者：
SaywellJr,RobertM;Champion,VictoriaL;Zollinger,TerrellW;Maraj,Maltie;Skinner,CeletteSugg;Zoppi,KathleenA;Muegge,CarolynM
通讯作者：
Muegge,CarolynM
量身定制的干预措施对社区卫生中心人群的影响。
影响因子：
3.5
作者：
Rimer,BK;Conaway,M;Lyna,P;Glassman,B;Yarnall,KS;Lipkus,I;Barber,LT
通讯作者：
Barber,LT
影响因子：
4.2
作者：
WEINSTEIN, ND;SANDMAN, PM
通讯作者：
SANDMAN, PM
向服务不足的女性提供乳腺癌和宫颈癌筛查服务：第一部分：文献综述和电话调查。
DOI：
--
发表时间：
1996
期刊：
Women's health issues
影响因子：
--
作者：
C. Vellozzi;M. Romans;R. Rothenberg
通讯作者：
R. Rothenberg