Effects of a Web-based intervention on women's breast health behaviors
Effects of a Web-based intervention on women's breast health behaviors
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DOI：
10.1007/s13142-011-0028-0
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发表时间：
2011-03-01
影响因子：
3.6
通讯作者：
Wooldridge, Jean
中科院分区：
文献类型：
--
作者：
Bowen, Deborah J.;Robbins, Robert;Wooldridge, Jean
帮助女性做出选择以降低癌症风险并改善乳房健康行为很重要，但通过干预援助接触更多人的最佳方法尚不清楚。为了测试一种旨在帮助女性做出更好的乳房健康选择的基于网络的干预措施的有效性，我们将之前测试过的成功的乳房健康干预方案改编为在互联网上提供的方案，然后在一项随机试验中进行测试。我们从公众中招募了女性，将她们随机分配到积极干预组或延迟干预对照组。干预措施包括一个专门的网站，向所有参与者提供量身定制和个性化的风险信息，然后在需要时提供额外的支持。随机分组后1年的随访显示，与对照组女性相比，干预组女性的乳房X线摄影筛查有显著改善（改善13个百分点）。在干预过程中，提高乳腺健康知识和减少癌症担忧的妇女干预效果更强。这些数据表明，通过实施这种简单、低资源密集型干预措施，可以在以人口为基础的大多数投保样本中实现乳房X光检查的增加。
Helping women make choices to reduce cancer risk and to improve breast health behaviors is important, but the best ways to reach more people with intervention assistance is not known. To test the efficacy of a Web-based intervention designed to help women make better breast health choices, we adapted our previously tested, successful breast health intervention package to be delivered on the Internet, and then we tested it in a randomized trial. We recruited women from the general public to be randomized to either an active intervention group or a delayed intervention control group. The intervention consisted of a specialized Web site providing tailored and personalized risk information to all participants, followed by offers of additional support if needed. Follow-up at 1-year post-randomization revealed significant improvements in mammography screening in intervention women compared with control women (improvement of 13 percentage points). The intervention effects were more powerful in women who increased breast health knowledge and decreased cancer worry during intervention. These data indicate that increases in mammography can be accomplished in population-based mostly insured samples by implementing this simple, low resource intensive intervention.