Testing reminder and motivational telephone calls to increase screening mammography: a randomized study.
Testing reminder and motivational telephone calls to increase screening mammography: a randomized study.
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测试提醒和激励电话以增加筛查乳房 X 光检查：一项随机研究。
DOI：
10.1093/jnci/92.3.233
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Curry,S
中科院分区：
文献类型：
--
作者：
Taplin,SH;Barlow,WE;Ludman,E;MacLehos,R;Meyer,DM;Seger,D;Herta,D;Chin,C;Curry,S
背景前瞻性随机试验表明，激励性电话增加了筛查乳房X光检查的依从性。为了更好地了解励志号召的效果并最大限度地提高忠诚度，我们在50-79岁的女性中进行了一项随机试验。方法我们在普吉特湾集团健康合作社内对5062名应接受乳房X光检查的女性进行了分层随机抽样，其中包括4099名有过乳房X光检查的女性和963名没有接受过乳房X光检查的女性。在邮寄推荐信之前，我们招募并调查了3743名女性(74%)。2个月后，3743名女性中的1765名(47%)没有安排乳房X光检查，并被随机分配到三个干预组之一：提醒明信片组(n=590)、提醒电话组(n=585)和激励性电话寻址障碍组(n=590)。打电话的人可以安排乳房X光检查。我们使用COX比例风险模型来估计记录在案的乳房X光检查使用1年后的风险比(HR)和95%可信区间(CI)。结果收到提醒电话的女性比邮寄明信片的女性更有可能接受乳房X光检查(HR=1.9；95%CI=1.6-2.4)。激励呼叫和提醒呼叫(平均时长分别为8.5分钟和3.1分钟)具有相同的效果(HR=0.97；95%CI=0.8-1.2)。在我们控制了干预效果后，有过乳房X光检查的女性(n=1277)比没有做过乳房X光检查的女性(n=488)更有可能接受乳房X光检查(HR=3.4；95%CI=2.7-4.3)。更高的收入，而不是种族或更高的教育程度，与更高的依从性有关。结论：鼓励女性安排预约与解决障碍一样有效。在随机试验中，应将单纯干预组作为对照组，以便更好地了解更复杂的干预效果。
BACKGROUNDProspective randomized trials have demonstrated that motivational telephone calls increase adherence to screening mammography. To better understand the effects of motivational calls and to maximize adherence, we conducted a randomized trial among women aged 50-79 years.METHODSWe created a stratified random sample of 5062 women due for mammograms within the Group Health Cooperative of Puget Sound, including 4099 women with prior mammography and 963 without it. We recruited and surveyed 3743 (74%) of the women before mailing a recommendation. After 2 months, 1765 (47%) of the 3743 women had not scheduled a mammogram and were randomly assigned to one of three intervention groups: a reminder postcard group (n = 590), a reminder telephone call group (n = 585), and a motivational telephone call addressing barriers group (n = 590). The telephone callers could schedule mammography. We used Cox proportional hazards models to estimate the hazard ratio (HR) and 95% confidence interval (CI) for documented mammography use by 1 year.RESULTSWomen who received reminder calls were more likely to get mammograms (HR = 1.9; 95% CI = 1.6-2.4) than women who were mailed postcards. The motivational and reminder calls (average length, 8.5 and 3.1 minutes, respectively) had equivalent effects (HR= 0.97; 95% CI = 0.8-1.2). After we controlled for the intervention effect, women with prior mammography (n = 1277) were much more likely to get a mammogram (HR= 3.4; 95% CI = 2.7-4.3) than women without prior use (n = 488). Higher income, but not race or more education, was associated with higher adherence.CONCLUSIONSReminding women to schedule an appointment was as efficacious as addressing barriers. Simple intervention groups should be included as comparison groups in randomized trials so that we better understand morecomplex intervention effects.
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瑞典两县乳腺癌乳房 X 线摄影筛查计划的更新。
影响因子：
1.9
作者：
L. Tabár;G. Fagerberg;Stephen W. Duffy;N. Day;A. Gad;O. Gröntoft
通讯作者：
O. Gröntoft
使用医生信件和明信片提醒来促进乳房X光检查的使用。
影响因子：
12.7
作者：
Taplin,SH;Anderman,C;Grothaus,L;Curry,S;Montano,D
通讯作者：
Montano,D
DOI：
--
发表时间：
1972
期刊：
--
影响因子：
--
作者：
D. Cox
通讯作者：
D. Cox
晚期乳腺癌的乳房X光检查扩散和趋势：评估人群的结果。
DOI：
--
发表时间：
1997
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.
影响因子：
--
作者：
Taplin,SH;Mandelson,MT;Anderman,C;White,E;Thompson,RS;Timlin,D;Wagner,EH
通讯作者：
Wagner,EH
与女性遵守乳房X光检查筛查指南相关的因素。
影响因子：
3.4
作者：
Phillips,KA;Kerlikowske,K;Baker,LC;Chang,SW;Brown,ML
通讯作者：
Brown,ML