INCREASING BREAST SCREENING AMONG NONADHERENT WOMEN

加强对非依恋女性的乳房筛查

• 批准号: 2105854
• 负责人: BARBARA K. RIMER
• 金额: $ 45.67万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-30 至 1998-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2105854
• 关键词: breast neoplasms; counseling; diagnosis design /evaluation; female; health behavior; health care cost /financing; health care model; health care service evaluation; health care service utilization; health surveys; human middle age (35-64); human old age (65+); human subject; interview; longitudinal human study; mammography; managed care; mass screening; motivation; neoplasm /cancer education; telecommunications

The proposed research submitted by Duke University Medical Center for implementation with members of Kaiser Permanente of North Carolina (a staff model HMO), and is part of a larger interactive grant aimed at increasing breast cancer screening among nonadherent women. The interactive collaborators include the Fred Hutchinson Cancer Research Center, State University of New York at Stonybrook, University of Massachusetts and University of California at Los Angeles. The overall aims of the interactive application are to compare the effectiveness of Barriers-Specific Telephone Counseling in five regions of the U.S. and to assess the cost-effectiveness of the intervention in increasing screening among nonadherent women. Duke Comprehensive Cancer Center and Kaiser Permanente will compare two tailored interventions for women -- tailored print vs. tailored telephone counseling -- compared to usual care. The interventions are based upon the same theoretical models (the Transtheoretical Model and the Health Belief Model) and use a similar approach to staging women and providing stage-based personalized responses. All physicians at Kaiser also will receive a supportive educational package to ensure standardization of the physician messages. Baseline telephone interviews will be conducted in year 1 to assess knowledge, beliefs and practices of nonadherent women. Follow-up interviews will be conducted with the cohort in the last quarter of year 4. The research focuses on the important question of how to motivate nonadherent women to participate in regular breast screening. There should be wide generalizability since the research is being conducted in five settings across the country with a range of comparisons across delivery settings and populations. Each grantee will include a substantial proportion of minority women.

这项由杜克大学医学中心提交的研究建议