INCREASING BREAST SCREENING AMONG NONADHERENT WOMEN

加强对非依恋女性的乳房筛查

• 批准号: 2105857
• 负责人: BARBARA K. RIMER
• 金额: $ 47.81万
• 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/2105857
• 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提案， 与北卡罗来纳州Kaiser Permanente成员共同实施（a 工作人员模型HMO），并作为更大的互动赠款的一部分，旨在 增加未遵守规定的妇女的乳腺癌筛查。的 互动合作者包括弗雷德哈钦森癌症研究 纽约州立大学斯托尼布鲁克分校 马萨诸塞州和洛杉矶的加州大学。整体 交互式应用程序的目的是比较 美国五个地区的特定障碍电话咨询， 评估干预措施的成本效益 在未坚持的妇女中进行筛查。 杜克综合癌症中心和凯撒医疗机构将比较两个 为妇女量身定制的干预措施-量身定制的印刷品与量身定制的电话 咨询-与常规护理相比。干预措施基于 同样的理论模型（跨理论模型和健康模型） 信念模型），并使用类似的方法来分期妇女和提供 基于阶段的个性化响应。凯撒的所有医生也将 获得一套支持性的教育材料，以确保 医生消息 基线电话访谈将在第一年进行，以评估 非信徒妇女的知识、信仰和习俗。后续行动 将在一年的最后一个季度对这批人进行访谈 4. 本文的研究集中在如何激励员工这一重要问题上 不坚持的妇女参加定期乳腺癌筛查。那里 应该是广泛的普遍性，因为研究正在进行中， 全国各地的五个设置， 交付环境和人口。每一个受资助者将包括一个 少数民族妇女比例很高。