MOTIVATING MAMMOGRAPHY USE VIA CD-ROM EDUCATION

描述：(申请人摘要)一张交互式多媒体光盘 将为老年人制作和评估关于乳房X光检查的程序 非裔美国女性。计算机软件的框架将由 先前强调维度的行为变化理论 记录影响目标受众使用乳房X光检查的情况 包括对个人健康的不重视，自我意识 有效性，以及行为改变阶段的重要性。该计划 将由员工共同开发，从开门开始， 伊利诺伊大学和Carle基金会代表 三级护理中心。由罗伯特·伍德·约翰逊和亨利资助 凯撒家族基金会解决健康方面的非经济障碍 关爱医疗服务不足的人，香槟-厄巴纳开幕式 DOORS项目专注于非洲生殖健康的障碍- 美国女性。计算机程序将主要依赖于图形和 视频(90%的节目内容)适用于目标 观众和触摸屏，因此几乎不需要阅读或 熟悉计算机技术。超媒体文档还将 做好准备，迎接互联网为CD-ROM程序做广告 通过大学获得材料的成本，以及 记录的有效性作为非裔美国人的教育工具 女人。将对CD-ROM进行前瞻性随机评估 滞后治疗对照组设计：60名非裔美国女性50名 年岁或更大，并决心沉思或 关于使用的行为改变阶段的准备阶段 乳房X光检查。自我报告结果测量将包括测试前和测试后 对乳房X光检查知识的评估，感知障碍的数量， 患者-提供者-乳腺癌的个人风险感知 沟通技巧，关于乳房X光检查使用的变化阶段。 将跟踪评估年度中乳房X光检查的实际使用情况 通过三级护理中心免费提供。采访 将由开门的工作人员进行。CD-ROM程序 解决了一批妇女的健康教育需求 面临获得医疗保健机会有限的挑战，并已知有 最近乳腺癌发病率和死亡率的增加 乳腺癌和与之相比出现更多晚期疾病 敬白人女性。

DESCRIPTION: (Applicant's Abstract) An interactive multimedia CD-ROM program on mammography will be produced and evaluated for older African-American women. The computer software will be framed by theories of behavioral change with emphasis on dimensions previously documented to influence the target audience's use of mammograms including low priority given to personal health, sense of self- efficacy, and the importance of stage of behavioral change. The program will be jointly developed by staff from Opening Doors, the University of Illinois, and Carle Foundation representing a tertiary care center. Funded by the Robert Wood Johnson and Henry Kaiser Family Foundations to address non-financial barriers to health care for medically underserved people, the Champaign-Urbana Opening Doors program focuses on barriers to reproductive health for African- American women. The computer program will rely primarily on graphics and video (90 percent of program content) generic to the target audience and touch screens, thus requiring little reading or familiarity with computer technology. A hypermedia document will also be prepared for the Internet to advertise the CD-ROM's program's availability for the cost of materials through the university and documented effectiveness as an educational tool with African- American women. The CD-ROM will be evaluated with a prospective randomized lagged treatment control group design with 60 African-American women 50 years and older and determined to be in the contemplative or preparation phase of stage of behavioral change regarding use of mammograms. Self report outcome measures will include pre-post-test assessments of knowledge of mammograms, number of perceived barriers, perceived personal risk for breast cancer, patient-provider communication skills, stage of change regarding mammogram use. Actual use of mammograms in the evaluation year will be tracked as made available free of charge through the tertiary care center. Interviews will be conducted by Opening Doors staff. The CD-ROM program addresses the health education needs of a group of women already challenged by limited access to health care and known to have a recent increase in the incidence of breast cancer and mortality from breast cancer and to present with more advanced disease as compared to white women.