DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
减少假阳性乳房 X 光检查的不良影响
基本信息
- 批准号:2405853
- 负责人:
- 金额:$ 22.71万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1997
- 资助国家:美国
- 起止时间:1997-09-22 至 2001-06-30
- 项目状态:已结题
- 来源:
- 关键词:anxiety behavioral /social science research tag clinical research diagnosis quality /standard female health behavior health care cost /financing health care service utilization human subject interview longitudinal human study mammography neoplasm /cancer education outcomes research psychological aspect of cancer telecommunications therapy compliance videotape /videodisc
项目摘要
DESCRIPTION: False-positive mammogram readings, which account for more than
10 percent of all screening mammograms, cause long-lasting anxiety in women
and are associated with low adherence to subsequent screening mammogram
recommendations. The investigators propose a study to evaluate two
strategies to reduce adverse psychosocial effects of false-positive
mammograms in community women members of a large health maintenance
organization in a Northeast urban area. A psychoeducational intervention,
consisting of a videotape presentation and a pamphlet to explain the concept
of a false-positive mammogram reading and how to cope with it will be
developed and given to women at the time of their screening mammograms in
eight radiology practices. It will be evaluated, along with a radiology
system intervention to provide on-site readings and immediate follow-up
investigations to women with abnormal readings. A factorial design, with
four study groups will be used: Control, Education, Immediate Follow-up,
and Both. Levels of anxiety and concern about breast cancer and
mammography, adherence to subsequent screening mammography, health-care
utilization in the 12 months after screening mammography, and daily
functioning will be assessed in the women in each group, by telephone
interviews at two weeks and three months after the screening mammogram, and
by medical record review. Differences among the four groups will be sought,
using the Impact of Event Scale and the Hopkins Symptom Checklist for levels
of anxiety, and short-form General Health Survey for daily function.
Psychological effects will be plotted over time, and effect modifiers will
be sought to determine if the interventions affect women differentially.
Feasibility and cost of both interventions will be determined and
cost-effectiveness analyses will be performed. Because of high levels of
anxiety about breast cancer and breast cancer screening among women in
general, in a secondary study, the investigators will determine the same set
of outcomes in two groups of women with normal mammogram readings: Control
and Education. The study will determine whether simple strategies alleviate
adverse psychosocial effects of an important breast cancer screening
procedure that more than 25 million American women receive each year.
描述:假阳性乳房X光检查读数,占超过
10%的筛查乳房X光检查会导致女性长期焦虑
并与后续筛查乳房X光检查的低依从性有关
建议。研究人员提出了一项研究,以评估两个
减少假阳性不良心理社会影响的策略
社区女性大型健康维持者的乳房X光检查
东北市区的一个组织。心理教育干预,
包括一盘录像带和一本小册子,解释这一概念
假阳性的乳房X光检查读数以及如何处理它将是
在妇女筛查乳房X光检查时开发并给予
八个放射科诊所。它将与放射学一起接受评估
系统干预,提供现场读数和即时跟进
对读数异常的女性进行调查。阶乘设计,具有
将使用四个研究小组:对照组、教育组、立即跟进组、
两者都有。对乳腺癌和乳腺癌的焦虑和担忧程度
乳房X光照相,坚持后续筛查,保健
筛查乳房X光检查后12个月内和每天的使用率
将通过电话对每组妇女的功能进行评估
在筛查乳房X光检查后两周和三个月进行访谈,以及
通过病历审查。将寻求这四个群体之间的差异,
使用事件影响量表和霍普金斯症状检查表进行等级评定
焦虑和日常功能的简明一般健康调查。
心理影响将随着时间的推移而变化,效果修饰者将
寻求确定干预措施是否对妇女产生不同影响。
将确定这两种干预措施的可行性和成本,并
将进行成本效益分析。因为高水平的
年妇女对乳腺癌和乳腺癌筛查的焦虑
一般情况下,在二次研究中,调查人员将确定相同的一组
乳房X光检查读数正常的两组女性的结局:对照组
和教育。这项研究将确定简单的策略是否可以缓解
一项重要的乳腺癌筛查的不良心理社会影响
每年有2500多万美国女性接受这种手术。
项目成果
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{{ truncateString('SUZANNE W FLETCHER', 18)}}的其他基金
INCLEN 2002 WORKSHOPS: KNOWLEDGE SYSTEMS FOR BETTER CARE
INCLEN 2002 研讨会:更好护理的知识系统
- 批准号:
6541532 - 财政年份:2002
- 资助金额:
$ 22.71万 - 项目类别:
DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
减少假阳性乳房 X 光检查的不良影响
- 批准号:
2895746 - 财政年份:1997
- 资助金额:
$ 22.71万 - 项目类别:
DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
减少假阳性乳房 X 光检查的不良影响
- 批准号:
2733303 - 财政年份:1997
- 资助金额:
$ 22.71万 - 项目类别:
DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
减少假阳性乳房 X 光检查的不良影响
- 批准号:
6359867 - 财政年份:1997
- 资助金额:
$ 22.71万 - 项目类别:
DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
减少假阳性乳房 X 光检查的不良影响
- 批准号:
6173515 - 财政年份:1997
- 资助金额:
$ 22.71万 - 项目类别:
NURSE AND PHYSICAN INTERVENTIONS TO IMPROVE BSE
护士和医生的干预措施以改善疯牛病
- 批准号:
3371268 - 财政年份:1985
- 资助金额:
$ 22.71万 - 项目类别:
GRANTS FOR FACULTY DEVELOPMENT IN GENERAL INTERNAL MEDIC
普通内科医师队伍发展补助金
- 批准号:
3015753 - 财政年份:1985
- 资助金额:
$ 22.71万 - 项目类别: