PROMOTING INFORMED DECISION MAKING ABOUT MAMMOGRAPHY

最近关于乳腺癌筛查的争议导致了混乱 在提供者和公众之间。我们的初步数据并公布了 报告显示，40多岁的女性S对患癌症的风险感到困惑 乳腺癌、乳房X光检查的风险和益处以及是否和如何进行乳房X光检查 通常是为了做乳房X光检查。但年长的女性也误解了 乳腺癌和乳房X光检查的风险和好处，这可能 在未得到充分利用的乳房X光检查中占了一定比例。整体而言 该项目的目的是加强对以下问题的知情决策 通过纠正误解为不同年龄段的女性进行乳房X光检查 关于乳腺癌的风险以及乳房X光检查的好处和风险 通过提供适合年龄的量身定做的反馈，无论是否使用电话 心理咨询。这项研究将在1300名女性成员中进行。 北卡罗来纳州蓝十字蓝盾的个人选择HMO 他们将从三个年龄段中随机挑选--年龄在38-42岁的女性， 48-52和58-62。妇女将被随机分配到常规护理，量身定做 单独反馈或量身定制的反馈和电话咨询，有两种 进行了几轮干预和两轮后续评估。我们会 使用CPRU核心变量，包括决策措施 流程和措施以反映我们基于两个阶段的概念 模型、变化的阶段模型和预防采用模型。AS 作为干预的结果，我们预计将提高 女性对乳腺癌风险的个人看法；增加 50岁的S和60岁的S中定期进行乳房X光检查的比例； 增加女性与健康之间关于乳房X光检查的讨论 并提高妇女对乳房X光检查决定的满意度。 这项研究的结果不仅适用于乳房X光检查 但对于其他主题的知情决策也是如此。

Recent controversies about breast cancer screening have led to confusion among providers and the public. Our preliminary data and published reports indicate that women in their 40's are confused about the risk of breast cancer, the risks and benefits of mammography and whether and how often to get mammograms. But older women also misperceive the risks of breast cancer and the risks and benefits of mammography, and this may account for some proportion of the underuse of mammography. The overall aim of this project is to enhance informed decision making about mammography for women of different ages by correcting misperceptions about breast cancer risk and the benefits and risks of mammography and by providing age-appropriate tailored feedback with or without telephone counseling. The study will be conducted with 1 ,300 women who are members of the Personal Choice HMO of Blue Cross Blue Shield of North Carolina they will be selected randomly from three age cohorts - women aged 38-42, 48-52 and 58-62. Women will be assigned randomly to usual care, tailored feedback alone or tailored feedback and telephone counseling, with two rounds of intervention and two rounds of follow-up assessment. We will use the CPRU core variables, including measures of the decision making process as well as measures to reflect our two stage-based conceptual models, the Stages of Change Model and the Precaution Adoption Model. As a result of the interventions, we expect to improve the accuracy of women's personal perceptions about breast cancer risk; increase the proportion of women in their 50's and 60's who obtain regular mammograms; increase the discussion of mammography between women and their health providers and improve women's satisfaction with mammography decisions. The results of this study will have application not only for mammography but for other topics in informed decision making as well.