VALIDATING WOMEN'S SELF REPORT OF MAMMOGRAM EXPERIENCE

验证女性乳房 X 光检查经历的自我报告

• 批准号: 3372592
• 负责人: JANE G ZAPKA
• 金额: $ 4.61万
• 依托单位: UNIVERSITY OF MASSACHUSETTS AMHERST
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-30 至 1994-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3372592
• 关键词: Hispanic Americans; data collection methodology /evaluation; diagnosis quality /standard; female; health behavior; health care service evaluation; health care service utilization; health surveys; human middle age (35-64); human old age (65+); interview; mammography; social psychology; statistics /biometry

Many health services research studies and cancer control evaluations will need to continue to rely on patient self-report of screening experience and it is important to know how accurate these self-reports are. Breast cancer screening is case in point. Studies depend on self-report because screening mammography may involve interaction with several providers at several different sites, making it difficult to review experience in the traditional manner (i.e. medical record audit). Not only do evaluators and researchers need to document screening participation (number, periodicity) but interest is mounting to document cost and utilization (e.g. follow-up, biopsy) which results from screening. This project has four objectives: a) to determine the validity of self-report of eleven mammography related measures by comparison to clinical records data; b) to document the extent to which respondent characteristics affect self-report accuracy; c) to compare two methods of self-report data collection: telephone and mail surveys; and d) to apply correction factors for three selected measures to an independent data set. Investigators in this study include representatives of the major radiology group and primary care physicians in a large metropolitan area in western Massachusetts. Female patients, ages 50-75, of primary physicians will be invited by mail into the study. Of the women who agree to participate, 1/2 will get a written survey and 1/2 will get a telephone interview. The accuracy of information provided by women will be compared to data taken from radiology reports and medical records. Regression techniques will be used to determine covariates of self-report accuracy, such as age, income, health history, medical care use and selected psychosocial measures as well as decay of accuracy with increasing time since the event. Correction factors will be calculated and subsequently compared to an existing data set from a survey of 1,000 Women.

许多卫生服务研究和癌症控制评估 将需要继续依靠患者自我报告的筛查 重要的是要知道这些自我报告的准确性 是. 乳腺癌筛查就是一个很好的例子。 研究取决于 自我报告，因为筛查乳房X光检查可能涉及与 几个不同地点的几个供应商， 以传统方式审查经验（即病历审核）。 不仅评估者和研究者需要记录筛选 参与情况（数量、周期），但对文件的兴趣越来越大 成本和利用（例如随访、活检）， 筛选 该项目有四个目标：a）确定 自我报告的11项乳腺X线摄影相关措施的有效性， 与临床记录数据进行比较; B）记录 受访者特征影响自我报告的准确性; c）比较 自我报告数据收集的两种方法：电话和邮件调查; 以及d）将三个选定措施的校正系数应用于 独立数据集。 这项研究的调查人员包括主要的代表 大都市地区的放射学小组和初级保健医生 在马萨诸塞州西部。 女性患者，年龄50-75岁，原发性 将通过邮件邀请医生参加研究。 的女性 同意参加，1/2将获得书面调查，1/2将获得 电话采访 妇女提供的信息的准确性将 与来自放射学报告和医疗记录的数据进行比较。 将使用回归技术确定以下变量的协变量： 自我报告的准确性，如年龄，收入，健康史，医疗保健 使用和选定的心理社会措施，以及衰减的准确性， 自事件发生以来，时间越来越长。 将计算校正因子 随后将其与来自1000份调查的现有数据集进行了比较， 妇女