Long Term Cost and Outcomes of Breast Cancer Screening

乳腺癌筛查的长期成本和结果

• 批准号: 6762243
• 负责人: PAUL A FISHMAN
• 金额: $ 26.24万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6762243
• 关键词: behavioral /social science research tag; breast neoplasms; cancer prevention; cancer risk; clinical research; clinical trials; cost effectiveness; data collection methodology /evaluation; health behavior; health care cost /financing; health care service utilization; health insurance; health services research tag; human middle age (35-64); human subject; interview; longitudinal human study; mammography; motivation; outcomes research; quality of life; socioeconomics; women' s health

DESCRIPTION (provided by applicant): This proposal builds on a randomized trial that examined three promotional strategies - reminder postcard, a short reminder telephone call and a telephone-based motivational interview - designed to increase mammography screening among women 50-79 years of age (NCI 1R01CA063188, S. Taplin, PI). Relative to the postcard the two phone-based approaches significantly increased participation in mammography screening within one year, but there were no statistical differences between the two telephone-based approaches. We found, however, that due to the higher cost of the two telephone-based approaches, the reminder postcard was the most cost effective strategy for increasing short-term participation in the screening program. We now propose to study long term patterns of mammography use among women enrolled in the trial based on their socio-demographic, cancer risk factors and barriers to screening. We will assess the impact of the brief intervention to examine whether there are different long term effects of the motivational interview with respect to what we observed in the short run and we will examine the long term cost effectiveness of efforts to increase participation in a breast cancer screening program. Our research goals are: 1. Evaluate patterns of mammography use over time and evaluate the long-term impact of the motivational interview on women receiving mammograms at the recommended two year screening cycle will be greater among women without a prior mammogram at baseline, women with a greater perceived risk of breast cancer and among women with greater self reported barriers to screening. 2. Estimate the long-term cost effectiveness of the motivational interview from both a health plan and a social perspective. In conjunction with this aim we will test the following hypotheses: 3. Develop optimal strategy of targeted promotion based on women's perceived risk of breast cancer, barriers to mammography and personal history with respect to preventive health care. To our knowledge the long-term impact of brief promotional messages to increase mammography use has not been studied. The results of our study will help guide researchers and policy makers in planning and implementing brief interventions for a wide range of health behaviors.

描述（由申请人提供）：该提案建立在一项随机试验的基础上，该试验检查了三种促销策略 - 提醒明信片、简短的提醒电话和基于电话的动机访谈 - 旨在增加 50-79 岁女性的乳房 X 光检查筛查（NCI 1R01CA063188，S. Taplin，PI）。与明信片相比，两种基于电话的方法在一年内显着增加了乳房 X 光检查的参与率，但两种基于电话的方法之间没有统计差异。然而，我们发现，由于两种基于电话的方法成本较高，因此提醒明信片是增加短期参与筛查计划的最具成本效益的策略。 我们现在建议根据参加试验的女性的社会人口特征、癌症风险因素和筛查障碍，研究她们的乳房X光检查的长期使用模式。我们将评估简短干预的影响，以检查动机访谈相对于我们在短期内观察到的情况是否存在不同的长期影响，并且我们将检查增加乳腺癌筛查计划参与度的努力的长期成本效益。 我们的研究目标是： 1. 评估一段时间内乳房 X 光检查的使用模式，并评估动机性访谈对按照建议的两年筛查周期接受乳房 X 光检查的女性的长期影响，对于基线时未进行过乳房 X 光检查的女性、感知乳腺癌风险较大的女性以及自我报告筛查障碍较大的女性来说，影响更大。 2. 从健康计划和社会角度评估动机访谈的长期成本效益。结合这一目标，我们将测试以下假设： 3. 根据女性对乳腺癌的认知风险、乳房X光检查的障碍以及预防保健方面的个人史，制定有针对性的推广最佳策略。 据我们所知，简短的促销信息对增加乳房X光检查使用的长期影响尚未进行研究。我们的研究结果将有助于指导研究人员和政策制定者针对各种健康行为规划和实施简短的干预措施。