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: 6861692
• 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/6861692
• 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性访谈-旨在增加50-79岁女性的乳房X线摄影筛查（NCI 1 R 01 CA 063188，S。Taplin，PI）。相对于明信片，这两种基于电话的方法在一年内显着增加了乳腺X射线摄影筛查的参与，但两种基于电话的方法之间没有统计学差异。然而，我们发现，由于这两种基于电话的方法成本较高，提醒明信片是最具成本效益的策略，以增加短期参与筛查计划。 我们现在建议根据社会人口统计学、癌症风险因素和筛查障碍，研究参加试验的妇女使用乳房X光检查的长期模式。我们将评估简短干预的影响，以检查是否有不同的长期影响的动机访谈方面，我们在短期内观察到的，我们将检查长期的成本效益的努力，以增加参与乳腺癌筛查计划。 我们的研究目标是： 1.随着时间的推移，评估乳房X光检查的使用模式，并评估动机性访谈对在推荐的两年筛查周期接受乳房X光检查的女性的长期影响，在基线时没有接受乳房X光检查的女性、乳腺癌感知风险较高的女性和自我报告筛查障碍较大的女性中，影响更大。 2.从健康计划和社会角度评估激励性访谈的长期成本效益。为了实现这一目标，我们将检验以下假设： 3.根据妇女对乳腺癌风险的认识、乳房X光检查的障碍和个人预防保健史，制定有针对性的推广最佳战略。 据我们所知，还没有研究过简短的宣传信息对增加乳房X线摄影使用的长期影响。我们的研究结果将有助于指导研究人员和政策制定者规划和实施广泛的健康行为的简短干预措施。