INCREASING BREAST SCREENING AMONG NONADHERENT WOMEN

杜克大学医学中心提交的建议研究 与北卡罗来纳州Kaiser Permanente成员一起实施(a 工作人员模型HMO)，是旨在 在不遵守规定的妇女中增加乳腺癌筛查。这个 互动合作者包括弗雷德·哈钦森癌症研究中心 纽约州立大学斯坦布鲁克分校研究中心 马萨诸塞州和加州大学洛杉矶分校。整体而言 交互应用的目的是比较以下各项的有效性 在美国和美国五个地区提供特定障碍的电话咨询 评估干预措施的成本效益，以增加 在未遵守规定的妇女中进行筛查。 杜克综合癌症中心和Kaiser Permanente将比较两个 为女性量身定做的干预措施--定制印刷品与定制电话 咨询--与平时的护理相比。干预的依据是 相同的理论模型(跨理论模型和健康 信念模式)，并使用类似的方法来安排妇女和提供 基于阶段的个性化响应。凯撒医院的所有内科医生也会 接受支持性的教育方案，以确保标准化 医生留言。 基准电话访问将在第一年进行，以评估 非信徒妇女的知识、信仰和行为。跟进 访谈将在今年最后一个季度与队列一起进行 4. 研究的重点是如何激励这一重要问题。 不遵守规定的妇女参加定期的乳房筛查。那里 应该具有广泛的普遍性，因为研究是在 全国范围内的五个设置，以及 递送设置和人口。每个受赠人将包括一名 相当大比例的少数族裔妇女。

The proposed research submitted by Duke University Medical Center for implementation with members of Kaiser Permanente of North Carolina (a staff model HMO), and is part of a larger interactive grant aimed at increasing breast cancer screening among nonadherent women. The interactive collaborators include the Fred Hutchinson Cancer Research Center, State University of New York at Stonybrook, University of Massachusetts and University of California at Los Angeles. The overall aims of the interactive application are to compare the effectiveness of Barriers-Specific Telephone Counseling in five regions of the U.S. and to assess the cost-effectiveness of the intervention in increasing screening among nonadherent women. Duke Comprehensive Cancer Center and Kaiser Permanente will compare two tailored interventions for women -- tailored print vs. tailored telephone counseling -- compared to usual care. The interventions are based upon the same theoretical models (the Transtheoretical Model and the Health Belief Model) and use a similar approach to staging women and providing stage-based personalized responses. All physicians at Kaiser also will receive a supportive educational package to ensure standardization of the physician messages. Baseline telephone interviews will be conducted in year 1 to assess knowledge, beliefs and practices of nonadherent women. Follow-up interviews will be conducted with the cohort in the last quarter of year 4. The research focuses on the important question of how to motivate nonadherent women to participate in regular breast screening. There should be wide generalizability since the research is being conducted in five settings across the country with a range of comparisons across delivery settings and populations. Each grantee will include a substantial proportion of minority women.