NURSING STUDY TO IMPROVE INTERVAL MAMMOGRAPHY RATES

描述（改编自研究者摘要）：周期依从性 乳房X光检查率低于专家建议。调查报告显示， 发表了与间隔依从性相关的因素。干预 研究集中于非常狭窄的人群。这项研究， 在健康信念模型的指导下，将在两个重叠的 阶段。在I期研究中，与间隔乳房X线摄影使用相关的因素 640名年龄在50岁及以上的妇女接受了筛查 乳房X光检查和坚持或不坚持间隔筛查的患者 将被评估。参与者将从全州范围内随机挑选 乳腺X线摄影登记研究。变量将包括有关乳房的知识 癌症、筛查和风险;对乳腺癌和乳腺癌的焦虑 筛查;以及对乳房X线摄影筛查的感知益处和障碍。 在第二阶段，护士提供电话教育/咨询干预 基于跨理论模型将进行测试，以评估其对 间隔乳房X光检查依从性以及阶段研究的因素 I.在第二阶段，320名妇女将随机接受或不接受 干预组160例，对照组160例 组）。统计分析将包括：描述性统计，卡- 平方检验（或Fisher精确检验，如适用），协方差和 逐步回归方法感知概率与计算概率之比 发展或死于这种疾病将使用盖尔评估 没有乳腺癌家族史的女性模型。因为 乳腺癌易感基因在女性中的可能性 家族史，其客观风险将单独探讨。重复 将进行测量分析，以评估研究变量如何变化 随着时间第一阶段的目标是确定 乳腺X线摄影依从性差的风险，II期的目标是 提高一般人群的内部乳房X光检查依从性。

DESCRIPTION (Adapted from the Investigator's Abstract): Interval adherence to mammography rates are less than exerts advise. Conflicting reports have been published on factors related to interval adherence. Intervention studies have focused on very narrowly defined populations. This study, guided by the Health Belief Model, will be conducted in two overlapping phases. In Phase I, factors related to interval mammography utilization ion 640 women age 50 years and older who have received on screening mammogram and who either adhere or do not adhere to interval screening will be assessed. Participants will be randomly selected from a state-wide mammography registry. Variables will include knowledge about breast cancer, screening, and risk; anxiety about breast cancer and breast cancer screening; and perceived benefits and barriers to mammography screening. In Phase II a nurse delivered telephone education/counseling intervention based on the Transtheoretical Model will be tested to assess its impact on interval mammography adherence as well as the factors under study in Phase I. In Phase II, 320 women will be randomized to receive or not receive the intervention (n=160) in the intervention group; n=160 in the control group). Statistical analyses will include: descriptive statistics, chi- square test (or fisher's exact test where appropriate), co-variance and stepwise regression methods. Ratios of perceived-to-calculated probability of developing or dying from the disease will be assessed using the Gail Model in women without a family history of breast cancer. Because of the possibility of the breast cancer susceptibility gene in women with a family history, their objective risk will be explored separately. Repeated measures analyses will be conducted to assess how study variables change over time. The objective of Phase I, is to identify a profile of those at risk of poor mammography adherence, and the objective of Phase II is to improve internal mammography adherence in the general population.