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Showing content from https://pubmed.ncbi.nlm.nih.gov/20056639/ below:

Randomized trial of a lay health advisor and computer intervention to increase mammography screening in African American women

Randomized Controlled Trial

Affiliations

• ¹ Indiana University School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, USA. katrusse@iupui.edu

• PMID: 20056639
• PMCID: PMC2818428
• DOI: 10.1158/1055-9965.EPI-09-0569

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Randomized Controlled Trial

Kathleen M Russell et al. Cancer Epidemiol Biomarkers Prev. 2010 Jan.

• ¹ Indiana University School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, USA. katrusse@iupui.edu

• PMID: 20056639
• PMCID: PMC2818428
• DOI: 10.1158/1055-9965.EPI-09-0569

Item in Clipboard

Background: Low-income African American women face numerous barriers to mammography screening. We tested the efficacy of a combined interactive computer program and lay health advisor intervention to increase mammography screening.

Methods: In this randomized, single blind study, participants were 181 African American female health center patients of ages 41 to 75 years, at < or =250% of poverty level, with no breast cancer history, and with no screening mammogram in the past 15 months. They were assigned to either (a) a low-dose comparison group consisting of a culturally appropriate mammography screening pamphlet or (b) interactive, tailored computer instruction at baseline and four monthly lay health advisor counseling sessions. Self-reported screening data were collected at baseline and 6 months and verified by medical record.

Results: For intent-to-treat analysis of primary outcome (medical record-verified mammography screening, available on all but two participants), the intervention group had increased screening to 51% (45 of 89) compared with 18% (16 of 90) for the comparison group at 6 months. When adjusted for employment status, disability, first-degree relatives with breast cancer, health insurance, and previous breast biopsies, the intervention group was three times more likely (adjusted relative risk, 2.7; 95% confidence interval, 1.8-3.7; P < 0.0001) to get screened than the low-dose comparison group. Similar results were found for self-reported mammography stage of screening adoption.

Conclusions: The combined intervention was efficacious in improving mammography screening in low-income African American women, with an unadjusted effect size (relative risk, 2.84) significantly higher (P < 0.05) than that in previous studies of each intervention alone.

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Conceptual Model for Study

Conceptual Model for Study

Conceptual Model for Study

Flow of participants through trial

Flow of participants through trial

Flow of participants through trial

• Comparison of three interventions to increase mammography screening in low income African American women.

  Champion VL, Springston JK, Zollinger TW, Saywell RM Jr, Monahan PO, Zhao Q, Russell KM. Champion VL, et al. Cancer Detect Prev. 2006;30(6):535-44. doi: 10.1016/j.cdp.2006.10.003. Epub 2006 Nov 15. Cancer Detect Prev. 2006. PMID: 17110056 Clinical Trial.

• Psychosocial correlates of mammography screening in older African American women.

  Farmer D, Reddick B, D'Agostino R, Jackson SA. Farmer D, et al. Oncol Nurs Forum. 2007 Jan;34(1):117-23. doi: 10.1188/07.ONF.117-123. Oncol Nurs Forum. 2007. PMID: 17562638

• Increasing mammography screening among women over age 50 with a videotape intervention.

  Avis NE, Smith KW, Link CL, Goldman MB. Avis NE, et al. Prev Med. 2004 Sep;39(3):498-506. doi: 10.1016/j.ypmed.2004.05.024. Prev Med. 2004. PMID: 15313089 Clinical Trial.

• Do community health worker interventions improve rates of screening mammography in the United States? A systematic review.

  Wells KJ, Luque JS, Miladinovic B, Vargas N, Asvat Y, Roetzheim RG, Kumar A. Wells KJ, et al. Cancer Epidemiol Biomarkers Prev. 2011 Aug;20(8):1580-98. doi: 10.1158/1055-9965.EPI-11-0276. Epub 2011 Jun 8. Cancer Epidemiol Biomarkers Prev. 2011. PMID: 21653645 Free PMC article. Review.

• Mammography screening in African American women: evaluating the research.

  Jones BA, Patterson EA, Calvocoressi L. Jones BA, et al. Cancer. 2003 Jan 1;97(1 Suppl):258-72. doi: 10.1002/cncr.11022. Cancer. 2003. PMID: 12491490 Review.

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  Shelton RC, Charles TA, Dunston SK, Jandorf L, Erwin DO. Shelton RC, et al. Transl Behav Med. 2017 Sep;7(3):415-426. doi: 10.1007/s13142-017-0491-3. Transl Behav Med. 2017. PMID: 28337722 Free PMC article.

• Personalised risk communication for informed decision making about taking screening tests.

  Edwards AG, Naik G, Ahmed H, Elwyn GJ, Pickles T, Hood K, Playle R. Edwards AG, et al. Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD001865. doi: 10.1002/14651858.CD001865.pub3. Cochrane Database Syst Rev. 2013. PMID: 23450534 Free PMC article. Review.

• The KinFact intervention - a randomized controlled trial to increase family communication about cancer history.

  Bodurtha JN, McClish D, Gyure M, Corona R, Krist AH, Rodríguez VM, Maibauer AM, Borzelleca J Jr, Bowen DJ, Quillin JM. Bodurtha JN, et al. J Womens Health (Larchmt). 2014 Oct;23(10):806-16. doi: 10.1089/jwh.2014.4754. J Womens Health (Larchmt). 2014. PMID: 25321314 Free PMC article. Clinical Trial.

• Individual, provider, and system risk factors for breast and cervical cancer screening among underserved Black, Latina, and Arab women.

  Roman L, Meghea C, Ford S, Penner L, Hamade H, Estes T, Williams KP. Roman L, et al. J Womens Health (Larchmt). 2014 Jan;23(1):57-64. doi: 10.1089/jwh.2013.4397. Epub 2013 Nov 27. J Womens Health (Larchmt). 2014. PMID: 24283674 Free PMC article.

• Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women.

  Paskett ED, McLaughlin JM, Lehman AM, Katz ML, Tatum CM, Oliveri JM. Paskett ED, et al. Cancer Epidemiol Biomarkers Prev. 2011 May;20(5):835-43. doi: 10.1158/1055-9965.EPI-10-0880. Epub 2011 Mar 23. Cancer Epidemiol Biomarkers Prev. 2011. PMID: 21430302 Free PMC article. Clinical Trial.

1. 1. Williams KP, Sheppard VB, Todem D, Mabiso A, Wulu JT, Jr, Hines RD. Family matters in mammography screening among African-American women age > 40. J Natl Med Assoc. 2008;100:508–15. - PubMed
2. 1. Thomas EC. African American women's breast memories, cancer beliefs, and screening behaviors. Cancer Nurs. 2004;27:295–302. - PubMed
3. 1. Young RF, Severson RK. Breast cancer screening barriers and mammography completion in older minority women. Breast Cancer Res Treat. 2005;89:111–8. - PubMed
4. 1. Calvocoressi L, Kasl SV, Lee CH, Stolar M, Claus EB, Jones BA. A prospective study of perceived susceptibility to breast cancer and nonadherence to mammography screening guidelines in African American and White women ages 40 to 79 years. Cancer Epidemiol Biomarkers Prev. 2004;13:2096–105. - PubMed
5. 1. Paskett ED, Tatum C, Rushing J, et al. Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population. Cancer. 2004;101:2650–9. - PMC - PubMed

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