The short-term impact of tailored mammography decision-making interventions
We assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk perceptions, attitudes toward mammography, satisfaction with decisions, and mammography use since the intervention. The study was conducted among women who w...
Saved in:
Published in | Patient education and counseling Vol. 43; no. 3; pp. 269 - 285 |
---|---|
Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Ireland
01.06.2001
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | We assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk perceptions, attitudes toward mammography, satisfaction with decisions, and mammography use since the intervention.
The study was conducted among women who were members of Blue Cross Blue Shield of North Carolina and were in their 40s or 50s at the time the study began in 1997. Women were randomly assigned to usual care (UC), tailored print booklets (TP) alone, or TP plus telephone counseling (TP+TC ).
12-month interviews were completed by 1127 women to assess short-term intervention effects. Generally, women who received TP+TC were significantly more knowledgeable about mammography and breast cancer risk and were more accurate in their breast cancer risk perceptions than women in the TP and UC groups. They also were more likely to have had a mammogram since the baseline interview. In multivariable analyses, we found significant benefits of the combination of TP+TC compared to TP and to UC for knowledge, accuracy of risk perceptions, and mammography use.
For complex decision-making tasks, such as women's decisions about mammography in the face of controversy, the combination of TP and TC may be more effective than TP alone, and certainly more effective than UC. It is critical that investigators determine the topics for which TP is appropriate and the situations that require additional supportive interventions. |
---|---|
AbstractList | BACKGROUNDWe assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk perceptions, attitudes toward mammography, satisfaction with decisions, and mammography use since the intervention.METHODSThe study was conducted among women who were members of Blue Cross Blue Shield of North Carolina and were in their 40s or 50s at the time the study began in 1997. Women were randomly assigned to usual care (UC), tailored print booklets (TP) alone, or TP plus telephone counseling (TP+TC ).RESULTS12-month interviews were completed by 1127 women to assess short-term intervention effects. Generally, women who received TP+TC were significantly more knowledgeable about mammography and breast cancer risk and were more accurate in their breast cancer risk perceptions than women in the TP and UC groups. They also were more likely to have had a mammogram since the baseline interview. In multivariable analyses, we found significant benefits of the combination of TP+TC compared to TP and to UC for knowledge, accuracy of risk perceptions, and mammography use.DISCUSSIONFor complex decision-making tasks, such as women's decisions about mammography in the face of controversy, the combination of TP and TC may be more effective than TP alone, and certainly more effective than UC. It is critical that investigators determine the topics for which TP is appropriate and the situations that require additional supportive interventions. We assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk perceptions, attitudes toward mammography, satisfaction with decisions, and mammography use since the intervention. The study was conducted among women who were members of Blue Cross Blue Shield of North Carolina and were in their 40s or 50s at the time the study began in 1997. Women were randomly assigned to usual care (UC), tailored print booklets (TP) alone, or TP plus telephone counseling (TP+TC ). 12-month interviews were completed by 1127 women to assess short-term intervention effects. Generally, women who received TP+TC were significantly more knowledgeable about mammography and breast cancer risk and were more accurate in their breast cancer risk perceptions than women in the TP and UC groups. They also were more likely to have had a mammogram since the baseline interview. In multivariable analyses, we found significant benefits of the combination of TP+TC compared to TP and to UC for knowledge, accuracy of risk perceptions, and mammography use. For complex decision-making tasks, such as women's decisions about mammography in the face of controversy, the combination of TP and TC may be more effective than TP alone, and certainly more effective than UC. It is critical that investigators determine the topics for which TP is appropriate and the situations that require additional supportive interventions. |
Author | Kaplan, E B Crawford, Y Rimer, B K Halabi, S Lipkus, I M Samsa, G P Strigo, T S Sugg Skinner, C |
Author_xml | – sequence: 1 givenname: B K surname: Rimer fullname: Rimer, B K email: brimer@nih.gov organization: Division of Cancer Control and Population Sciences, National Cancer Institute, Room 242, 6130 Executive Blvd, Rockville, MD 20852, USA. brimer@nih.gov – sequence: 2 givenname: S surname: Halabi fullname: Halabi, S – sequence: 3 givenname: C surname: Sugg Skinner fullname: Sugg Skinner, C – sequence: 4 givenname: E B surname: Kaplan fullname: Kaplan, E B – sequence: 5 givenname: Y surname: Crawford fullname: Crawford, Y – sequence: 6 givenname: G P surname: Samsa fullname: Samsa, G P – sequence: 7 givenname: T S surname: Strigo fullname: Strigo, T S – sequence: 8 givenname: I M surname: Lipkus fullname: Lipkus, I M |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11384825$$D View this record in MEDLINE/PubMed |
BookMark | eNo1jz1rwzAYhDWkNInbv1A0dTNIli3LYwn9ooEu6Wxey69jtZbkSkoh_76Gprc8cNwd3JasnHe4IhtWC5WLpuFrso3xkzEmZcmvyZpzoUpVVBvydhiRxtGHlCcMlho7g07UDzSBmXzAnlqw1h8DzOOZ9qhNNN7lFr6MO1LjltYPurR48YZcDTBFvL0wIx9Pj4fdS75_f37dPezzmYsm5cCrvkYJ5SAKVgBq7EGWjS4ZL6uuRi0UZ7XUUFedLCQOC6TslS6wkVIzkZH7v905-O8TxtRaEzVOEzj0p9jWTDVKLMrI3SV46iz27RyMhXBu_--LX5G0WGY |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM 7X8 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine Public Health Nursing |
EndPage | 285 |
ExternalDocumentID | 11384825 |
Genre | Research Support, U.S. Gov't, P.H.S Clinical Trial Randomized Controlled Trial Journal Article |
GeographicLocations | North Carolina |
GeographicLocations_xml | – name: North Carolina |
GrantInformation_xml | – fundername: NCI NIH HHS grantid: 5P01-CA-72099-03 |
GroupedDBID | --- --K --M -ET .1- .FO .GJ .~1 0R~ 123 186 1B1 1P~ 1RT 1~. 1~5 29O 4.4 457 4G. 53G 5RE 5VS 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AAWTL AAXKI AAXUO ABBQC ABFNM ABIVO ABJNI ABMAC ABMZM ABXDB ACDAQ ACGFS ACHQT ACIUM ACNCT ACRLP ADBBV ADEZE ADMUD AEBSH AEKER AENEX AFJKZ AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AIEXJ AIKHN AITUG AJOXV AJRQY AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CGR CS3 CUY CVF DU5 EBS ECM EFJIC EIF EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEA HMK HMO HVGLF HZ~ H~9 IHE J1W KOM LZ2 M29 M41 MO0 N9A NPM O-L O9- OAUVE OHT OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SAE SCC SCU SDF SDG SDP SEL SES SEW SPCBC SSH SSZ T5K UV1 WH7 WUQ XPP YNT Z5R ZGI ~G- 7X8 |
ID | FETCH-LOGICAL-p139t-a15d7e6a4f3202aeceda649c40145b7ec381076ca75b626ef5b666d8c2e966c03 |
ISSN | 0738-3991 |
IngestDate | Fri Aug 16 09:31:23 EDT 2024 Sat Sep 28 07:37:37 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-p139t-a15d7e6a4f3202aeceda649c40145b7ec381076ca75b626ef5b666d8c2e966c03 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23 |
PMID | 11384825 |
PQID | 70898333 |
PQPubID | 23479 |
PageCount | 17 |
ParticipantIDs | proquest_miscellaneous_70898333 pubmed_primary_11384825 |
PublicationCentury | 2000 |
PublicationDate | 2001-Jun 20010601 |
PublicationDateYYYYMMDD | 2001-06-01 |
PublicationDate_xml | – month: 06 year: 2001 text: 2001-Jun |
PublicationDecade | 2000 |
PublicationPlace | Ireland |
PublicationPlace_xml | – name: Ireland |
PublicationTitle | Patient education and counseling |
PublicationTitleAlternate | Patient Educ Couns |
PublicationYear | 2001 |
SSID | ssj0006641 |
Score | 1.953108 |
Snippet | We assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk perceptions,... BACKGROUNDWe assessed the short-term impact of decision-making interventions on knowledge about mammography, accuracy of women's breast cancer risk... |
SourceID | proquest pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 269 |
SubjectTerms | Adult Decision Making Female Health Knowledge, Attitudes, Practice Humans Logistic Models Mammography Middle Aged Multivariate Analysis North Carolina Nursing Patient Education as Topic - methods Telephone |
Title | The short-term impact of tailored mammography decision-making interventions |
URI | https://www.ncbi.nlm.nih.gov/pubmed/11384825 https://search.proquest.com/docview/70898333 |
Volume | 43 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1ZSwMxEA62oAgiWu8zD76VLW2Tze4-qlSKPRRsoW9LNputBXtg2xcf_O1ONtmjoni87BH2It8wOzOZmQ-hq4C6hIWianEOvioFh9lyQ1CGIFyKDs4htbhurdNlzT69H9iDjB4sri5ZBBXx9mVdyX9QhTHAVVXJ_gHZ9KEwAMeAL2wBYdj-GuP5MxjQllKwuYpHlRY6VZnlYw5fo5tSl0NDp2ONYwaquFNEku44zxupj7rXqunqmuQri7R6PV2kGRnqlZssWNrkIFajlZjq03I4LOdIvtK4bIvPXnT8tWHIn5PwQy5NymgpBzQmWDm1vErVnZeM6JC8ftS8LOZXW9dsPatdsLsP_l2_3fZ7jUGvgAqkphI1K-9Z4g5jMR9p-uLvfYPYRujtoG1j3ONrjdQuWpOTEtromPSFElo3sZkS2tLhUqyrwPZQC6DEGZRYQ4mnEU6gxDko8Sco8QqU-6h_1-jdNi3Dc2HNwP5eWLxmh45knEaKzJ5LIUPOqCeoWvINHClUFzaHCe7YAfifMoIdY6Er6hKcVVElB6g4mU7kEcJeBA42ocyzHU7tqnA9W4S2OgtIRDk5RpfJXPmgR9TiEJ_I6XLuO1XXcwmBKw71FPoz3e4EfETiUrdun_x47ynazETkDBUXr0t5DjbbIriIIfwA789IHA |
link.rule.ids | 315,786,790 |
linkProvider | Elsevier |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+short-term+impact+of+tailored+mammography+decision-making+interventions&rft.jtitle=Patient+education+and+counseling&rft.au=Rimer%2C+B+K&rft.au=Halabi%2C+S&rft.au=Sugg+Skinner%2C+C&rft.au=Kaplan%2C+E+B&rft.date=2001-06-01&rft.issn=0738-3991&rft.volume=43&rft.issue=3&rft.spage=269&rft.epage=285&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0738-3991&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0738-3991&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0738-3991&client=summon |