Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence
2011

Improving Mammography Screening with Outreach Efforts

Sample size: 18509 publication Evidence: moderate

Author Information

Author(s): Costanza Mary E, Luckmann Roger, White Mary Jo, Rosal Milagros C, Cranos Caroline, Reed George, Clark Robin, Sama Susan, Yood Robert

Primary Institution: University of Massachusetts Medical School

Hypothesis

What are the most effective outreach strategies to increase mammography screening adherence among women aged 51-84?

Conclusion

The study aims to identify the most effective and cost-effective outreach strategies to improve mammography screening rates.

Supporting Evidence

  • 70% of women report getting a mammogram within the prior 2 years, but repeat rates are less than 50%.
  • Reminder letters have been shown to increase screening rates by 25-50%.
  • Women who are non-adherent are at increased risk for advanced breast cancers.

Takeaway

This study is trying to find the best ways to remind women to get their mammograms so they can stay healthy.

Methodology

The study compares three outreach methods: reminder letters, reminder calls, and enhanced counseling calls to see which is most effective in increasing mammography adherence.

Potential Biases

Potential bias from self-selection as women can opt out of the study.

Limitations

The study may not generalize to women outside the Central Massachusetts area or those without health insurance.

Participant Demographics

Women aged 51-84, primarily White, enrolled in a Central Massachusetts healthcare plan.

Digital Object Identifier (DOI)

10.1186/1472-6963-11-145

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication