Promoting mammography use through progressive interventions: is it effective?

This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to rece...

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Bibliographic Details
Published in:American journal of public health (1971) 1994-01, Vol.84 (1), p.104-106
Main Authors: King, E S, Rimer, B K, Seay, J, Balshem, A, Engstrom, P F
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Breast Neoplasms - diagnostic imaging
Female
Health maintenance organizations
Health Promotion - methods
HMOs
Humans
Mammography
Mammography - statistics & numerical data
Medical sciences
Middle Aged
Odds Ratio
Prevention and actions
Program Evaluation
Promotion
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reminder Systems
Specific populations (family, woman, child, elderly...)
USA
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Summary:This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared utilization for women randomly assigned to receive a second reminder, a letter suggesting a preventive office visit, or telephone counseling: 29% of those who received telephone counseling, 14% of those who received a letter, and 12% of those who received a second reminder obtained mammograms.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.84.1.104