Trial reportCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2010
Randomized trial of a lay health advisor and computer intervention to increase mammography screening in African American women.
Trial report in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Evaluating digital nudge interventions for the promotion of cancer screening behavior: a systematic review and meta-analysis.BMC medicine · 2025Pooled it
- Shared decision-making for supporting women's decisions about breast cancer screening.The Cochrane database of systematic reviews · 2024Pooled it
- Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews.American journal of preventive medicine · 2023Pooled it
- Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review.Journal of racial and ethnic health disparities · 2021Pooled it
- The Use of Cancer-Specific Patient-Centered Technologies Among Underserved Populations in the United States: Systematic Review.Journal of medical Internet research · 2019Pooled it
- Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta-Analysis.Health services research · 2018Pooled it
- Effects of Community-Based Health Worker Interventions to Improve Chronic Disease Management and Care Among Vulnerable Populations: A Systematic Review.American journal of public health · 2016Pooled it
- Personalised risk communication for informed decision making about taking screening tests.The Cochrane database of systematic reviews · 2013Pooled it
- Interventions to increase the uptake of mammography amongst low income women: a systematic review and meta-analysis.PloS one · 2013Pooled it
- Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline.Implementation science : IS · 2011Pooled it
- What implementation interventions increase cancer screening rates? a systematic review.Implementation science : IS · 2011Pooled it
- Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Trial
- Tailored telephone counseling increases colorectal cancer screening.Health education research · 2015Trial
- The KinFact intervention - a randomized controlled trial to increase family communication about cancer history.Journal of women's health (2002) · 2014Trial
- Results of a randomized controlled trial testing the efficacy of a culturally targeted and a generic video on mammography screening among chinese-american immigrants.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- Intervention tailoring for Chinese American women: comparing the effects of two videos on knowledge, attitudes and intentions to obtain a mammogram.Health education research · 2012Trial
- Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011Trial
- Examining the Role of the Social Vulnerability Index in the Association between Race/Ethnicity and Breast Cancer Outcomes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Enhancing Community Understanding of Cancer Clinical Trials Through Peer Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Maximising Participation in the Australian National Lung Cancer Screening Program: A Discrete Choice Experiment of Eligible, High-Risk Individuals.Respirology (Carlton, Vic.) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundLow-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.
methodsIn 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.
resultsFor 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.
conclusionsThe 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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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.