Evidence map›Paper›PMID 23415629›Full record

Trial reportContemporary clinical trials2013

Promoting mammography adherence in underserved women: the telephone coaching adherence study.

Vanessa B Sheppard, Judy Huei-yu Wang, Jennifer Eng-Wong, Shiela Harmon Martin, Alejandra Hurtado-de-Mendoza, George Luta

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Implementation of an Evidence-Based Intervention with Safety Net Clinics to Improve Mammography Appointment Adherence Among Underserved Women.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Adherence to Mammography and Pap Screening Guidelines Among Medically Underserved Women: the Role of Family Structures and Network-Level Behaviors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
  7. Article
  8. The Effect of Educational Intervention Based on the Theory of Planned Behavior on Mammography Screening in Iranian Women.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  9. Article
  10. Article
  11. What Black Women Know and Want to Know About Counseling and Testing for BRCA1/2.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vanessa B SheppardBreast Cancer Program, Lombardi Comprehensive Cancer Center, Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street NW, Washington, DC 20007, United States. vls3@georgetown.edu
Judy Huei-yu Wang
Jennifer Eng-Wong
Shiela Harmon Martin
Alejandra Hurtado-de-Mendoza
George Luta

Funding

Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1TR000101 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2015
$19.3M
University of the District of Columbia and the Lombardi*U56CA101429 · NCI · GEORGETOWN UNIVERSITY · PI SHIELDS, PETER G. · 2003 to 2008
$2.0M
NCATS NIH HHS UL1 TR000101NCI NIH HHS 1U56 CA 101429-01NCI NIH HHS U56 CA101429NIMHD NIH HHS L60 MD000291
6 · The paper itself

Abstract

backgroundDespite interventions to promote regular mammography, underserved women face barriers to mammography. This is evident in high no-show appointment rates in community-based clinics. Understanding why women fail to follow-through with appointments may help improve adherence.

objectivesWe conducted a focus group with women who were non-adherent to mammograms to evaluate psychosocial and structural barriers and design intervention messages. In phase two we conducted a small randomized controlled trial (RCT) to pilot test a brief telephone coaching adherence intervention (vs. control) to address barriers.

methodEligible women were non-adherent to their mammography screening appointment at a community-based setting. Psychosocial factors and perceptions of barriers were measured via a baseline survey and used to tailor the telephone coaching session. In the RCT, the primary outcome was whether women rescheduled and kept their appointment (yes vs. no). Descriptive statistics were used to summarize the results.

resultsFifty-four women participated in the study (17 in phase 1 and 31 in phase 2); 89% were Black and 11% were Latina. Overall, prior to the intervention, women had low perceptions of risk (m=4.2; SD=2.4) and cancer worry (m=4.2; SD=2.6) and these characteristics informed the telephone coaching. After the intervention, most women (94.5%) rescheduled their missed appointment. More women in the intervention group kept their appointment (54%) than those in the usual care group (46%).

conclusionIt appears feasible to implement a RCT in non-adherent underserved women. Addressing psychosocial and structural barriers in a brief telephone intervention may reduce non-adherence. Future studies that will test the efficacy of this approach are warranted.

Indexed as

MammographyVulnerable PopulationsFemaleFocus GroupsHumansMiddle AgedPatient CompliancePilot ProjectsTelephone

Identifiers

PMID23415629
PMCPMC4255458

What OpenQuestion holds

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Registered trials

None linked

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.