Trial reportJournal of general internal medicine2014
Improving mammography screening among the medically underserved.
Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 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
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Components and effectiveness of patient navigation programmes to increase participation to breast, cervical and colorectal cancer screening: A systematic review.Cancer medicine · 2023Pooled it
- Cancer screening educational interventions in rural and farmworker communities: a systematic literature review.Ethnicity & health · 2023Pooled it
- Health Literacy Interventions in Cancer: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Pooled it
- Mobile Versus Fixed Facility: Latinas' Attitudes and Preferences for Obtaining a Mammogram.Journal of the American College of Radiology : JACR · 2018Trial
- "It's Not Just Cost": Barriers to Mammography Screening Access Among Low-income Women in the United States-A Scoping Review.Journal of cancer prevention · 2026Review
- Implementing mobile mammography in primary care: a community-based Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) evaluation.Translational behavioral medicine · 2026Article
- Estimating uninsured and underinsured women eligible for Minnesota's Breast Cancer Screening Program.Cancer causes & control : CCC · 2024Article
- Estimating Uninsured and Underinsured Women Eligible for Minnesota's Breast Cancer Screening Program.Research square · 2023Article
- An Interactive Communication Model for Self-Care-Regardless of Health Literacy: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2023Article
- Article
- Poor health literacy associated with stronger perceived barriers to breast cancer screening and overestimated breast cancer risk.Frontiers in oncology · 2022Article
- Tendency to Breast Cancer Screening Among Rural Women in Southern Iran: A Structural Equation Modeling (SEM) Analysis of Theory of Planned Behavior.Breast cancer : basic and clinical research · 2022Article
- Assessment of Oral Chemotherapy Nonadherence in Chronic Myeloid Leukemia Patients Using Brief Measures in Community Cancer Clinics: A Pilot Study.International journal of environmental research and public health · 2021Article
- State health disparities research in Rural America: Gaps and future directions in an era of COVID-19.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- 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 · 2020Article
- Increasing Breast and Cervical Cancer Screening in Rural and Border Texas with Friend to Friend Plus Patient Navigation.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
- High PSA anxiety and low health literacy skills: drivers of early use of salvage ADT among men with biochemically recurrent prostate cancer after radiotherapy?Annals of oncology : official journal of the European Society for Medical Oncology · 2015Observational
- Sustaining mammography screening among the medically underserved: a follow-up evaluation.Journal of women's health (2002) · 2015Article
- Mammograms on-the-go-predictors of repeat visits to mobile mammography vans in St Louis, Missouri, USA: a case-control study.BMJ open · 2015Article
- Capsule commentary on Davis et al., Improving mammography screening among the medically underserved.Journal of general internal medicine · 2014Article
Corrections and comments
- Commented on by
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundWe evaluated the effectiveness and cost-effectiveness of alternative interventions designed to promote mammography in safety-net settings.
methodsA three-arm, quasi-experimental evaluation was conducted among eight federally qualified health clinics in predominately rural Louisiana. Mammography screening efforts included: 1) enhanced care, 2) health literacy-informed education of patients, and 3) education plus nurse support. Outcomes included mammography screening completion within 6 months and incremental cost-effectiveness.
resultsOverall, 1,181 female patients ages 40 and over who were eligible for routine mammography were recruited. Baseline screening rates were < 10%. Post intervention screening rates were 55.7% with enhanced care, 51.8% with health literacy-informed education and 65.8% with education and nurse support. After adjusting for race, marital status, self-efficacy and literacy, patients receiving health-literacy informed education were not more likely to complete mammographic screening than those receiving enhanced care; those additionally receiving nurse support were 1.37-fold more likely to complete mammographic screening than those receiving the brief education (95% Confidence Interval 1.08-1.74, p = 0.01). The incremental cost per additional women screened was $2,457 for literacy-informed education with nurse support over literacy-informed education alone.
conclusionsMammography rates were increased substantially over existing baseline rates in all three arms with the educational initiative, with nurse support and follow-up being the most effective option. However, it is not likely to be cost-effective or affordable in resource-limited clinics.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.