Trial reportJournal of general internal medicine1998
Intervention to increase mammography utilization in a public hospital.
Trial report in Journal of general internal medicine, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Video Interventions for Reducing Health Inequity in Cancer Screening Programmes: a Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Health literacy and cancer screening: a systematic review.Patient education and counseling · 2014Pooled it
- Interventions to enhance breast cancer screening, diagnosis, and treatment among racial and ethnic minority women.Medical care research and review : MCRR · 2007Pooled it
- Interventions to improve health outcomes for patients with low literacy. A systematic review.Journal of general internal medicine · 2005Pooled it
- Feasibility of an ED-to-Home Intervention to Engage Patients: A Mixed-Methods Investigation.The western journal of emergency medicine · 2017Trial
- Improving mammography screening among the medically underserved.Journal of general internal medicine · 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
- The impact of using a low-literacy patient education tool on process measures of diabetes care in a minority population.Journal of the National Medical Association · 2003Trial
- Peripartum racial/ethnic disparities.International anesthesiology clinics · 2021Article
- Article
- Patient understanding of liver cirrhosis and improvement using multimedia education.Frontline gastroenterology · 2017Article
- A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population.Journal of communication in healthcare · 2016Article
- Joint breast and colorectal cancer screenings in medically underserved women.The Journal of community and supportive oncology · 2015Article
- The future of the cancer prevention workforce: why health literacy, advocacy, and stakeholder collaborations matter.Journal of cancer education : the official journal of the American Association for Cancer Education · 2012Article
- The potential of black radio to disseminate health messages and reduce disparities.Preventing chronic disease · 2010Article
- Organizational factors and the cancer screening process.Journal of the National Cancer Institute. Monographs · 2010Review
- Goal setting in diabetes self-management: taking the baby steps to success.Patient education and counseling · 2009Article
- Development Of An Educational Video To Improve Patient Knowledge And Communication With Their Healthcare Providers About Colorectal Cancer Screening.American journal of health education · 2009Article
- Interventions to Improve Care for Patients with Limited Health Literacy.Journal of clinical outcomes management : JCOM · 2009Article
- Provider perceptions of limited health literacy in community health centers.Patient education and counseling · 2007Article
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
Abstract
objectiveTo study the effects of three approaches to increasing utilization of screening mammography in a public hospital setting in Northwest Louisiana.
designRandomized intervention study. POPULATION: Four hundred forty-five women aged 40 years and over, predominantly low-income and with low literacy skills, who had not had a mammogram in the preceding year.
interventionAll interventions were chosen to motivate women to get a mammogram. Group 1 received a personal recommendation from one of the investigators. Group 2 received the recommendation plus an easy-to-read National Cancer Institute (NCI) brochure. Group 3 received the recommendation, the brochure, and a 12-minute interactive educational and motivational program, including a soap-opera-style video, developed in collaboration with women from the target population. MEASUREMENTS AND MAIN
resultsMammography utilization was determined at 6 months and 2 years after intervention. A significant increase (p = .05) in mammography utilization was observed after the intervention designed in collaboration with patients (29%) as compared with recommendation alone (21%) or recommendation with brochure (18%) at 6 months. However, at 2 years the difference favoring the custom-made intervention was no longer significant.
conclusionsAt 6 months there was at least a 30% increase in the mammography utilization rate in the group receiving the intervention designed in collaboration with patients as compared with those receiving the recommendation alone or recommendation with brochure. Giving patients an easy-to-read NCI brochure and a personal recommendation was no more effective than giving them a recommendation alone, suggesting that simply providing women in a public hospital with a low-literacy-level, culturally appropriate brochure is not sufficient to increase screening mammography rates. In a multivariate analysis, the only significant predictor of mammography use at 6 months was the custom-made intervention.
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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.