Personal Contact from Friends to Increase Mammography Usage

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

“…46 Previous studies examining intervention efficacy, primarily among minority populations in urban settings but also (in one study) among rural African American women, have shown increased rates of mammography use. [25][26][27][28][29][30][31][32]47,48 Although the term efficacy is used in various ways, 38,49 community-based efficacy trials generally measure behavior change among individuals recruited to the study and exposed to the intervention. Community-based effectiveness trials, in contrast, measure behavior change in the community, regardless of exposure to the intervention.…”

“…6,[10][11][12][13][14] Lay health advisors (including peer volunteers, peer educators, and lay community workers) have been proposed as an effective means of promoting breast cancer screening and other healthy behaviors. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Lay health advisors are community members trained to act as links between the professional health care system and their communities. 16 Studies conducted with disadvantaged urban populations have shown that lay health advisor interventions increase mammography use among women recruited from the community.…”

“…16 Studies conducted with disadvantaged urban populations have shown that lay health advisor interventions increase mammography use among women recruited from the community. [25][26][27][28][29][30][31][32] Few studies have addressed communitywide changes in postintervention behaviors, and even fewer among rural populations. The North Carolina Breast Cancer Screening Program (NC-BCSP) was a community trial designed to determine the effectiveness of a lay health advisor intervention, supplemented by a limited number of other activities, aimed at increasing self-reported mammography use among African American women 50 years and older in eastern North Carolina.…”

How to increase uptake in oncologic screening: A systematic review of studies comparing population-based screening programs and spontaneous access

“…The pooled effect was an increase of 29% (95% CI 20-39). One of the studies used a cluster randomization (Calle et al, 1994), while the analysis was conducted considering individuals as independent statistical units. When this study was eliminated from the analysis, the result did not change much (27%; 95% CI 1.17-1.38).…”

Effect of Direct Mail as a Population-Based Strategy to Increase Mammography Use among Low-Income Underinsured Women Ages 40 to 64 Years

“…However, research on population-wide interventions is lacking. The vast majority of tested interventions have been individual-, hospital-, health plan -, or community-directed approaches involving strategies to address personal, systems, and/or cultural barriers to screening (9,(15)(16)(17)(18)(19)(20)(21). These interventions are unsuitable for population-wide implementation because of their complexity, high cost, relatively small reach, and limited generalizability.…”