Early screening through periodic mammography offers one of the most effective weapons against beast cancer mortality, but compliance with both one time and repeat screening is problematic. The purpose of this proposal is to identify and compare the independent and additive effects of tailored physician recommendation letters and tailored telephone counseling on 1) mammography compliance; 2) cognitive progression toward mammography; and to 3) estimate and compare the cost and cost-effectiveness of each intervention and their combination. Both tailored letters and tailored telephone counseling have shown promise for encouraging mammography screening, but neither their relative and additive effectiveness nor their cost-effectiveness is known. Subjects will include 1200 noncompliant women 51 and older from two states where mammography utilization is especially low, Indiana and Missouri. Interventions will be tailored according to individual's specific baseline responses regarding perceived susceptibility, perceived benefits and barriers associated with mammography, and stage of considering mammography. Behavioral outcomes will be measured dichotomously by whether subjects have had mammograms or by cognitive stage via Prochaska and DiClemente's cognitive stage model. Traditional cost and marginal cost-effectiveness analyses are planned. Conclusions will add to the knowledge bases needed to increase mammography screening in a cost-effective manner.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR004081-02
Application #
2519825
Study Section
Nursing Research Study Section (NURS)
Program Officer
Phillips, Janice
Project Start
1996-09-01
Project End
2000-05-31
Budget Start
1997-09-01
Budget End
1998-05-31
Support Year
2
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Indiana University-Purdue University at Indianapolis
Department
Type
Schools of Nursing
DUNS #
005436803
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
Champion, Victoria; Skinner, Celette Sugg; Hui, Siu et al. (2007) The effect of telephone versus print tailoring for mammography adherence. Patient Educ Couns 65:416-23
Menon, Usha; Champion, Victoria; Monahan, Patrick O et al. (2007) Health belief model variables as predictors of progression in stage of mammography adoption. Am J Health Promot 21:255-61
Russell, Kathleen M; Champion, Victoria L; Skinner, Celette Sugg (2006) Psychosocial factors related to repeat mammography screening over 5 years in African American women. Cancer Nurs 29:236-43
Champion, Victoria; Skinner, Celette Sugg; Menon, Usha (2005) Development of a self-efficacy scale for mammography. Res Nurs Health 28:329-36
Champion, Victoria L; Skinner, Celette Sugg; Menon, Usha et al. (2004) A breast cancer fear scale: psychometric development. J Health Psychol 9:753-62
Ryan, G L; Skinner, C S; Farrell, D et al. (2001) Examining the boundaries of tailoring: the utility of tailoring versus targeting mammography interventions for two distinct populations. Health Educ Res 16:555-66