Mammography and Cervical Cancer Screening

Abstract

This project establishes a system of """"""""safety nets"""""""" for mammographic and Pap smear screening for the women of Kaiser Permanente (KP) Northwest Region. Such a program will assure screening examinations at those minimum intervals consistent with good medial practice. These """"""""safety nets"""""""" activate if there is no mammographic screening among women 40-69 for two years or Pap smear screening among women 20-69 for three years. For certain groups of women, KP providers have determined that screening should occur at yearly intervals. For such groups special """"""""safety nets' will activate at one year's time. Results from these interventions will be analyzed in the third year of the trial for process, outcome, and cost effectiveness measures. Lessons learned from this process should be transferable to similar settings and to different medical conditions.

Funding Agency

• Agency: National Institute of Health (NIH)
• Institute: National Cancer Institute (NCI)
• Type: Research Program Projects (P01)
• Project #: 5P01CA044648-08
• Application #: 2338143
• Budget Start: 1994-10-01
• Budget End: 1995-09-30
• Support Year: 8
• Fiscal Year: 1995

Institution

• Name: Kaiser Foundation Research Institute
• City: Oakland
• State: CA
• Country: United States
• Zip Code: 94612

Publications

Vogt, Thomas M; Glass, Andrew; Glasgow, Russell E et al. (2003) The safety net: a cost-effective approach to improving breast and cervical cancer screening. J Womens Health (Larchmt) 12:789-98

Stevens, V J; Glasgow, R E; Hollis, J F et al. (2000) Implementation and effectiveness of a brief smoking-cessation intervention for hospital patients. Med Care 38:451-9

Ary, D V; Duncan, T E; Biglan, A et al. (1999) Development of adolescent problem behavior. J Abnorm Child Psychol 27:141-50

Meenan, R T; Stevens, V J; Hornbrook, M C et al. (1998) Cost-effectiveness of a hospital-based smoking cessation intervention. Med Care 36:670-8

Lichtenstein, E (1997) Behavioral research contributions and needs in cancer prevention and control: tobacco use prevention and cessation. Prev Med 26:S57-63

Lichtenstein, E; Hollis, J F; Severson, H H et al. (1996) Tobacco cessation interventions in health care settings: rationale, model, outcomes. Addict Behav 21:709-20

McCaul, K D; Branstetter, A D; Schroeder, D M et al. (1996) What is the relationship between breast cancer risk and mammography screening? A meta-analytic review. Health Psychol 15:423-9

Glass, A G; La Chance, P A; Vogt, T M (1996) Eighteen years of mammography experience in an HMO: 1975-1992. HMO Pract 10:184-9

Lichtenstein, E; Glasgow, R E; Lando, H A et al. (1996) Telephone counseling for smoking cessation: rationales and meta-analytic review of evidence. Health Educ Res 11:243-57

Stevens, V J; Severson, H; Lichtenstein, E et al. (1995) Making the most of a teachable moment: a smokeless-tobacco cessation intervention in the dental office. Am J Public Health 85:231-5