This eight-year project will develop and evaluate a community breast screening promotion program. Program activities will be organized under the auspices of a community coalition, and will be administered through a Breast Screening Program office. Program components will promote mammography screening and training in breast palpation and breast self-examination instruction for medical practitioners, while community organization approaches will provide direct breast screening education to women in the community. During Year 1, community assessment and planning efforts will be initiated. In Year 2, the community program will be implemented to enhance existing breast screening efforts with full project support; during subsequent years, support for selected program elements will be transferred to community resources with consultation from project staff. Measurement of program effects will be achieved through telephone surveys (using random digit dialing) of 1,000 women in the intervention community, 1,000 usual-practice controls and 1,000 women in additional control groups; a 25% sample will have palpation skills verified in a home interview. Breast palpation and BSE education skills by medical practitioners will be measured in personal interviews. Surveys and interviews will be conducted before interventions begin, at intervals of one and three years after they begin, and in Year 7, two years after programs have been transferred to local resources.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
5P01CA046456-02
Application #
3807848
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
2
Fiscal Year
1991
Total Cost
Indirect Cost
Name
University of Vermont & St Agric College
Department
Type
DUNS #
066811191
City
Burlington
State
VT
Country
United States
Zip Code
05405
Danigelis, Nicholas L; Worden, John K; Flynn, Brian S et al. (2005) Increasing mammography screening among low-income African American women with limited access to health information. Prev Med 40:880-7
Vacek, Pamela M; Winstead-Fry, Patricia; Secker-Walker, Roger H et al. (2003) Factors influencing quality of life in breast cancer survivors. Qual Life Res 12:527-37
Worden, John K; Mickey, Ruth M; Vacek, Pamela M et al. (2002) Evaluation of a community breast screening promotion program. Prev Med 35:349-61
Danigelis, N L; Ashley, J A; Worden, J K et al. (2001) Two community outreach strategies to increase breast cancer screening among low-income women. J Cancer Educ 16:55-8
Secker-Walker, R H; Vacek, P M; Hooper, G J et al. (1999) Screening for breast cancer: time, travel, and out-of-pocket expenses. J Natl Cancer Inst 91:702-8
Holland, R R; Ellis, C A; Geller, B M et al. (1999) Life expectancy estimation with breast cancer: bias of the declining exponential function and an alternative to its use. Med Decis Making 19:385-93
Worden, J K; Solomon, L J; Flynn, B S et al. (1999) Community-based promotion of breast screening using small group education. J Public Health Manag Pract 5:54-62
Solomon, L J; Mickey, R M; Rairikar, C J et al. (1998) Three-year prospective adherence to three breast cancer screening modalities. Prev Med 27:781-6
Solomon, L J; Flynn, B S; Worden, J K et al. (1998) Assessment of self-reward strategies for maintenance of breast self-examination. J Behav Med 21:83-102
Vacek, P M; Mickey, R M; Worden, J K (1997) Reliability of self-reported breast screening information in a survey of lower income women. Prev Med 26:287-91

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