A community intervention is proposed to promote utilization of regular mammography and breast palpation among women aged 50 and above, in an effort to ultimately reduce breast cancer mortality. The proposed intervention includes a community organization component and specific behavioral interventions targeting radiologists, primary care physicians, and women. The intervention package is designed to be not only effective, but also exportable. It is to be implemented in a defined population to ensure generalizability of the results. The community organization framework provides a mode of delivery for the content of the specific behavioral interventions. The intervention is designed for use in a typical medium-sized Washington State community. The Greater Everett area was selected as the intervention site based on 1) it being representative of medium-sized cities in Washington State and the U.S., 2) its """"""""typical"""""""" position with respect to promotion of mammography by the service provider community. Screening activities and utilization will be monitored in the Everett community as well in three comparison communities, two of which are currently somewhat ahead of Everett in terms of the availability and utilization of screening mammography services, and one of which is behind. Evaluation of the community intervention will include 1) descriptive evaluation of intermediate outcomes associated with specific behavioral interventions, and 2) hypothesis testing of the effect of the intervention effort as a whole on primary outcomes. The primary outcomes of interest are: 1) establishment of a community """"""""norm"""""""" of regular mammography and breast palpation for women aged 50 and above; 2) increased rates of utilization of mammography and breast palpation; and 3) increased quality of mammography and breast palpation as the rate of utilization changes.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
5P01CA034847-10
Application #
3794875
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
10
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Fred Hutchinson Cancer Research Center
Department
Type
DUNS #
075524595
City
Seattle
State
WA
Country
United States
Zip Code
98109
Satia, Jessie A; Kristal, Alan R; Patterson, Ruth E et al. (2002) Psychosocial factors and dietary habits associated with vegetable consumption. Nutrition 18:247-54
Levy, L; Patterson, R E; Kristal, A R et al. (2000) How well do consumers understand percentage daily value on food labels? Am J Health Promot 14:157-60, ii
Peterson Jr, A V; Kealey, K A; Mann, S L et al. (2000) Hutchinson Smoking Prevention Project: long-term randomized trial in school-based tobacco use prevention--results on smoking. J Natl Cancer Inst 92:1979-91
Satia, J A; Patterson, R E; Taylor, V M et al. (2000) Use of qualitative methods to study diet, acculturation, and health in Chinese-American women. J Am Diet Assoc 100:934-40
Neuhouser, M L; Kristal, A R; Patterson, R E (1999) Use of food nutrition labels is associated with lower fat intake. J Am Diet Assoc 99:45-53
Patterson, R E; Levy, L; Tinker, L F et al. (1999) Evaluation of a simplified vitamin supplement inventory developed for the Women's Health Initiative. Public Health Nutr 2:273-6
Kristal, A R; Glanz, K; Curry, S J et al. (1999) How can stages of change be best used in dietary interventions? J Am Diet Assoc 99:679-84
Neuhouser, M L; Patterson, R E; Levy, L (1999) Motivations for using vitamin and mineral supplements. J Am Diet Assoc 99:851-4
Patterson, R E; Kristal, A R; Levy, L et al. (1998) Validity of methods used to assess vitamin and mineral supplement use. Am J Epidemiol 148:643-9
Patterson, R E; Kristal, A R; Shannon, J et al. (1997) Using a brief household food inventory as an environmental indicator of individual dietary practices. Am J Public Health 87:272-5

Showing the most recent 10 out of 15 publications