The National Cancer Institute has set a goal of having 80 percent of women age 50 and above receiving regular mammography by the year 2000. The only time this goal has been approached in large populations is when women received mailed invitations to screening. The overall objective of this research is to evaluate strategies for maximizing participation in breast cancer screening using written invitations.
The specific aims of the proposed research are to test the effect on breast cancer screening participation, in women age 50 and above, of: 1) involving the primary care team as the source of the invitations, and 2) obtaining and including breast cancer risk information in the letters of invitation. A secondary aim is to test the additional effect on participation of a reminder letter. Two randomized studies will be undertaken over three years. The studies will be conducted in a managed healthcare system where risk-based breast cancer screening is already occurring. In the first study a 2x2 factorial design will test the effect of involving the primary care team and the use of reminder letters. Using a four group experimental design, the second study will test the effect on participation of pre-invitation risk assessment and of including breast cancer risk information in the invitations. In both studies, participation will be defined as scheduling an appointment for mammography within six months of receiving the invitation. The long-term objective is to apply the results of this study to population-based screening programs to promote the use of mammography in settings such as managed healthcare systems. community physician practices and regional mammography screening facilities.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
3P01CA034847-10S2
Application #
3772643
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
10
Fiscal Year
1993
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

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