The Pathfinders Methodologic Studies Core seeks to address several research questions of common concern to all projects. These methodologic inquiries are related directly to the objectives of the overall program project, and complement the main hypothesis in the projects.
The specific aims of this Core all focus on low-income, multi-ethnic women and will: 1) monitor the changes in managed care systems and examine the relationship of these changes to breast and cervical cancer screening behavior, 2) develop and refine methods for measuring access to, satisfaction with, and quality of care, 3) study aspects of willingness-to-pay for screening services as part of roader cost-effective analyses, 4) assess the magnitude and causes of attrition in follow-up studies, and 5) validate the reliability of self-reported data on screening adherence. The findings from the observations proposed under the first aim will be the principal method used by the program project to assess the effect of changes in health care independent of any Pathfinders intervention. Some data for these sub-studies will be collected at the same time as data for the primary studies. These include baseline and follow-up surveys of 1500 women in Project. However, additional data collection will include medical record reviews of 250 subjects from Project 1 for the validation sub- study, short interviews of the anticipated 600 women who drop out of Project 1 for the attrition sub-study and cost data from Projects 1 and 2 for the cost-effectiveness sub-study. Findings from these methodologic investigations will complement the findings of the primary subjects and improve the validity of their conclusions.
| Pérez-Stable, Eliseo J; Afable-Munsuz, Aimee; Kaplan, Celia Patricia et al. (2013) Factors influencing time to diagnosis after abnormal mammography in diverse women. J Womens Health (Larchmt) 22:159-66 |
| Stewart, Susan L; Rakowski, William; Pasick, Rena J (2009) Behavioral constructs and mammography in five ethnic groups. Health Educ Behav 36:36S-54S |
| Otero-Sabogal, Regina; Stewart, Susan; Shema, Sarah J et al. (2007) Ethnic differences in decisional balance and stages of mammography adoption. Health Educ Behav 34:278-96 |
| Wagner, Todd H; Engelstad, Linda P; McPhee, Stephen J et al. (2007) The costs of an outreach intervention for low-income women with abnormal Pap smears. Prev Chronic Dis 4:A11 |
| Alderete, Ethel; Juarbe, Teresa C; Kaplan, Celia Patricia et al. (2006) Depressive symptoms among women with an abnormal mammogram. Psychooncology 15:66-78 |
| Juarbe, Teresa C; Kaplan, Celia Patricia; Somkin, Carol P et al. (2005) Are risk factors for breast cancer associated with follow-up procedures in diverse women with abnormal mammography? Cancer Causes Control 16:245-53 |
| Karliner, Leah S; Patricia Kaplan, Celia; Juarbe, Teresa et al. (2005) Poor patient comprehension of abnormal mammography results. J Gen Intern Med 20:432-7 |
| Engelstad, Linda P; Stewart, Susan; Otero-Sabogal, Regina et al. (2005) The effectiveness of a community outreach intervention to improve follow-up among underserved women at highest risk for cervical cancer. Prev Med 41:741-8 |
| Wagner, Todd H; Goldstein, Mary K (2004) Behavioral interventions and cost-effectiveness analysis. Prev Med 39:1208-14 |
| Somkin, Carol P; McPhee, Stephen J; Nguyen, Tung et al. (2004) The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care 42:914-26 |
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