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Promoting mammography use through progressive interventions: is it effective?

E S King, B K Rimer, J Seay, A Balshem and P F Engstrom

Fox Chase Cancer Center, Cheltenham, PA 19012.

This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared utilization for women randomly assigned to receive a second reminder, a letter suggesting a preventive office visit, or telephone counseling: 29% of those who received telephone counseling, 14% of those who received a letter, and 12% of those who received a second reminder obtained mammograms.

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Promoting participation in breast cancer screening.

J G Zapka
AJPH 1994 84: 12-13. [PDF]  

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