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Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women.
- Source :
-
BioMed research international [Biomed Res Int] 2015; Vol. 2015, pp. 240240. Date of Electronic Publication: 2015 Oct 04. - Publication Year :
- 2015
-
Abstract
- Breast cancer mortality disparities continue, particularly for uninsured and minority women. A number of effective evidence-based interventions (EBIs) exist for addressing barriers to mammography screening; however, their uptake and use in community has been limited. Few cancer-specific studies have evaluated adapted EBIs in new contexts, and fewer still have considered implementation. This study sought to (1) evaluate the effectiveness of an adapted mammography EBI in improving appointment keeping in African American women and (2) describe processes of implementation in a new practice setting. We used the type 1 hybrid design to test effectiveness and implementation using a quasi-experimental design. Logistic regression and intent-to-treat analysis were used to evaluate mammography appointment attendance. The no-show rate was 44% (comparison) versus 19% (intervention). The adjusted odds of a woman in the intervention group attending her appointment were 3.88 (p < 0.001). The adjusted odds of a woman attending her appointment in the intent-to-treat analysis were 2.31 (p < 0.05). Adapted EBI effectiveness was 3.88 (adjusted OR) versus 2.10 (OR) for the original program, indicating enhanced program effect. A number of implementation barriers and facilitators were identified. Our findings support previous studies noting that sequentially measuring EBI efficacy and effectiveness, followed by implementation, may be missing important contextual information.
- Subjects :
- Adult
Early Detection of Cancer statistics & numerical data
Female
Humans
Middle Aged
Prevalence
Prognosis
Program Evaluation
Reproducibility of Results
Risk Assessment methods
Sensitivity and Specificity
United States epidemiology
Utilization Review
Women's Health statistics & numerical data
Black or African American statistics & numerical data
Breast Neoplasms diagnostic imaging
Breast Neoplasms epidemiology
Evidence-Based Medicine methods
Mammography statistics & numerical data
Patient Compliance statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2314-6141
- Volume :
- 2015
- Database :
- MEDLINE
- Journal :
- BioMed research international
- Publication Type :
- Academic Journal
- Accession number :
- 26504790
- Full Text :
- https://doi.org/10.1155/2015/240240