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Improving Screening Uptake among Breast Cancer Survivors and Their First-Degree Relatives at Elevated Risk to Breast Cancer: Results and Implications of a Randomized Study in the State of Georgia
- Source :
- International Journal of Environmental Research and Public Health, Vol 17, Iss 3, p 977 (2020), International Journal of Environmental Research and Public Health, Volume 17, Issue 3
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Women diagnosed with breast cancer at a relatively early age (&le<br />45 years) or with bilateral disease at any age are at elevated risk for additional breast cancer, as are their female first-degree relatives (FDRs). We report on a randomized trial to increase adherence to mammography screening guidelines among survivors and FDRs. From the Georgia Cancer Registry, breast cancer survivors diagnosed during 2000&ndash<br />2009 at six Georgia cancer centers underwent phone interviews about their breast cancer screening behaviors and their FDRs. Nonadherent survivors and FDRs meeting all inclusion criteria were randomized to high-intensity (evidence-based brochure, phone counseling, mailed reminders, and communications with primary care providers) or low-intensity interventions (brochure only). Three and 12-month follow-up questionnaires were completed. Data analyses used standard statistical approaches. Among 1055 survivors and 287 FDRs who were located, contacted, and agreed to participate, 59.5% and 62.7%, respectively, reported breast cancer screening in the past 12 months and were thus ineligible. For survivors enrolled at baseline (N = 95), the proportion reporting adherence to guideline screening by 12 months post-enrollment was similar in the high and low-intensity arms (66.7% vs. 79.2%, p = 0.31). Among FDRs enrolled at baseline (N = 83), screening was significantly higher in the high-intensity arm at 12 months (60.9% vs. 32.4%, p = 0.03). Overall, about 72% of study-eligible survivors (all of whom were screening nonadherent at baseline) reported screening within 12 months of study enrollment. For enrolled FDRs receiving the high-intensity intervention, over 60% reported guideline screening by 12 months. A major conclusion is that using high-quality central cancer registries to identify high-risk breast cancer survivors and then working closely with these survivors to identify their FDRs represents a feasible and effective strategy to promote guideline cancer screening.
- Subjects :
- Counseling
Health, Toxicology and Mutagenesis
lcsh:Medicine
community-based research
first-degree relatives
law.invention
Breast cancer screening
0302 clinical medicine
Cancer Survivors
Randomized controlled trial
Disease Screening
law
Surveys and Questionnaires
Cancer screening
disease screening
Mass Screening
Medicine
Registries
030212 general & internal medicine
10. No inequality
skin and connective tissue diseases
guideline adherence
Early Detection of Cancer
medicine.diagnostic_test
Middle Aged
3. Good health
030220 oncology & carcinogenesis
Female
Adult
medicine.medical_specialty
Georgia
breast cancer survivors
Breast Neoplasms
Article
03 medical and health sciences
Breast cancer
Internal medicine
Humans
business.industry
lcsh:R
Public Health, Environmental and Occupational Health
Cancer
Guideline
medicine.disease
population-based genetic risk screening
Telephone
Cancer registry
cancer registries
Patient Compliance
business
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Volume :
- 17
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....76973c76d0dfaf300be3bbd8f3c014a3