Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women
Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography use among Samoan women. Methods: This community-based...
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| Veröffentlicht in: | Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2007-12, Vol.16 (12), p.2594-2604 |
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| creator | MISHRA, Shiraz I BASTANI, Roshan CRESPI, Catherine M CHANG, L. Cindy LUCE, Pat H BAQUET, Claudia R |
| description | Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of
a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography
use among Samoan women.
Methods: This community-based participatory cluster-randomized controlled intervention trial used a parallel two-group design.
The sample consisted of 776 women aged 42 and older who had not had a mammogram in the preceding 2 years. The primary outcome
was self-reported mammogram use between pretest and posttest.
Results: Overall, there was no statistically significant intervention effect, although the odds of self-reported mammogram
use were higher in the intervention than the control group (odds ratio (OR), 1.26; 95% confidence interval (95% CI), 0.74,
2.14; P = 0.39). Exploratory subgroup analyses found that the intervention was effective only among women who were aware of mammograms
but had never previously obtained one (OR, 1.99; 95% CI, 1.03, 3.85; P = 0.04). Low need for social support and lack of endorsement of culture-specific beliefs about breast cancer were associated
with mammogram use in this group. In women unaware of mammography at pretest, high perceived susceptibility to breast cancer
and endorsement of culture-specific beliefs were associated with mammogram use. For women who had previously obtained a mammogram,
lower self-efficacy was associated with mammogram use. Intervention compared with control group women had significantly higher
levels of knowledge of risk factors and lower endorsement of culture-specific beliefs at posttest.
Conclusions: Results suggest that a multifaceted education intervention may improve mammogram usage for certain subgroups
of Samoan women. (Cancer Epidemiol Biomarkers Prev 2007;16(12):2594–604) |
| doi_str_mv | 10.1158/1055-9965.EPI-07-0148 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3612893</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69070396</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-e8ca0c64cf22bb856a2c01fc42a0116a25c3581117e1ce42456beb5e3d0b6b0a3</originalsourceid><addsrcrecordid>eNpVkU9v1DAQxS0Eou3CRwD5AlIPaf0ndpwLEqoKXWlRUWnF0Zp4J9mg2C52FgSfHq92W-A0M_JvnkfvEfKKszPOlTnnTKmqbbU6u_y8rFhTMV6bJ-SYK2mqplHqaekfmCNykvM3xljTKvWcHHHDjG60PCarG8zbac409hToDYR19ONvXNPbNMJE50iXwSWEjPQTeB-HBJ7eZRiQgo9hoF9KgUC_Ro_hBXnWw5Tx5aEuyN2Hy9uLq2p1_XF58X5VubqRc4XGAXO6dr0QXWeUBuEY710tgHFeJuWkMpzzBrnDWtRKd9gplGvW6Y6BXJB3e937bedx7TDMCSZ7n0YP6ZeNMNr_X8K4sUP8YaXmwrSyCLw9CKT4fYt5tn7MDqcJAsZttrplDZOtLqDagy7FnBP2j59wZnc52J3HduexLTlY1thdDmXv9b8X_t06GF-ANwcAsoOpTxDcmB85UbJqTblhQU733GYcNj_HhNYVElPCjJDcxnJtubBCtbX8A48xn-g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69070396</pqid></control><display><type>article</type><title>Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>American Association for Cancer Research</source><creator>MISHRA, Shiraz I ; BASTANI, Roshan ; CRESPI, Catherine M ; CHANG, L. Cindy ; LUCE, Pat H ; BAQUET, Claudia R</creator><creatorcontrib>MISHRA, Shiraz I ; BASTANI, Roshan ; CRESPI, Catherine M ; CHANG, L. Cindy ; LUCE, Pat H ; BAQUET, Claudia R</creatorcontrib><description>Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of
a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography
use among Samoan women.
Methods: This community-based participatory cluster-randomized controlled intervention trial used a parallel two-group design.
The sample consisted of 776 women aged 42 and older who had not had a mammogram in the preceding 2 years. The primary outcome
was self-reported mammogram use between pretest and posttest.
Results: Overall, there was no statistically significant intervention effect, although the odds of self-reported mammogram
use were higher in the intervention than the control group (odds ratio (OR), 1.26; 95% confidence interval (95% CI), 0.74,
2.14; P = 0.39). Exploratory subgroup analyses found that the intervention was effective only among women who were aware of mammograms
but had never previously obtained one (OR, 1.99; 95% CI, 1.03, 3.85; P = 0.04). Low need for social support and lack of endorsement of culture-specific beliefs about breast cancer were associated
with mammogram use in this group. In women unaware of mammography at pretest, high perceived susceptibility to breast cancer
and endorsement of culture-specific beliefs were associated with mammogram use. For women who had previously obtained a mammogram,
lower self-efficacy was associated with mammogram use. Intervention compared with control group women had significantly higher
levels of knowledge of risk factors and lower endorsement of culture-specific beliefs at posttest.
Conclusions: Results suggest that a multifaceted education intervention may improve mammogram usage for certain subgroups
of Samoan women. (Cancer Epidemiol Biomarkers Prev 2007;16(12):2594–604)</description><identifier>ISSN: 1055-9965</identifier><identifier>EISSN: 1538-7755</identifier><identifier>DOI: 10.1158/1055-9965.EPI-07-0148</identifier><identifier>PMID: 18086763</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>behavior theory ; Biological and medical sciences ; breast cancer screening ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - prevention & control ; community-based participatory research ; Cultural Characteristics ; culture ; education intervention ; education program ; education theory ; Female ; field trial ; Gynecology. Andrology. Obstetrics ; Health Behavior - ethnology ; Health Knowledge, Attitudes, Practice ; Humans ; Mammary gland diseases ; mammography ; Mammography - utilization ; Mass Screening - utilization ; Medical sciences ; minority ; Pacific Islander ; Patient Acceptance of Health Care ; Patient Education as Topic - methods ; Samoa ; Samoan ; Tropical medicine ; Tumors ; Women's Health</subject><ispartof>Cancer epidemiology, biomarkers & prevention, 2007-12, Vol.16 (12), p.2594-2604</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-e8ca0c64cf22bb856a2c01fc42a0116a25c3581117e1ce42456beb5e3d0b6b0a3</citedby><cites>FETCH-LOGICAL-c473t-e8ca0c64cf22bb856a2c01fc42a0116a25c3581117e1ce42456beb5e3d0b6b0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,3343,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20009870$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18086763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MISHRA, Shiraz I</creatorcontrib><creatorcontrib>BASTANI, Roshan</creatorcontrib><creatorcontrib>CRESPI, Catherine M</creatorcontrib><creatorcontrib>CHANG, L. Cindy</creatorcontrib><creatorcontrib>LUCE, Pat H</creatorcontrib><creatorcontrib>BAQUET, Claudia R</creatorcontrib><title>Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women</title><title>Cancer epidemiology, biomarkers & prevention</title><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><description>Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of
a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography
use among Samoan women.
Methods: This community-based participatory cluster-randomized controlled intervention trial used a parallel two-group design.
The sample consisted of 776 women aged 42 and older who had not had a mammogram in the preceding 2 years. The primary outcome
was self-reported mammogram use between pretest and posttest.
Results: Overall, there was no statistically significant intervention effect, although the odds of self-reported mammogram
use were higher in the intervention than the control group (odds ratio (OR), 1.26; 95% confidence interval (95% CI), 0.74,
2.14; P = 0.39). Exploratory subgroup analyses found that the intervention was effective only among women who were aware of mammograms
but had never previously obtained one (OR, 1.99; 95% CI, 1.03, 3.85; P = 0.04). Low need for social support and lack of endorsement of culture-specific beliefs about breast cancer were associated
with mammogram use in this group. In women unaware of mammography at pretest, high perceived susceptibility to breast cancer
and endorsement of culture-specific beliefs were associated with mammogram use. For women who had previously obtained a mammogram,
lower self-efficacy was associated with mammogram use. Intervention compared with control group women had significantly higher
levels of knowledge of risk factors and lower endorsement of culture-specific beliefs at posttest.
Conclusions: Results suggest that a multifaceted education intervention may improve mammogram usage for certain subgroups
of Samoan women. (Cancer Epidemiol Biomarkers Prev 2007;16(12):2594–604)</description><subject>behavior theory</subject><subject>Biological and medical sciences</subject><subject>breast cancer screening</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - prevention & control</subject><subject>community-based participatory research</subject><subject>Cultural Characteristics</subject><subject>culture</subject><subject>education intervention</subject><subject>education program</subject><subject>education theory</subject><subject>Female</subject><subject>field trial</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Behavior - ethnology</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>mammography</subject><subject>Mammography - utilization</subject><subject>Mass Screening - utilization</subject><subject>Medical sciences</subject><subject>minority</subject><subject>Pacific Islander</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Education as Topic - methods</subject><subject>Samoa</subject><subject>Samoan</subject><subject>Tropical medicine</subject><subject>Tumors</subject><subject>Women's Health</subject><issn>1055-9965</issn><issn>1538-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU9v1DAQxS0Eou3CRwD5AlIPaf0ndpwLEqoKXWlRUWnF0Zp4J9mg2C52FgSfHq92W-A0M_JvnkfvEfKKszPOlTnnTKmqbbU6u_y8rFhTMV6bJ-SYK2mqplHqaekfmCNykvM3xljTKvWcHHHDjG60PCarG8zbac409hToDYR19ONvXNPbNMJE50iXwSWEjPQTeB-HBJ7eZRiQgo9hoF9KgUC_Ro_hBXnWw5Tx5aEuyN2Hy9uLq2p1_XF58X5VubqRc4XGAXO6dr0QXWeUBuEY710tgHFeJuWkMpzzBrnDWtRKd9gplGvW6Y6BXJB3e937bedx7TDMCSZ7n0YP6ZeNMNr_X8K4sUP8YaXmwrSyCLw9CKT4fYt5tn7MDqcJAsZttrplDZOtLqDagy7FnBP2j59wZnc52J3HduexLTlY1thdDmXv9b8X_t06GF-ANwcAsoOpTxDcmB85UbJqTblhQU733GYcNj_HhNYVElPCjJDcxnJtubBCtbX8A48xn-g</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>MISHRA, Shiraz I</creator><creator>BASTANI, Roshan</creator><creator>CRESPI, Catherine M</creator><creator>CHANG, L. Cindy</creator><creator>LUCE, Pat H</creator><creator>BAQUET, Claudia R</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20071201</creationdate><title>Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women</title><author>MISHRA, Shiraz I ; BASTANI, Roshan ; CRESPI, Catherine M ; CHANG, L. Cindy ; LUCE, Pat H ; BAQUET, Claudia R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-e8ca0c64cf22bb856a2c01fc42a0116a25c3581117e1ce42456beb5e3d0b6b0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>behavior theory</topic><topic>Biological and medical sciences</topic><topic>breast cancer screening</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - prevention & control</topic><topic>community-based participatory research</topic><topic>Cultural Characteristics</topic><topic>culture</topic><topic>education intervention</topic><topic>education program</topic><topic>education theory</topic><topic>Female</topic><topic>field trial</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Behavior - ethnology</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Mammary gland diseases</topic><topic>mammography</topic><topic>Mammography - utilization</topic><topic>Mass Screening - utilization</topic><topic>Medical sciences</topic><topic>minority</topic><topic>Pacific Islander</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Education as Topic - methods</topic><topic>Samoa</topic><topic>Samoan</topic><topic>Tropical medicine</topic><topic>Tumors</topic><topic>Women's Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MISHRA, Shiraz I</creatorcontrib><creatorcontrib>BASTANI, Roshan</creatorcontrib><creatorcontrib>CRESPI, Catherine M</creatorcontrib><creatorcontrib>CHANG, L. Cindy</creatorcontrib><creatorcontrib>LUCE, Pat H</creatorcontrib><creatorcontrib>BAQUET, Claudia R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MISHRA, Shiraz I</au><au>BASTANI, Roshan</au><au>CRESPI, Catherine M</au><au>CHANG, L. Cindy</au><au>LUCE, Pat H</au><au>BAQUET, Claudia R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women</atitle><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>16</volume><issue>12</issue><spage>2594</spage><epage>2604</epage><pages>2594-2604</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><abstract>Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of
a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography
use among Samoan women.
Methods: This community-based participatory cluster-randomized controlled intervention trial used a parallel two-group design.
The sample consisted of 776 women aged 42 and older who had not had a mammogram in the preceding 2 years. The primary outcome
was self-reported mammogram use between pretest and posttest.
Results: Overall, there was no statistically significant intervention effect, although the odds of self-reported mammogram
use were higher in the intervention than the control group (odds ratio (OR), 1.26; 95% confidence interval (95% CI), 0.74,
2.14; P = 0.39). Exploratory subgroup analyses found that the intervention was effective only among women who were aware of mammograms
but had never previously obtained one (OR, 1.99; 95% CI, 1.03, 3.85; P = 0.04). Low need for social support and lack of endorsement of culture-specific beliefs about breast cancer were associated
with mammogram use in this group. In women unaware of mammography at pretest, high perceived susceptibility to breast cancer
and endorsement of culture-specific beliefs were associated with mammogram use. For women who had previously obtained a mammogram,
lower self-efficacy was associated with mammogram use. Intervention compared with control group women had significantly higher
levels of knowledge of risk factors and lower endorsement of culture-specific beliefs at posttest.
Conclusions: Results suggest that a multifaceted education intervention may improve mammogram usage for certain subgroups
of Samoan women. (Cancer Epidemiol Biomarkers Prev 2007;16(12):2594–604)</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>18086763</pmid><doi>10.1158/1055-9965.EPI-07-0148</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research |
| subjects | behavior theory Biological and medical sciences breast cancer screening Breast Neoplasms - diagnostic imaging Breast Neoplasms - prevention & control community-based participatory research Cultural Characteristics culture education intervention education program education theory Female field trial Gynecology. Andrology. Obstetrics Health Behavior - ethnology Health Knowledge, Attitudes, Practice Humans Mammary gland diseases mammography Mammography - utilization Mass Screening - utilization Medical sciences minority Pacific Islander Patient Acceptance of Health Care Patient Education as Topic - methods Samoa Samoan Tropical medicine Tumors Women's Health |
| title | Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women |
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