Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis
Objective The purpose of this study was to report the results of a meta‐analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017. Data Sources Articles published in English and in the United States, between January 1997 and Marc...
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| Veröffentlicht in: | Health services research 2018-08, Vol.53 (4), p.3170-3188 |
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| creator | Copeland, Valire Carr Kim, Yoo Jung Eack, Shaun M. |
| description | Objective
The purpose of this study was to report the results of a meta‐analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017.
Data Sources
Articles published in English and in the United States, between January 1997 and March 2017, were eligible for inclusion if they (1) conducted psychosocial, behavioral, or educational interventions designed to increase screening mammography rates in predominantly African American women of all ages; (2) utilized a randomized, controlled trial (RCT) design; and (3) reported quantitative screening rates following the intervention.
Study Design
Randomized clinical trials on breast cancer screening in African American women, published between January 1997 and March 2017, were selected from database searches.
Data Collection Methods
Data collected included effect size of screening versus comparison interventions, intervention characteristics, and a number of study characteristics to explore potential moderators. Search results yielded 327 articles, of which 14 met inclusion criteria and were included in analyses.
Principal Findings
Findings indicated that screening interventions for African American women were significantly more likely to result in mammography than control (OR = 1.56 [95 percent CI = 1.27–1.93], p |
| doi_str_mv | 10.1111/1475-6773.12806 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6056582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A551265235</galeid><sourcerecordid>A551265235</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5646-4bdb2b8bec1a399747c3a19e28ae888c32d0bff6d61fc41e52eea81959fb891d3</originalsourceid><addsrcrecordid>eNqFks9u1DAQxiMEokvhzA1FQkIc2NZ2YsfuASmsFlqpCImCOFqOM866ytrFTor2xiPwjDwJTrcs217wZfznN581M1-WPcfoCKd1jMuKzllVFUeYcMQeZLPdzcNshhCu5gKT8iB7EuMlQogXvHycHRCBqeCYzrJuaQzowV6Dgxhzb_IzN0BIx8F6F3PjQ_4ugIpDvlBOQ8gvdABw1nW5dXltgtUqxTVsN9_8GtxJXucfYVC_f_6qneo30can2SOj-gjPbuNh9vX98svidH7-6cPZoj6fa8pKNi-btiENb0BjVQhRlZUuFBZAuALOuS5IixpjWMuw0SUGSgAUx4IK03CB2-Iwe7vVvRqbNbQ61RFUL6-CXauwkV5ZeffF2ZXs_LVkiDLKSRJ4fSsQ_PcR4iDXNmroe-XAj1FiwZgQCBVlQl_eQy_9GFLBURJUFbwSaSb_qE71IK0zPv2rJ1FZU4oJo6SgiXq1R61A9cMq-n68mcJd8M0e2IzRToOzLtpuNcROjfEefrzFdfAxBjC7VmAkJwvJyTByMoy8sVDKeLHfwR3_1zMJYFvgh-1h8z89ebq8-LxV_gOMsdCW</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2073879280</pqid></control><display><type>article</type><title>Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Copeland, Valire Carr ; Kim, Yoo Jung ; Eack, Shaun M.</creator><creatorcontrib>Copeland, Valire Carr ; Kim, Yoo Jung ; Eack, Shaun M.</creatorcontrib><description>Objective
The purpose of this study was to report the results of a meta‐analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017.
Data Sources
Articles published in English and in the United States, between January 1997 and March 2017, were eligible for inclusion if they (1) conducted psychosocial, behavioral, or educational interventions designed to increase screening mammography rates in predominantly African American women of all ages; (2) utilized a randomized, controlled trial (RCT) design; and (3) reported quantitative screening rates following the intervention.
Study Design
Randomized clinical trials on breast cancer screening in African American women, published between January 1997 and March 2017, were selected from database searches.
Data Collection Methods
Data collected included effect size of screening versus comparison interventions, intervention characteristics, and a number of study characteristics to explore potential moderators. Search results yielded 327 articles, of which 14 met inclusion criteria and were included in analyses.
Principal Findings
Findings indicated that screening interventions for African American women were significantly more likely to result in mammography than control (OR = 1.56 [95 percent CI = 1.27–1.93], p < .0001). Although no patient or study characteristics significantly moderated screening efficacy, the most effective interventions were those specifically tailored to meet the perceived risk of African American women.
Conclusions
Screening interventions are at least minimally effective for promoting mammography among African American women, but research in this area is limited to a small number of studies. More research is needed to enhance the efficacy of existing interventions and reduce the high morbidity and mortality rate of this underserved population.</description><identifier>ISSN: 0017-9124</identifier><identifier>EISSN: 1475-6773</identifier><identifier>DOI: 10.1111/1475-6773.12806</identifier><identifier>PMID: 29159815</identifier><language>eng</language><publisher>United States: Health Research and Educational Trust</publisher><subject>African American women ; African Americans ; African Americans - psychology ; African Americans - statistics & numerical data ; Analysis ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - ethnology ; Cancer ; Cancer screening ; Clinical research ; Clinical trials ; Cultural Competency ; Data collection ; Early Detection of Cancer - methods ; Early Detection of Cancer - statistics & numerical data ; Efficacy ; Female ; Health disparities ; Health Knowledge, Attitudes, Practice ; Health Promotion - methods ; Health Services Research - organization & administration ; Health Services Research - statistics & numerical data ; HSR Methods ; Humans ; Mammography ; Mammography - statistics & numerical data ; Medical research ; Medical screening ; Meta-analysis ; Methods ; Moderators ; Morbidity ; Mortality rates ; Online searching ; Program Evaluation ; Psychosocial factors ; Psychosocial intervention ; Randomization ; Randomized Controlled Trials as Topic ; Risk perception ; screening ; Underserved populations ; United States ; Women</subject><ispartof>Health services research, 2018-08, Vol.53 (4), p.3170-3188</ispartof><rights>Health Research and Educational Trust</rights><rights>Health Research and Educational Trust.</rights><rights>COPYRIGHT 2018 Health Research and Educational Trust</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5646-4bdb2b8bec1a399747c3a19e28ae888c32d0bff6d61fc41e52eea81959fb891d3</citedby><cites>FETCH-LOGICAL-c5646-4bdb2b8bec1a399747c3a19e28ae888c32d0bff6d61fc41e52eea81959fb891d3</cites><orcidid>0000-0001-6368-7004 ; 0000-0002-6925-6800</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056582/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056582/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27901,27902,30976,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29159815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Copeland, Valire Carr</creatorcontrib><creatorcontrib>Kim, Yoo Jung</creatorcontrib><creatorcontrib>Eack, Shaun M.</creatorcontrib><title>Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis</title><title>Health services research</title><addtitle>Health Serv Res</addtitle><description>Objective
The purpose of this study was to report the results of a meta‐analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017.
Data Sources
Articles published in English and in the United States, between January 1997 and March 2017, were eligible for inclusion if they (1) conducted psychosocial, behavioral, or educational interventions designed to increase screening mammography rates in predominantly African American women of all ages; (2) utilized a randomized, controlled trial (RCT) design; and (3) reported quantitative screening rates following the intervention.
Study Design
Randomized clinical trials on breast cancer screening in African American women, published between January 1997 and March 2017, were selected from database searches.
Data Collection Methods
Data collected included effect size of screening versus comparison interventions, intervention characteristics, and a number of study characteristics to explore potential moderators. Search results yielded 327 articles, of which 14 met inclusion criteria and were included in analyses.
Principal Findings
Findings indicated that screening interventions for African American women were significantly more likely to result in mammography than control (OR = 1.56 [95 percent CI = 1.27–1.93], p < .0001). Although no patient or study characteristics significantly moderated screening efficacy, the most effective interventions were those specifically tailored to meet the perceived risk of African American women.
Conclusions
Screening interventions are at least minimally effective for promoting mammography among African American women, but research in this area is limited to a small number of studies. More research is needed to enhance the efficacy of existing interventions and reduce the high morbidity and mortality rate of this underserved population.</description><subject>African American women</subject><subject>African Americans</subject><subject>African Americans - psychology</subject><subject>African Americans - statistics & numerical data</subject><subject>Analysis</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - ethnology</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Cultural Competency</subject><subject>Data collection</subject><subject>Early Detection of Cancer - methods</subject><subject>Early Detection of Cancer - statistics & numerical data</subject><subject>Efficacy</subject><subject>Female</subject><subject>Health disparities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion - methods</subject><subject>Health Services Research - organization & administration</subject><subject>Health Services Research - statistics & numerical data</subject><subject>HSR Methods</subject><subject>Humans</subject><subject>Mammography</subject><subject>Mammography - statistics & numerical data</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Moderators</subject><subject>Morbidity</subject><subject>Mortality rates</subject><subject>Online searching</subject><subject>Program Evaluation</subject><subject>Psychosocial factors</subject><subject>Psychosocial intervention</subject><subject>Randomization</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Risk perception</subject><subject>screening</subject><subject>Underserved populations</subject><subject>United States</subject><subject>Women</subject><issn>0017-9124</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>N95</sourceid><sourceid>7QJ</sourceid><recordid>eNqFks9u1DAQxiMEokvhzA1FQkIc2NZ2YsfuASmsFlqpCImCOFqOM866ytrFTor2xiPwjDwJTrcs217wZfznN581M1-WPcfoCKd1jMuKzllVFUeYcMQeZLPdzcNshhCu5gKT8iB7EuMlQogXvHycHRCBqeCYzrJuaQzowV6Dgxhzb_IzN0BIx8F6F3PjQ_4ugIpDvlBOQ8gvdABw1nW5dXltgtUqxTVsN9_8GtxJXucfYVC_f_6qneo30can2SOj-gjPbuNh9vX98svidH7-6cPZoj6fa8pKNi-btiENb0BjVQhRlZUuFBZAuALOuS5IixpjWMuw0SUGSgAUx4IK03CB2-Iwe7vVvRqbNbQ61RFUL6-CXauwkV5ZeffF2ZXs_LVkiDLKSRJ4fSsQ_PcR4iDXNmroe-XAj1FiwZgQCBVlQl_eQy_9GFLBURJUFbwSaSb_qE71IK0zPv2rJ1FZU4oJo6SgiXq1R61A9cMq-n68mcJd8M0e2IzRToOzLtpuNcROjfEefrzFdfAxBjC7VmAkJwvJyTByMoy8sVDKeLHfwR3_1zMJYFvgh-1h8z89ebq8-LxV_gOMsdCW</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Copeland, Valire Carr</creator><creator>Kim, Yoo Jung</creator><creator>Eack, Shaun M.</creator><general>Health Research and Educational Trust</general><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><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>N95</scope><scope>XI7</scope><scope>7QJ</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6368-7004</orcidid><orcidid>https://orcid.org/0000-0002-6925-6800</orcidid></search><sort><creationdate>201808</creationdate><title>Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis</title><author>Copeland, Valire Carr ; Kim, Yoo Jung ; Eack, Shaun M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5646-4bdb2b8bec1a399747c3a19e28ae888c32d0bff6d61fc41e52eea81959fb891d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>African American women</topic><topic>African Americans</topic><topic>African Americans - psychology</topic><topic>African Americans - statistics & numerical data</topic><topic>Analysis</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - ethnology</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Cultural Competency</topic><topic>Data collection</topic><topic>Early Detection of Cancer - methods</topic><topic>Early Detection of Cancer - statistics & numerical data</topic><topic>Efficacy</topic><topic>Female</topic><topic>Health disparities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion - methods</topic><topic>Health Services Research - organization & administration</topic><topic>Health Services Research - statistics & numerical data</topic><topic>HSR Methods</topic><topic>Humans</topic><topic>Mammography</topic><topic>Mammography - statistics & numerical data</topic><topic>Medical research</topic><topic>Medical screening</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Moderators</topic><topic>Morbidity</topic><topic>Mortality rates</topic><topic>Online searching</topic><topic>Program Evaluation</topic><topic>Psychosocial factors</topic><topic>Psychosocial intervention</topic><topic>Randomization</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Risk perception</topic><topic>screening</topic><topic>Underserved populations</topic><topic>United States</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Copeland, Valire Carr</creatorcontrib><creatorcontrib>Kim, Yoo Jung</creatorcontrib><creatorcontrib>Eack, Shaun M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Business: Insights</collection><collection>Business Insights: Essentials</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Copeland, Valire Carr</au><au>Kim, Yoo Jung</au><au>Eack, Shaun M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>2018-08</date><risdate>2018</risdate><volume>53</volume><issue>4</issue><spage>3170</spage><epage>3188</epage><pages>3170-3188</pages><issn>0017-9124</issn><eissn>1475-6773</eissn><abstract>Objective
The purpose of this study was to report the results of a meta‐analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017.
Data Sources
Articles published in English and in the United States, between January 1997 and March 2017, were eligible for inclusion if they (1) conducted psychosocial, behavioral, or educational interventions designed to increase screening mammography rates in predominantly African American women of all ages; (2) utilized a randomized, controlled trial (RCT) design; and (3) reported quantitative screening rates following the intervention.
Study Design
Randomized clinical trials on breast cancer screening in African American women, published between January 1997 and March 2017, were selected from database searches.
Data Collection Methods
Data collected included effect size of screening versus comparison interventions, intervention characteristics, and a number of study characteristics to explore potential moderators. Search results yielded 327 articles, of which 14 met inclusion criteria and were included in analyses.
Principal Findings
Findings indicated that screening interventions for African American women were significantly more likely to result in mammography than control (OR = 1.56 [95 percent CI = 1.27–1.93], p < .0001). Although no patient or study characteristics significantly moderated screening efficacy, the most effective interventions were those specifically tailored to meet the perceived risk of African American women.
Conclusions
Screening interventions are at least minimally effective for promoting mammography among African American women, but research in this area is limited to a small number of studies. More research is needed to enhance the efficacy of existing interventions and reduce the high morbidity and mortality rate of this underserved population.</abstract><cop>United States</cop><pub>Health Research and Educational Trust</pub><pmid>29159815</pmid><doi>10.1111/1475-6773.12806</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0001-6368-7004</orcidid><orcidid>https://orcid.org/0000-0002-6925-6800</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | African American women African Americans African Americans - psychology African Americans - statistics & numerical data Analysis Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - ethnology Cancer Cancer screening Clinical research Clinical trials Cultural Competency Data collection Early Detection of Cancer - methods Early Detection of Cancer - statistics & numerical data Efficacy Female Health disparities Health Knowledge, Attitudes, Practice Health Promotion - methods Health Services Research - organization & administration Health Services Research - statistics & numerical data HSR Methods Humans Mammography Mammography - statistics & numerical data Medical research Medical screening Meta-analysis Methods Moderators Morbidity Mortality rates Online searching Program Evaluation Psychosocial factors Psychosocial intervention Randomization Randomized Controlled Trials as Topic Risk perception screening Underserved populations United States Women |
| title | Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta‐Analysis |
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