STANDARD VS. INDIVIDUALIZED INTERVENTION FOR MAMMOGRAPHY

标准与标准

• 批准号: 3200501
• 负责人: WILLIAM RAKOWSKI
• 金额: $ 59.69万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1996-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3200501
• 关键词: breast neoplasms; female; human subject; mammography

This proposal describes an intervention study on the topic of screening mammography. The target groups are women aged 40-74 and primary care providers from the Family Practice, OB/GYN, and Internal Medicine departments of a large HMO. The total project period is four years. The specific aims of the project are: (1) To investigate the degree to which intervening with women patients augments the rates of mammography that are observed when working with primary care providers only; (2) To compare the effects of two patient-directed intervention strategies. One intervention is standard for all women in the group; the other will be individualized to the woman's current stage of mammography adoption, and will be guided by the Transtheoretical Model of behavior change; (3) To identify which components of intervention women and primary care providers report are most important for prompting the receipt of mammography, and how the influence persists or lessens after the interventions are withdrawn. The investigation will target a full range of mammography situations, including: women who have not yet had one (move from Precontemplation and Contemplation into Action); women who have had their first mammogram, and who now need to start a regular schedule (move from Action to Maintenance); women who are currently on the NCI/ACS schedule and need to sustain a regular schedule (stay in Maintenance); and, to help women who are off-schedule and should begin having mammograms again ("recycling" back from Precontemplation and Contemplation to Action). A randomized, three-group design is employed: Provider Intervention Only, Provider + Standard Patient Intervention, and Provider + Individualized Patient Intervention. Each group will have 480 women recruited at baseline. The first hypothesis tested is that both Provider + Patient interventions will result in an increased rate of screening mammography compared to the Provider Only condition. The second hypothesis is that there will be a greater effect for The Provider + Individualized intervention condition, compared to the Provider + Standard intervention condition. It is expected that the interventions used in this project could be disseminated to, and used at relatively low cost by, other group practice settings.

该建议描述了一项有关筛查主题的干预研究 乳房X线摄影。 目标群体是40-74岁的妇女和初级保健 家庭实践，妇产科和内科医学的提供者 大型HMO的部门。 总项目期限为四年。 这 该项目的具体目标是： （1）研究与女性患者进行干预的程度 增强使用时观察到的乳腺X线摄影率 仅初级保健提供者； （2）比较两个患者指导干预的影响 策略。 一项干预措施是该小组中所有妇女的标准配置；这 其他将被个性化为女人的当前乳房X线摄影阶段 采用，并将以行为的跨理论模型为指导 改变; （3）确定哪些干预妇女和初级保健的组成部分 提供者报告对于提示收到的最重要 乳房X线摄影，以及影响如何持续或减少 干预措施被撤回。 调查将针对各种乳房X线摄影情况， 包括：尚未有一个的妇女（从预先任务和 考虑采取行动）；有第一个乳房X线照片的女性， 谁需要开始定期时间表（从行动转变为 维护）;目前按照NCI/ACS时间表的妇女需要 维持常规时间表（保持维护）；而且，帮助女性 是范围之外的，应该再次开始乳房X线照片（“回收” 从先例和沉思到行动）。 采用了随机的三组设计：仅提供者干预， 提供者 +标准患者干预和提供商 +个性化 患者干预。 每个小组将有480名妇女在 基线。 测试的第一个假设是提供者 +患者 干预措施将导致筛查乳房X线摄影率提高 与提供商仅相比。 第二个假设是 对于提供商 +个性化的效果将会更大 与提供商 +标准干预相比，干预条件 健康）状况。 预计该项目中使用的干预措施 可以将其他小组以相对较低的成本传播并以相对较低的成本使用 练习设置。