|Grant Number:||3R01CA076330-05S2 Interpret this number|
|Primary Investigator:||Vernon, Sally|
|Organization:||University Of Texas Hlth Sci Ctr Houston|
|Project Title:||Women Veterans and Breast Cancer Screening|
Very little research has been conducted on how to disseminate effective cancer screening interventions in health care settings. We propose to implement, through the Veterans Affairs (VA) health system, a targeted mammography intervention (Project HOME) aimed at women veterans age 40 and over who are currently non-compliant with breast cancer screening guidelines. This theory-based intervention was tested by a 5year prospective randomized trial in a national population-based sample of women veterans, including users and non-users of the VA health system. Preliminary results show that the intervention was effective overall, and particularly effective in motivating VA users to adhere to guidelines (RO1 CA76330-05, 1999-2004). The Department of Veterans Affairs (VA) has sought to improve health care services for women veterans by creating the Women Veterans Health Program and assigning Women Veterans Program Managers (WVPMs) to all VA Regional Offices. Women veterans are at increased lifetime risk of cancer relative to the general adult female population and the VA is committed to preventive health measures that prevent or lead to the early detection of cancer. The VA has set an 85% compliance standard for women veterans to have had a mammogram in the past 2 years and WVPMs are very interested in educational efforts to promote compliance. We plan to build on the VA's existing infrastructure by partnering with WVPMs to understand adopter and setting characteristics, customizing the Project HOME intervention for use in 6 VA clinics, implementing a theory-based strategy to maximize program adoption, implementation, and maintenance, and evaluating the effectiveness of the dissemination strategy and potential for institutionalization among all VA clinics. We will conduct a cost-effectiveness analysis of implementing Project HOME in the VA clinics. Theories of diffusion and dissemination will guide plans for program adoption, implementation, and maintenance. Quantitative and qualitative tools will be created to conduct a process evaluation of the dissemination plan. Outcomes will include interest in adopting Project HOME, quality of implementation, number of women veterans reached, and mammography compliance. If successful, we will extend this dissemination project to all VA clinics, thus potentially reaching an estimated 166,000 women veterans over 40 years of age who are currently using VA outpatient health services.
Validation of a questionnaire to assess self-reported colorectal cancer screening status using face-to-face administration.
Authors: Fisher DA, Voils CI, Coffman CJ, Grubber JM, Dudley TK, Vernon SW, Bond JH, Provenzale D
Source: Dig Dis Sci, 2009 Jun;54(6), p. 1297-306.
EPub date: 2008 Aug 23.
Promoting regular mammography screening II. Results from a randomized controlled trial in US women veterans.
Authors: Vernon SW, del Junco DJ, Tiro JA, Coan SP, Perz CA, Bastian LA, Rakowski W, Chan W, Lairson DR, McQueen A, Fernandez ME, Warrick C, Halder A, DiClemente C
Source: J Natl Cancer Inst, 2008 Mar 5;100(5), p. 347-58.
EPub date: 2008 Feb 26.
Promoting regular mammography screening I. A systematic assessment of validity in a randomized trial.
Authors: del Junco DJ, Vernon SW, Coan SP, Tiro JA, Bastian LA, Savas LS, Perz CA, Lairson DR, Chan W, Warrick C, McQueen A, Rakowski W
Source: J Natl Cancer Inst, 2008 Mar 5;100(5), p. 333-46.
EPub date: 2008 Feb 26.
Which women aren't getting mammograms and why? (United States).
Authors: Meissner HI, Breen N, Taubman ML, Vernon SW, Graubard BI
Source: Cancer Causes Control, 2007 Feb;18(1), p. 61-70.
Correlates of repeat and recent mammography for women ages 45 to 75 in the 2002 to 2003 Health Information National Trends Survey (HINTS 2003).
Authors: Rakowski W, Meissner H, Vernon SW, Breen N, Rimer B, Clark MA
Source: Cancer Epidemiol Biomarkers Prev, 2006 Nov;15(11), p. 2093-101.
Lessons learned from developing a tailored print intervention: a guide for practitioners and researchers new to tailoring.
Authors: Halder AK, Tiro JA, Glassman B, Rakowski W, Fernandez ME, Perez CA, Vernon SW
Source: Health Promot Pract, 2008 Jul;9(3), p. 281-8.
EPub date: 2006 Jul 7.
Validation of scales measuring attitudes and norms related to mammography screening in women veterans.
Authors: Tiro JA, Diamond PM, Perz CA, Fernandez M, Rakowski W, DiClemente CC, Vernon SW
Source: Health Psychol, 2005 Nov;24(6), p. 555-66.
Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.
Authors: Klabunde CN, Vernon SW, Nadel MR, Breen N, Seeff LC, Brown ML
Source: Med Care, 2005 Sep;43(9), p. 939-44.
Prevalence and correlates of repeat mammography among women aged 55-79 in the Year 2000 National Health Interview Survey.
Authors: Rakowski W, Breen N, Meissner H, Rimer BK, Vernon SW, Clark MA, Freedman AN
Source: Prev Med, 2004 Jul;39(1), p. 1-10.