Grant Details
Grant Number: |
5R01CA060129-05 Interpret this number |
Primary Investigator: |
Lane, Dorothy |
Organization: |
State University New York Stony Brook |
Project Title: |
Reducing Barriers to the Use of Breast Cancer Screening |
Fiscal Year: |
1998 |
Abstract
The proposed research submitted by SUNYSB is part of a larger interactive
grant aimed at increasing breast cancer screening among women who underuse
mammography. The Interactive collaborators include the Fox Chase Cancer
Center, Fred Hutchinson Cancer Research Center, University of
Massachusetts and University of California at Los Angeles, all members of
the NCI Breast Cancer Screening Consortium. The overall aims of the
interactive application are to compare the effectiveness of Barrier-
Specific Telephone Counseling (BSTC) in 5 regions of the U.S. and to
assess the cost-effectiveness of the intervention in increasing screening
among study women.
The SUNYSB project will target community women aged 50-80 who are
identified through telephone surveys as under-utilizers of regular
mammography. Low-income, minority and elderly women are overrepresented
among such under-utilizers. The samples of women will be drawn from four
study communities on Long Island. BSTC will be an intervention that is
common to all Consortium sites. The SUNYSB project will also test an
individualized-stepped continuing medical education (ISCME) intervention
involving progressive levels of mail, telephone and in-office
interventions based on the physicians' level of compliance with national
guidelines for breast screening. Physicians will be classified into full,
partial, or poor-compliers based upon responses to baseline surveys of
over 900 primary care physicians in the study communities. The in-office
intervention is designed to improve the use of office systems and to
develop skills in clinical breast examination (using the MammaCare
approach) and communication (using standardized patients). The ISCME
intervention will be limited to under-utilizer women's physicians who are
classified as partial or poor compliers. The research involves a
factorial design to test the relative effects of BSTC and of ISCME when
applied alone and in combination on increasing regular mammography use
1350 underuser women with partial or poor complying physicians will be
randomized to the four study arms. An additional 600 underuser women with
full complying physicians will also be randomized to either a BSTC or
control condition.
Pre- and post-intervention telephone surveys (using core items adopted by
the 5 collaborating institutions) will assess women's knowledge, beliefs
and practices. The research focuses on the important question of how to
motivate underusers to participate in regular breast screening. The
results should have wide generalizability since the research is being
conducted in 5 settings across the country with a range of comparisons
across various delivery settings and populations.
Publications
Body mass index and screening for colorectal cancer: gender and attitudinal factors.
Authors: Messina C.R.
, Lane D.S.
, Anderson J.C.
.
Source: Cancer Epidemiology, 2012 Aug; 36(4), p. 400-8.
PMID: 22386859
Related Citations
Effects of all-trans retinoic acid or chemotherapy on the molecular regulation of systemic blood coagulation and fibrinolysis in patients with acute promyelocytic leukemia.
Authors: Tallman M.S.
, Lefèbvre P.
, Baine R.M.
, Shoji M.
, Cohen I.
, Green D.
, Kwaan H.C.
, Paietta E.
, Rickles F.R.
.
Source: Journal Of Thrombosis And Haemostasis : Jth, 2004 Aug; 2(8), p. 1341-50.
PMID: 15304040
Related Citations
Effectiveness of women's telephone counseling and physician education to improve mammography screening among women who underuse mammography.
Authors: Messina C.R.
, Lane D.S.
, Grimson R.
.
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2002 Fall; 24(4), p. 279-89.
PMID: 12434939
Related Citations
Effectiveness of telephone counseling for mammography: results from five randomized trials.
Authors: Stoddard A.M.
, Fox S.A.
, Costanza M.E.
, Lane D.S.
, Andersen M.R.
, Urban N.
, Lipkus I.
, Rimer B.K.
, NCI Breast Screening Consortium
.
Source: Preventive Medicine, 2002 Jan; 34(1), p. 90-9.
PMID: 11749101
Related Citations
Perceptions of risk factors for breast cancer and attitudes toward mammography among women who are current, ex- and non-smokers.
Authors: Messina C.R.
, Kabat G.C.
, Lane D.S.
.
Source: Women & Health, 2002; 36(3), p. 65-82.
PMID: 12539793
Related Citations
An educational approach to improving physician breast cancer screening practices and counseling skills.
Authors: Lane D.S.
, Messina C.R.
, Grimson R.
.
Source: Patient Education And Counseling, 2001 Jun; 43(3), p. 287-99.
PMID: 11384826
Related Citations
Methodology for targeting physicians for interventions to improve breast cancer screening.
Authors: Lane D.S.
, Messina C.R.
.
Source: American Journal Of Preventive Medicine, 1999 May; 16(4), p. 289-97.
PMID: 10493284
Related Citations
Current perspectives on physician barriers to breast cancer screening.
Authors: Lane D.S.
, Messina C.R.
.
Source: The Journal Of The American Board Of Family Practice / American Board Of Family Practice, 1999 Jan-Feb; 12(1), p. 8-15.
PMID: 10050638
Related Citations