||5R01CA078514-04 Interpret this number
||Minnesota State Dept Of Health
||Population Based Approach to Increase Mammography Use
This proposal seeks to test the effectiveness and cost-effectiveness of
two mailed, population-based interventions designed to increase
mammography use among medically underserved women age 40 to 84. Both
interventions are designed to promote use of mammography services
available through two national programs: the Centers for Disease Control
and Prevention's (CDC) National Breast and Cervical Cancer Early
Detection Program (NBCCEDP) and Medicare. One intervention uses
personally addressed mailings to encourage women to get a mammogram,
while the other intervention uses a combination of personally addressed
mailings, a toll-free number, and direct appointment scheduling to
encourage women to get a mammogram. Because of age-related differences
in both insurance coverage for and barriers to mammography use, as well
as in the availability of data to adequately measure mammography use,
this proposal is divided into two studies. One study targets younger
women age 40 to 64 who are eligible for mammography services through the
NBCCEDP in Minnesota, while the other study targets older women age 65
to 84 who are eligible for mammography services through either
Minnesota's NBCCEDP or Medicare. The study samples will be randomly
drawn from the Minnesota driver's license database for the study of
younger women, and from Medicare's enrollment file for the study of
older women. A total of 15,201 women age 40-64 and 7,134 women age
65-84 will be randomly assigned to one of two intervention groups or a
control group. A randomized post-test only control group design will
be used to test for differences in the proportion of women getting a
mammogram one year after receiving the mailings based on claims data
from the state program and/or Medicare. If this study can demonstrate
the effectiveness of a low-cost strategy for increasing mammography use
among underserved populations, it can significantly contribute to
reaching national public health goals for improving the health of all
women. The potential for widespread incorporation of the proposed
interventions are substantial because they are designed to be readily
implemented by state and local health departments.
Effect of direct mail as a population-based strategy to increase mammography use among low-income underinsured women ages 40 to 64 years.
, Henly G.A.
, Ha C.N.
, Malone M.E.
, Nyman J.A.
, Diaz S.
, McGovern P.G.
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2005 Oct; 14(10), p. 2346-52.