Grant Number:	5R01CA076330-05 Interpret this number
Primary Investigator:	Vernon, Sally
Organization:	University Of Texas Hlth Sci Ctr Houston
Project Title:	Women Veterans and Breast Cancer Screening
Fiscal Year:	2003

We propose a 5-year prospective randomized trial of a theory-based intervention to increase compliance with mammography screening guidelines in female veterans 52 years of age and over. Specific aims of the project are to: 1) develop and evaluate the usefulness of an intervention based on the Transtheoretical Model (TTM) to increase compliance (completion of two mammograms) and coverage (completion of at least one mammogram) during the project; 2) analyze the relationship of a number of predictor variables with compliance and coverage; and 3) conduct a cost-effectiveness analysis of increasing compliance with mammography screening recommendations. We will randomly sample 7,500 women 52 years of age and over from the National Registry of Women Veterans (NRWV), a computerized database including 1.5 of the estimated 1.5-1.8 million women veterans separated from active military duty since January 1, 1942. Participants will be randomized to one of five groups. Groups 1 and 2 will be used to evaluate a targeted (aimed at an individual's stage of change) vs. a targeted and tailored (inclusion of personalized feedback) intervention. Groups 1 and 2 will receive an educational booklet based on the TTM. Group 1 also will receive a tailored feedback letter based on responses to a survey that measures constructs from the TTM (e.g., decisional balance, processes of change), as well as constructs from other behavior change models, while group 2 will receive a generic letter encouraging screening. There will be two rounds of the intervention for groups 1 and 2. Groups 3, 4, and 5 are control groups that will receive only the survey(s). Group 3 will be the primary control group against which we will measure the effect of the intervention; groups 4 and 5 will be used to evaluate secular trends and measurement effects of the surveys. Project materials will be mailed, and nonrespondents will be followed up by telephone. Mammography screening status will be ascertained by self-report, and a validation study will be conducted of the outcome measure. At this point, we know very little about how to get women to maintain regular mammography screening or about its cost-effectiveness. The few studies that have been conducted, or that are in progress, have focused on efficacy. The proposed research will evaluate the effectiveness of a sustained intervention to increase regular mammography in a nationally representative, well-defined population of women. The infrastructure is in place to institutionalize the intervention should it prove to be effective.




Competitive Testing Of Health Behavior Theories: How Do Benefits, Barriers, Subjective Norm, And Intention Influence Mammography Behavior?
Authors: Murphy C.C. , Vernon S.W. , Diamond P.M. , Tiro J.A. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2014 Feb; 47(1), p. 120-9.
PMID: 23868613
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Cost-effectiveness Of Targeted Versus Tailored Interventions To Promote Mammography Screening Among Women Military Veterans In The United States
Authors: Lairson,D.R. , Chan,W. , Chang,Y.C. , del Junco,D.J. , Vernon,S.W. .
Source: Evaluation And Program Planning, 2011 May; 34(2), p. 97-104.
PMID: 20810168
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A Continuous-time Markov Chain Approach Analyzing The Stages Of Change Construct From A Health Promotion Intervention
Authors: Mhoon K.B. , Chan W. , Del Junco D.J. , Vernon S.W. .
Source: Jp Journal Of Biostatistics, 2010 Oct; 4(3), p. 213-226.
PMID: 23504410
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Interventions To Promote Repeat Breast Cancer Screening With Mammography: A Systematic Review And Meta-analysis
Authors: Vernon S.W. , McQueen A. , Tiro J.A. , del Junco D.J. .
Source: Journal Of The National Cancer Institute, 2010-07-21 00:00:00.0; 102(14), p. 1023-39.
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Construct Validity Of A Mammography Processes Of Change Scale And Invariance By Stage Of Change
Authors: Pruitt,S.L. , McQueen,A. , Tiro,J.A. , Rakowski,W. , Diclemente,C.C. , Vernon,S.W. .
Source: Journal Of Health Psychology, 2010 Jan; 15(1), p. 64-74.
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Validation of a questionnaire to assess self-reported colorectal cancer screening status using face-to-face administration.
Authors: Fisher D.A. , Voils C.I. , Coffman C.J. , Grubber J.M. , Dudley T.K. , Vernon S.W. , Bond J.H. , Provenzale D. .
Source: Digestive Diseases And Sciences, 2009 Jun; 54(6), p. 1297-306.
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Effectiveness Of Cultivando La Salud: A Breast And Cervical Cancer Screening Promotion Program For Low-income Hispanic Women
Authors: Fernández,M.E. , Gonzales,A. , Tortolero-Luna,G. , Williams,J. , Saavedra-Embesi,M. , Chan,W. , Vernon,S.W. .
Source: American Journal Of Public Health, 2009 May; 99(5), p. 936-43.
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Mortality Ascertainment Of Women Veterans: A Comparison Of Sources Of Vital Status Information, 1979-2002
Authors: Savas L.S. , del Junco D.J. , Bastian L.A. , Vernon S.W. .
Source: Medical Care, 2009 Jan; 47(1), p. 125-8.
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Lessons Learned From Developing A Tailored Print Intervention: A Guide For Practitioners And Researchers New To Tailoring
Authors: Halder A.K. , Tiro J.A. , Glassman B. , Rakowski W. , Fernandez M.E. , Perez C.A. , Vernon S.W. .
Source: Health Promotion Practice, 2008 Jul; 9(3), p. 281-8.
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Promoting Regular Mammography Screening I. A Systematic Assessment Of Validity In A Randomized Trial
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Source: Journal Of The National Cancer Institute, 2008-03-05 00:00:00.0; 100(5), p. 333-46.
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Promoting Regular Mammography Screening Ii. Results From A Randomized Controlled Trial In Us Women Veterans
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Source: Journal Of The National Cancer Institute, 2008-03-05 00:00:00.0; 100(5), p. 347-58.
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Predictors Of Perceived Susceptibility Of Breast Cancer And Changes Over Time: A Mixed Modeling Approach
Authors: McQueen,A. , Swank,P.R. , Bastian,L.A. , Vernon,S.W. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2008 Jan; 27(1), p. 68-77.
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Financial Barriers To Mammography: Who Pays Out-of-pocket?
Authors: Makuc D.M. , Breen N. , Meissner H.I. , Vernon S.W. , Cohen A. .
Source: Journal Of Women's Health (2002), 2007 Apr; 16(3), p. 349-60.
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Correlates and predictors of colorectal cancer screening among male automotive workers.
Authors: McQueen A. , Vernon S.W. , Myers R.E. , Watts B.G. , Lee E.S. , Tilley B.C. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2007 Mar; 16(3), p. 500-9.
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Which Women Aren't Getting Mammograms And Why? (united States)
Authors: Meissner H.I. , Breen N. , Taubman M.L. , Vernon S.W. , Graubard B.I. .
Source: Cancer Causes & Control : Ccc, 2007 Feb; 18(1), p. 61-70.
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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 S.W. , Breen N. , Rimer B. , Clark M.A. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Nov; 15(11), p. 2093-101.
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Are there gender differences in colorectal cancer test use prevalence and correlates?
Authors: McQueen A. , Vernon S.W. , Meissner H.I. , Klabunde C.N. , Rakowski W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Apr; 15(4), p. 782-91.
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Patterns Of Colorectal Cancer Screening Uptake Among Men And Women In The United States
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Feb; 15(2), p. 389-94.
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Factorial Validity And Invariance Of A Survey Measuring Psychosocial Correlates Of Colorectal Cancer Screening Among African Americans And Caucasians
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2005 Dec; 14(12), p. 2855-61.
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Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2005 Nov; 24(6), p. 555-66.
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Determinants Of The Demand For Breast Cancer Screening Among Women Veterans In The United States
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Some Methodologic Lessons Learned From Cancer Screening Research
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