Cancer Control Research
5R03CA070447-02
Reis, Janet S.
MOTIVATING MAMMOGRAPHY USE VIA CD-ROM EDUCATION
AbstractDESCRIPTION: (Applicant's Abstract) An interactive multimedia CD-ROM
program on mammography will be produced and evaluated for older
African-American women. The computer software will be framed by
theories of behavioral change with emphasis on dimensions previously
documented to influence the target audience's use of mammograms
including low priority given to personal health, sense of self-
efficacy, and the importance of stage of behavioral change. The program
will be jointly developed by staff from Opening Doors, the
University of Illinois, and Carle Foundation representing a
tertiary care center. Funded by the Robert Wood Johnson and Henry
Kaiser Family Foundations to address non-financial barriers to health
care for medically underserved people, the Champaign-Urbana Opening
Doors program focuses on barriers to reproductive health for African-
American women. The computer program will rely primarily on graphics and
video (90 percent of program content) generic to the target
audience and touch screens, thus requiring little reading or
familiarity with computer technology. A hypermedia document will also
be prepared for the Internet to advertise the CD-ROM's program's
availability for the cost of materials through the university and
documented effectiveness as an educational tool with African- American
women. The CD-ROM will be evaluated with a prospective randomized
lagged treatment control group design with 60 African-American women 50
years and older and determined to be in the contemplative or
preparation phase of stage of behavioral change regarding use of
mammograms. Self report outcome measures will include pre-post-test
assessments of knowledge of mammograms, number of perceived barriers,
perceived personal risk for breast cancer, patient-provider
communication skills, stage of change regarding mammogram use.
Actual use of mammograms in the evaluation year will be tracked as made
available free of charge through the tertiary care center. Interviews
will be conducted by Opening Doors staff. The CD-ROM program
addresses the health education needs of a group of women already
challenged by limited access to health care and known to have a
recent increase in the incidence of breast cancer and mortality from
breast cancer and to present with more advanced disease as compared
to white women.
|