Cancer Control Research
5R29CA051142-05
Bastani, Roshan
PROMOTING SCREENING MAMMOGRAPHY
AbstractIt is known that women who are first degree relatives of breast cancer
patients are at greater risk for developing breast cancer than other women
in the same age group. The proposed study is targeted at this special
group of high risk women, in an attempt to increase their utilization of
screening mammography.
A randomized pretest-posttest control group design will be used to evaluate
the effectiveness of a targeted mail-out intervention, which will emphasize
family history as a risk factor in breast cancer, the efficacy and
importance of mammography, and the NCI age specific screening mammography
guidelines for high risk women.
Specifically, the study seeks to accomplish the following:
1. Use the California State Tumor Registry to obtain a statewide
census of breast cancer cases.
2. Randomly sample the breast cancer cases to identify and seek
permission to contact eligible female relatives.
3. Using the above procedure, obtain a sample of approximately 1500
women who are: first degree relatives of breast cancer patients, over
the age of 40, and who themselves have never had breast cancer.
4. Contact these women in order to enroll them into the study, and
collect baseline data on screening behaviors, as well as knowledge,
attitudes and beliefs related to breast cancer and its early
detection.
5. After randomization, implement the intervention in the
experimental group.
6. Evaluate the effectiveness of the intervention in increasing rates
of screening mammography and physician breast exam.
7. Evaluate the feasibility of adopting the intervention into the
routine operations of local tumor registries.
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