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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Comparison of tailored interventions to increase mammography screening in nonadherent older women( small star, filled ).
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Comparison of tailored interventions to increase mammography screening in nonadherent older women( small star, filled ).

机译：比较针对不坚持的老年妇女（小星星，实心）进行乳腺X线摄影筛查的定制干预措施的比较。

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Recent increases in mammography use have led to a decrease in mortality from breast cancer.Building on the Health Belief Model, the Transtheoretical Model, and past effectiveness of tailored interventions, we conducted a prospective randomized trial (n = 773) to test the efficacy on mammography adherence of tailored interventions delivered by five different methods, i.e., telephone counseling, in-person counseling, physician letter, and combinations of telephone with letter and in-person with letter.All five interventions increased mammography adherence significantly relative to usual care (odds ratios, 1.93 to 3.55) at 6 months post intervention. The combination of in-person with physician letter was significantly more effective than telephone alone or letter alone. Women thinking about getting a mammogram at baseline were more likely to be adherent by 6 months; even those in usual care achieved 48% adherence compared with 50-70% in the intervention groups. In contrast, women not thinking about getting a mammogram needed the interventions to increase their adherence from 13% to over 30%.All five interventions were effective at increasing mammography adherence. Women not thinking about getting a mammogram were most likely to benefit from these tailored interventions while other women might need less intensive interventions.
机译：乳房X线摄影术的最新使用已导致乳腺癌的死亡率降低。基于健康信念模型，跨理论模型和以往干预措施的有效性，我们进行了一项前瞻性随机试验（n = 773）来测试乳腺癌的有效性乳房X线摄影依从性通过五种不同方法进行的量身定制的干预措施，即电话咨询，面对面咨询，医师信函以及电话与字母和面对面的私人与信件相结合。与常规护理相比，所有五种干预措施均显着提高了乳房X线照相依从性（奇数）比率在干预后6个月达到1.93到3.55）。当面与医师的信件相结合比单独使用电话或单独使用信件更为有效。考虑在基线时进行乳房X光检查的女性在6个月内更有可能坚持治疗;即使是常规护理人员，其依从性也达到了48％，而干预组中只有50-70％。相比之下，不考虑做乳房X光检查的女性需要采取干预措施以将其依从性从13％提高到30％以上。所有五种干预措施均能有效提高乳腺X线摄影的依从性。不考虑乳房X光检查的女性最有可能从这些量身定制的干预措施中受益，而其他女性则可能需要较少强度的干预措施。

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