Promotion of attendance for mammographie screening through general practice: a randomised trial of two strategies

Medical Journal of Australia - Tập 156 Số 2 - Trang 91-94 - 1992
Kerrie Clover1, Selina Redman1, Rob Sanson‐Fisher1, John Norrie2, James A. Dickinson3
1Discipline of Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, Shortland, NSW 2308.
2Surgical Oncology, Newcastle Mater Misericordiae Hospital, Waratah, NSW 2298.
3Discipline of General Practice, Faculty of Medicine, University of Newcastle, Shortland, NSW 2308.

Tóm tắt

ObjectiveTo compare the effectiveness of two strategies — patient education and practitioner recommendation — in encouraging women to attend for mammographic screening.DesignThe study was a prospective randomised controlled trial. Women aged between 40 and 70 years attending a general practitioner participated in the study. Consenting, eligible women were randomly allocated to one of the two strategy groups.SettingThe study was conducted in private general practice in Newcastle, New South Wales.ParticipantsThe general practitioners who took part in the study were a non‐random sample of practitioners: 20 were approached, two declined to participate, and five failed to begin recruitment, leaving 13 practitioners who took part in the study. A total of 302 women aged 40‐69 were recorded as attending the surgeries during recruitment sessions. Twenty women did not consent to the study and 73 were ineligible. Thirty‐four women were not given the intervention because the general practitioner forgot or did not have time. There were 92 women in the simple recommendation group and 83 women in the patient education group.InterventionsAn intensive patient education approach based on health belief principles was compared with a simple recommendation by the general practitioner that the woman have a mammogram.Main outcome measureAttendance rates were calculated from screening service attendance records.ResultsNo significant difference in attendance rates was observed between the two groups, 82% of the simple recommendation group and 91 % of the patient education group attended for screening.ConclusionsThese results suggest that mammographic screening can be effectively promoted in general practice without extensive patient education.

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Thông tin
Thông tin xuất bản

Medical Journal of Australia

Tập 156 Số 2

91-94

Thông tin tác giả