A two-step intervention of increase mammography among women aged 65 and older.
OBJECTIVE
This study evaluated a two-step intervention for mammography screening among older women.


METHODS
Four hundred and sixty women, identified from physician practices, were randomized to a control or a two-step intervention (physician letter and peer counseling call) group. Women in the intervention group who obtained a mammogram received a grocery coupon.


RESULTS
Over the 12 months of the study, more women in the intervention group than in the control group obtained mammograms (38% vs 16%). The most dramatic difference was in the higher odds that women in the intervention group would obtain a mammogram within 2 months (odds ratio = 10.5).


CONCLUSIONS
The intervention significantly increased screening mammography. Future efforts must be multifaceted and incorporate the unique concerns of older women.
Janz
N K
NK
School of Public Health, University of Michigan-Ann Arbor 48109-2029, USA.
Schottenfeld
D
D
Doerr
K M
KM
Selig
S M
SM
Dunn
R L
RL
Strawderman
M
M
Levine
P A
PA
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005853:Geriatrics; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*