title: Feasibility of a tailored intervention to improve preventive care use in women.
abstract: BACKGROUND
  Women age 50 years and older are in need of multiple preventive health care services. Despite recent improvements in rates of delivery of preventive care services, especially within managed care organizations, substantial numbers of women are still being underscreened. Efforts to improve delivery of preventive care services have often focused on one outstanding service despite the fact that patients often are in need of many services.
  
  
  METHODS
  A total of 893 women age 50 to 55 years were mailed a self-administered survey to identify outstanding preventive health care service needs. Patients in need of three or more outstanding preventive health care services were identified from survey respondents to participate in a feasibility study evaluating a tailored, customized intervention called Tic Tac Health.
  
  
  RESULTS
  Five-hundred ninety-one women returned the survey (67%). Four-hundred forty-eight (76%) women were in need of one or more preventive health services; 92 (16%) were in need of three or more. Twenty-two patients (24%) completed the Tic Tac Health card. The women who completed the card were similar to those who did not.
  
  
  CONCLUSIONS
  Despite documented physician visits, presence of managed care health insurance, and a designated primary care provider, a significant number of women are still in need of multiple preventive health services. An intervention targeting multiple preventive health services was demonstrated to be both feasible and effective. Further evaluation via a randomized controlled trial should be conducted to determine if an intervention like Tic Tac Health would be an effective modality for improving rates of receipt of multiple preventive health care services.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. haro003@mc.duke.edu
authors.forename: L H
authors.initials: LH
authors.lastname: Harpole
authors.forename: C
authors.initials: C
authors.lastname: McBride
authors.forename: T S
authors.initials: TS
authors.lastname: Strigo
authors.forename: D
authors.initials: D
authors.lastname: Lobach
mesh_terms: D000328:Adult; D003695:Delivery of Health Care / Q000592:standards*; D005240:Feasibility Studies; D005260:Female; D006279:Health Maintenance Organizations / Q000592:standards; D006301:Health Services Needs and Demand / Q000592:standards; D006801:Humans; D008403:Mass Screening / Q000592:standards; D008875:Middle Aged; D009657:North Carolina; D011314:Preventive Health Services / Q000592:standards*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016387:Women's Health