Increasing mammography screening among women over age 50 with a videotape intervention.
BACKGROUND
A randomized trial was conducted to test the effectiveness of a videotape for increasing mammography screening among a multiethnic sample of older women.


METHODS
A multiethnic sample of Caucasian, African-American, and Hispanic women between the ages of 50 and 70 was recruited from Resident Lists compiled by the State of Massachusetts. After completing a baseline questionnaire, women were randomized to receive either a videotape or pamphlet about mammography and recontacted at 2 and 12 months after baseline to assess attitudes, beliefs, and mammography screening. A total of 581 women completed questionnaires at all three time points.


RESULTS
At baseline, approximately 75% of women reported having a mammogram in the past year and 90% reported having one in the past 2 years. Rates did not differ between groups. At the 12-month follow-up, mammography rates, adjusted for baseline screening, were 80.4% in the video and 74.8% in the pamphlet group. Logistic regression analysis of mammography at 12 months (within past year vs. >1 year ago) controlling for baseline mammogram produced an odds ratio of 1.48 for the video group that was not significantly different from unity (95% CI = 0.95-2.28).


CONCLUSIONS
The videotape had a small effect on increasing mammography screening. Although the effect was smaller than more intensive interventions, the video is a convenient, low cost, and easily implemented method to increase mammography screening.
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. navis@wfubmc.edu
Nancy E
NE
Avis
Kevin W
KW
Smith
Carol L
CL
Link
Marlene B
MB
Goldman
D001741:Black or African American / Q000706:statistics & numerical data; D017677:Age Distribution; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D010174:Pamphlets; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods; D011336:Probability; D011446:Prospective Studies; D014481:United States; D014741:Video Recording; D044465:White People / Q000706:statistics & numerical data