Impact of a print intervention to increase annual mammography screening among Korean American women enrolled in the National Breast and Cervical Cancer Early Detection Program.
BACKGROUND
Although Korean American women have one of the lowest rates of mammography screening, only few interventions have been developed for them. We developed a theory-based Korean-language print intervention to increase annual mammography screening with the goal to disseminate it through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).


METHODS
Korean American staff and patients at a community clinic advised on the content and layout of the brochure. We pilot tested the intervention from July to September 2005 at a community clinic in Koreatown, Los Angeles County that provides free mammograms through the NBCCEDP. The proportion of Korean American women who received a repeat mammogram during the intervention period was compared to the pre-intervention period using a NBCCEDP database.


RESULTS
We found a non-significant 6 percentage point increase in repeat screening from 32% to 38%. A debriefing survey with a subsample of 59 women revealed that only 32% recalled receipt of the brochure and a subsequent investigation revealed that only about 60% had identical address information in the NBCCEDP records and in their charts.


CONCLUSIONS
Although dissemination of print information through NBCCEDP is very feasible, the reach and effectiveness of the intervention was limited due to incorrect or outdated address information.
Maxwell
Annette E
AE
Division of Cancer Prevention & Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA 90095-6900, USA. amaxwell@ucla.edu
Jo
Angela M
AM
Chin
Soo-Young
SY
Lee
Kyeong-Soo
KS
Bastani
Roshan
R
D000328:Adult; D000368:Aged; D001213:Asian; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects