title: Mammography screening after risk-tailored messages: the women improving screening through education and risk assessment (WISER) randomized, controlled trial.
abstract: OBJECTIVE
  A randomized trial investigated the impact of risk-tailored messages on mammography in diverse women in the Virginia Commonwealth University Health System's gynecology clinics.
  
  
  METHODS
  From 2003 to 2005, 899 patients > or =40 years of age were randomized to receive risk-tailored information or general information about breast health. Multiple logistic regression analyses summarize their breast health practices at 18 months.
  
  
  RESULTS
  At baseline, 576 (64%) women reported having a mammogram in the past year. At 18-month follow-up, mammography rates were 72.6% in the intervention group and 74.2% in the control group (N.S.). Women (n = 123) who reported worrying about breast cancer "often" or "all the time" had significantly higher mammography rates with the intervention (85.0%) vs. the controls (63.5%). No significant differences existed in clinical breast examination, self-examination, or mammography intentions between the two study arms. However, intervention women with lower education reported significantly fewer clinical breast examinations at follow-up.
  
  
  CONCLUSIONS
  The brief intervention with a risk-tailored message did not have a significant effect overall on screening at 18 months. However, among those who worried, mammography rates in the intervention group were higher. Individual characteristics, such as worry about breast cancer and education status, may impact interventions to improve breast cancer prevention practices.
authors.affiliation: Human and Molecular Genetics, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23298, USA. bodurtha@vcu.edu
authors.forename: Joann
authors.initials: J
authors.lastname: Bodurtha
authors.forename: John M
authors.initials: JM
authors.lastname: Quillin
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Tracy
authors.forename: Joseph
authors.initials: J
authors.lastname: Borzelleca
authors.forename: Donna
authors.initials: D
authors.lastname: McClish
authors.forename: Diane Baer
authors.initials: DB
authors.lastname: Wilson
authors.forename: Resa M
authors.initials: RM
authors.lastname: Jones
authors.forename: Julie
authors.initials: J
authors.lastname: Quillin
authors.forename: Deborah
authors.initials: D
authors.lastname: Bowen
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000517:prevention & control; D004522:Educational Status; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D015397:Program Evaluation; D018570:Risk Assessment; D014495:Universities; D014768:Virginia; D014932:Women's Health Services