title: Testing the feasibility of a DVD-based intervention to promote preparedness for mammography in women with intellectual disabilities.
abstract: Women with intellectual disabilities (ID, formerly mental retardation) have a similar breast cancer incidence as the general population, but they have higher breast cancer mortality and lower rates of regular screening mammography. We conducted a feasibility study evaluating acceptability, demand, and limited efficacy of a health education DVD about mammography for women with ID. The DVD was developed in order to address disability-specific barriers to mammography identified in prior studies, such as anxiety related to navigating the logistics of obtaining a mammogram. The DVD was found to be acceptable and feasible, and led to a moderate increase in mammography preparedness in this population. Study results suggest that this DVD-based intervention is an appropriate candidate for further study measuring efficacy and effectiveness in increasing regular mammography in women with ID, a disparity population.
authors.affiliation: Department of Family Medicine, Boston University School of Medicine, Dowling 5, 771 Albany St., Boston, MA, 02118, USA, nechama@bu.edu.
authors.forename: Nechama W
authors.initials: NW
authors.lastname: Greenwood
authors.forename: Claire Tienwey
authors.initials: CT
authors.lastname: Wang
authors.forename: Deborah
authors.initials: D
authors.lastname: Bowen
authors.forename: Joanne
authors.initials: J
authors.lastname: Wilkinson
mesh_terms: D000328:Adult; D000368:Aged; D001296:Audiovisual Aids; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000523:psychology; D055088:Early Detection of Cancer / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology*; D007406:Interview, Psychological; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic / Q000379:methods*; D011379:Prognosis