title: Increasing screening mammography among predominantly Spanish speakers at a federally qualified health center using a brief previsit video.
abstract: OBJECTIVE
  Assess the impact of a 5min video on screening mammogram referrals and completion.
  
  
  METHODS
  We recruited women ages 40 years or older without a current mammogram at a federally qualified community health center (FQHC). Women were assigned to the intervention or usual care. Immediately prior to their appointments, women in the intervention group viewed a brief video that included a demonstration of how patients may request a mammogram referral. All women completed a pre- and post-visit telephone survey about knowledge of breast cancer screening and patient activation.
  
  
  RESULTS
  Mean age was 52 years, 50% had less than a high school education and 75% preferred Spanish. The proportion of mammogram referrals in the intervention group was significantly higher than the control group, 37% vs. 15%, respectively (p<0.01). Similarly, the intervention group had a higher proportion of completed mammograms, 33% vs. 13% (p<0.02). There were no differences in breast cancer knowledge or patient activation between the intervention and control groups.
  
  
  CONCLUSIONS
  A brief, pre-visit video significantly increased screening mammography referrals and completion in this mostly Spanish-speaking FQHC population.
  
  
  CONCLUSIONS
  Our intervention demonstrates the effectiveness of a brief-video intervention in a population with low education and low English language proficiency.
authors.affiliation: Division of General Internal Medicine & Geriatrics, Feinberg School of Medicine, Northwestern University, United States. Electronic address: mgoel@nmff.org.
authors.forename: Mita Sanghavi
authors.initials: MS
authors.lastname: Goel
authors.affiliation: Division of General Internal Medicine & Geriatrics, Feinberg School of Medicine, Northwestern University, United States.
authors.forename: Rachel
authors.initials: R
authors.lastname: O'Conor
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000208:ethnology; D003151:Community Health Centers; D055088:Early Detection of Cancer; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008327:Mammography; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D012017:Referral and Consultation / Q000706:statistics & numerical data; D014741:Video Recording
keywords: Latina; Mammography; Multimedia; Social cognitive theory; Video