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Related Experiment Video

Updated: Jun 21, 2026

Clinical Imaging of Microwave Mammography
05:28

Clinical Imaging of Microwave Mammography

Published on: November 14, 2025

Effect of a multimodal reminder program on repeat mammogram screening.

Adrianne C Feldstein1, Nancy Perrin, A Gabriela Rosales

  • 1Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA. adrianne.c.feldstein@kpchr.org

American Journal of Preventive Medicine
|July 11, 2009
PubMed
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A multimodal reminder system effectively increased mammogram screening rates in a large health system. This automated call and postcard program improved adherence to routine screenings, showing sustained effectiveness over time.

Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Mammogram reminders are proven effective but underutilized in clinical practice.
  • Improving routine mammography screening requires effective implementation strategies.
  • Multimodal reminder programs, including automated calls, can reach large populations.

Purpose of the Study:

  • To evaluate the effectiveness of implementing and maintaining a multimodal reminder program for repeat mammography screening.
  • To assess the impact of automated calls and mailed reminders on screening adherence.

Main Methods:

  • A quasi-experimental study using electronic medical record data from 2004-2007.
  • Participants included 35,104 female health plan members aged 42+.

Related Experiment Videos

Last Updated: Jun 21, 2026

Clinical Imaging of Microwave Mammography
05:28

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Published on: November 14, 2025

  • Intervention involved postcards and automated/live calls for women aged 50-69; younger women (42-49) served as a comparison group.

    • Main Results:

    • Mammogram completion increased from 63.4% pre-reminder to 75.4% post-implementation and 80.6% during maintenance.
    • Intervention group women were 1.51 times more likely to complete mammograms post-implementation (CI=1.40, 1.62).
    • This increased likelihood was maintained, with a hazard ratio of 1.81 (CI=1.65, 1.99) in 2007.

    Conclusions:

    • A multimodal reminder system, including automated calls, can be successfully implemented and maintained in large healthcare settings.
    • This intervention significantly improves mammography screening rates.
    • Widespread adoption could substantially enhance community-based cancer screening efforts.