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Related Experiment Videos

Promoting mammography appointment making.

J A Mayer1, M C Kellogg

  • 1Graduate School of Public Health, San Diego State University, California 92182.

Journal of Behavioral Medicine
|December 1, 1989
PubMed
Summary
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Low screening mammography compliance was improved with a $50 mammogram program. Offering an incentive coupon significantly increased appointment scheduling rates for this vital cancer screening.

Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Screening mammography compliance remains suboptimal.
  • Community-wide programs are essential for improving access to cancer screenings.
  • Low adherence necessitates innovative strategies to boost participation.

Purpose of the Study:

  • To evaluate the effectiveness of a $50 mammogram program in a community setting.
  • To assess the impact of an incentive coupon combined with a prompt on appointment-making compliance.
  • To determine the cost-effectiveness of interventions aimed at increasing screening mammography rates.

Main Methods:

  • A community-wide program offered $50 mammograms at 29 facilities, promoted via local media.
  • A controlled study at one facility compared an incentive coupon group (n=47) with a control group (n=49).

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  • Eligibility criteria and a referral phone bank were used; appointment scheduling was the patient's responsibility.

    • Main Results:

    • The incentive group demonstrated a significantly higher appointment-making rate (81%) compared to the control group (59%).
    • Nearly 100% of subjects who made appointments attended them, regardless of group.
    • The intervention showed potential cost-effectiveness within a self-referred sample.

    Conclusions:

    • Incentive coupons combined with prompts can effectively increase compliance with screening mammography appointments.
    • The $50 mammogram program and targeted interventions show promise for improving breast cancer screening rates.
    • Further research into cost-effective strategies is warranted to address low screening adherence.