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Personal contact from friends to increase mammography usage
E E Calle1, H L Miracle-McMahill, R E Moss
1American Cancer Society, Atlanta, GA 30329.
American Journal of Preventive Medicine
|November 1, 1994
Summary
The American Cancer Society's "Tell A Friend" program effectively increased mammography screening rates by using volunteers to encourage women to schedule appointments. This telephone intervention proved successful, especially for women with lower to moderate incomes.
Area of Science:
- Public Health
- Preventive Medicine
- Cancer Screening
Background:
- Mammography is crucial for early breast cancer detection in women aged 40 and older.
- Increasing mammography screening rates remains a public health priority.
- Targeted interventions are needed to reach underserved populations.
Purpose of the Study:
- To evaluate the effectiveness of the American Cancer Society's "Tell A Friend" telephone intervention program.
- To determine if personal contacts by volunteers can increase mammography utilization.
- To assess the intervention's impact across different demographic groups.
Main Methods:
- A randomized controlled trial involving American Cancer Society volunteers and women aged 40+.
- Volunteers contacted a subset of women (intervention group) to encourage mammography appointments.
- A control group received no intervention; all participants were interviewed post-intervention.
Main Results:
- Mammography rates increased significantly in the intervention group (49%) compared to the control group (34%).
- The intervention demonstrated effectiveness across racial groups and age categories.
- The program was particularly impactful for women with annual household incomes under $40,000.
Conclusions:
- Telephone-based personal contact interventions are effective in boosting mammography screening.
- The "Tell A Friend" program offers a scalable and impactful strategy for increasing cancer screening adherence.
- Interventions should consider socioeconomic factors to maximize reach and effectiveness in cancer prevention efforts.