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Physicians' recommendations for mammography: do tailored messages make a difference?

C S Skinner1, V J Strecher, H Hospers

  • 1Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill.

American Journal of Public Health
|January 1, 1994
PubMed
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Tailored mammography recommendation letters significantly improved patient recall and adherence, especially for low-income and Black women. This highlights the effectiveness of personalized health communication in improving screening behaviors.

Area of Science:

  • Health Communication
  • Preventive Medicine
  • Health Disparities

Background:

  • Message tailoring enhances face-to-face patient counseling.
  • Individual tailoring is now feasible for printed health messages.
  • Effectiveness of tailored printed mammography recommendations is understudied.

Purpose of the Study:

  • To compare the effectiveness of tailored versus standardized printed mammography recommendations.
  • To assess if tailored messages improve screening and risk status awareness.
  • To evaluate tailored messages' impact on breast cancer and mammography perceptions.

Main Methods:

  • 435 women (40-65 years) participated.
  • Random allocation to receive tailored or standardized mammography letters.

Related Experiment Videos

  • Computer-assisted telephone interviews for data collection (baseline and 8-month follow-up).

    • Main Results:

    • Tailored letter recipients showed higher recall and readership.
    • Tailored messages improved mammography status for low-income women.
    • Tailored messages were more effective for Black women regarding mammography status.

    Conclusions:

    • Tailored messages are more effective for physician mammography recommendations.
    • Personalized health communication can improve screening adherence.
    • Tailoring is particularly crucial for women of lower socioeconomic status.