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Updated: Jul 11, 2026
13:44
Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
Published on: August 30, 2013
Enhancing mammography referral in primary care
K E Grady1, J P Lemkau, N R Lee
1Massachusetts Institute of Behavioral Medicine, Inc., East Longmeadow, Massachusetts 01028, USA.
Preventive Medicine
|December 6, 1997
Summary
Mammography chart stickers significantly boosted cancer screening referrals and compliance in community practices. This simple intervention improved mammography utilization among older women.
Area of Science:
- Preventive Medicine
- Health Services Research
Background:
- Primary care physicians in small community practices face challenges in increasing mammography referrals.
- Behavioral interventions are being explored to improve cancer screening rates.
Purpose of the Study:
- To evaluate the effectiveness of behavioral techniques in enhancing mammography referrals and utilization.
- To assess the impact of cue enhancement and feedback on physician screening practices.
Main Methods:
- A 1-year randomized trial involving 61 community practices.
- Practices were assigned to education-only, education plus chart stickers, or education plus chart stickers with feedback and rewards.
- Mammography referrals, completions, and compliance were tracked via quarterly chart audits of over 11,000 women aged 50+.
Main Results:
- Mammography referral and completion rates increased initially but declined over time.
- Compliance rates showed sustained improvement throughout the year in intervention groups compared to the control.
- Cue enhancement, particularly chart stickers, demonstrated a significant and lasting effect on mammography compliance.
Conclusions:
- Mammography chart stickers are an effective tool for increasing cancer screening in small community practices.
- These practices serve as a vital channel for reaching older women requiring mammography screening.
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