Affordable Access

Publisher Website

Reminder letter, tailored stepped-care, and self-choice comparison for repeat mammography

American Journal of Preventive Medicine
Publication Date
DOI: 10.1016/s0749-3797(03)00215-0
  • Research Article
  • Design


Abstract Background The main benefits of mammography come from regular on-schedule screening. However, few studies have examined interventions to achieve repeat screening. Setting and participants Participants were women aged 50 to 74, recruited through one setting in Rhode Island and another in North Carolina. Participants had a mammogram already scheduled at recruitment, and had to keep that appointment in order to be eligible for the repeat mammography intervention. A total of 1614 women were in the intervention sample. Design A four-group randomized design was used: Group 1, a simple reminder letter; Group 2, a 2-month, tailored, stepped intervention delivered 2 months after the completed mammogram; Group 3, a 10-month, tailored, stepped intervention delivered 2 months before the repeat mammogram was due; and Group 4, self-choice of one of the above three strategies. Intervention The intervention took place between June 1996 and May 1997. The reminder letter and two levels of the stepped intervention were delivered by mail. The third level of the stepped strategy was a counselor telephone call. Groups 2 and 3 were identical, except for timing. Outcome measure Obtaining the next due mammogram within 15 months, based on clinic records. Results There were no statistically significant differences among the four groups, both in the total sample and at the two sites separately. Conclusions On average, a simple reminder may be as effective as more complex strategies for women with a prior on-schedule exam. However, attention is still needed to identify women at risk of lapsing from screening. Some women may require more-intensive interventions.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Reminder letter, tailored stepped-care, and self-c...

on American Journal of Preventive... November 2003

From stepped care to tailored therapy.

on Journal of human hypertension December 1991

The effects of mailed reminders and tailored messa...

on Journal of community health June 2002
More articles like this..