Strategies for increasing mammography screening in primary care in Chile: Results of a randomized clinical trial

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dc.catalogadorjca
dc.contributor.authorPüschel, Klaus
dc.contributor.authorCoronado, Gloria
dc.contributor.authorSoto, Gabriela
dc.contributor.authorGonzález, Karla
dc.contributor.authorMartínez, Javiera
dc.contributor.authorHolte, Sarah
dc.contributor.authorThompson, Beti
dc.date.accessioned2023-06-27T13:19:33Z
dc.date.available2023-06-27T13:19:33Z
dc.date.issued2010
dc.description.abstractBackground: Breast cancer is the cancer with the highest incidence among women in Chile and in many Latin American countries. Breast cancer screening has very low compliance among Chilean women.Methods: We compared the effects on mammography screening rates of standard care, of a low-intensity intervention based on mail contact, and of a high-intensity intervention based on mail plus telephone or personal contact. A random sample of 500 women with the age of 50 to 70 years registered at a community clinic in Santiago who had not had a mammogram in the past 2 years were randomly assigned to one of the three intervention groups. Six months after randomization, participants were re-evaluated for their compliance with mammography screening. The outcome was measured by self-report and by electronic clinical records. An intention to treat model was used to analyze the results. Results: Between 92% and 93% of participants completed the study. Based on electronic records, mammography screening rates increased significantly from 6% in the control group to 51.8% in the low-intensity group and 70.1% in the high-intensity group. About 14% of participants in each group received opportunistic advice, 100% of participants in the low- and high-intensity groups received the mail contact, and 50% in the high-intensity group received a telephone or personal contact. Conclusion: A primary care intervention based on mail or brief personal contact could significantly improve mammogram screening rates. Impact: A relatively simple intervention could have a strong impact in breast cancer prevention in underserved communities
dc.fechaingreso.objetodigital2023-06-27
dc.fuente.origenORCID
dc.identifier.doi10.1158/1055-9965.EPI-10-0313
dc.identifier.eissn1538-7755
dc.identifier.issn1055-9965
dc.identifier.urihttp://doi.org/10.1158/1055-9965.EPI-10-0313
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-77956513754&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/73565
dc.information.autorucEscuela de Trabajo Social;Gonzalez Suitt, Karla Priscilla;0000-0002-0543-1892;17961
dc.issue.numero9
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final2261
dc.pagina.inicio2254
dc.revistaCancer Epidemiol Biomarkers Prevention
dc.rightsacceso abierto
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleStrategies for increasing mammography screening in primary care in Chile: Results of a randomized clinical trial
dc.typeartículo
dc.volumen19
sipa.codpersvinculados17961
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