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Randomized Controlled Trial
. 2016 Feb;50(1):70-8.
doi: 10.1007/s12160-015-9733-0.

Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial

Wambui G Gathirua-Mwangi  1 , Patrick O Monahan  2   3 , Timothy Stump  4 , Susan M Rawl  3   5 , Celette Sugg Skinner  6 , Victoria L Champion  3   5
Affiliations
Randomized Controlled Trial

Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial

Wambui G Gathirua-Mwangi et al. Ann Behav Med. 2016 Feb.

Abstract

Background: Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer.

Purpose: The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women.

Methods: A subsample of African-American women (n = 244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care.

Results: The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000.

Conclusion: Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.

Trial registration: ClinicalTrials.gov NCT00287040.

Keywords: African-American; Controlled trial; Health disparities; Interactive DVD; Mammography adherence; Randomized intervention.

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Figures

Fig 1
Fig 1. Consort Flow Diagram for African American Sample obtained from larger study
This diagram shows the number of women who were eligible, those allocated to each intervention group-DVD, Telephone and Usual Care and those who were analyzed. †No race data was collected from those who were eligible; race data is only available for those who consented to participate and enrolled in the study.
See this image and copyright information in PMC

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