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Randomized Controlled Trial
. 2017 Jun;7(2):309-319.
doi: 10.1007/s13142-016-0439-z.

Effects of a web-based intervention on women's breast health behaviors

Deborah J Bowen  1 , Robert Robbins  2 , Nigel Bush  2 , Hendrika Meischke  2 , Abi Ludwig  2 , Jean Wooldridge  2
Affiliations
Randomized Controlled Trial

Effects of a web-based intervention on women's breast health behaviors

Deborah J Bowen et al. Transl Behav Med. 2017 Jun.

Abstract

Helping women make choices to reduce cancer risk and to improve breast health behaviors is important, but the best ways to reach more people with intervention assistance is not known. To test the efficacy of a web-based intervention designed to help women make better breast health choices, we adapted our previously tested, successful breast health intervention package to be delivered on the Internet, and then we tested it in a randomized trial. We recruited women from the general public to be randomized to either an active intervention group or a delayed intervention control group. The intervention consisted of a specialized website providing tailored and personalized risk information to all participants, followed by offers of additional support if needed. Follow-up at one-year post randomization revealed significant improvements in mammography screening in intervention women compared with control women (improvement of 13 percentage points). The intervention effects were more powerful in women who increased breast health knowledge and decreased cancer worry during intervention. These data indicate that increases in mammography can be accomplished in population-based mostly insured samples by implementing this simple, low resource intensive intervention.

Keywords: Genetic testing; Mammography screening; Randomized trial; Web/Internet intervention.

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Figures

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Fig. 1
CONSORT 2010 flow diagram
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References

    1. Bowen D, et al. Results of an adjunct dietary intervention program in the Women’s health initiative. J Am Diet Assoc. 2002;102(11):1631–1637. doi: 10.1016/S0002-8223(02)90347-0. - DOI - PubMed
    1. Bowen D, et al. Participation in breast cancer risk counseling among women with a family history. Cancer Epidemiol Biomark Prev. 1999;8(7):581–585. - PubMed
    1. Bowen DJ, Beresford SA. Dietary interventions to prevent disease. Annu Rev Public Health. 2002;23:255–286. doi: 10.1146/annurev.publhealth.23.100901.140555. - DOI - PubMed
    1. Bowen DJ, et al. Effects of risk counseling on interest in breast cancer genetic testing for lower risk women. Genet Med. 2002;4(5):359–365. doi: 10.1097/00125817-200209000-00007. - DOI - PubMed
    1. Bowen DJ, et al. Effects of counseling and ethnic identity on perceived risk and cancer worry in African American women. J Clin Psychol Med Settings. 1998;05(3):365–379. doi: 10.1023/A:1026262321756. - DOI

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