Breast Cancer Screening Via Computer V. Phone

Study Overview
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Brief Summary
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The purpose of this study is to compare mammography adherence among women receiving tailored, interactive mammography interventions via DVD and telephone counseling to usual care.

Detailed Description
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Efficacy Study - We will use stratified block randomization based on race to ensure that the treatment groups maintain comparable race composition. Participants will be randomly assigned to one of the intervention groups or to usual care. Intervention Group 1 will receive, by mail, a DVD version of the interactive computer program; based on responses to its queries, the program will supply immediate feedback to promote mammography. Intervention Group 2 will receive a telephone version of the tailored intervention delivered by a counselor stationed at a computer. The counselor will use questions from the interactive program and deliver messages the program generates in response to each woman's answers. A third group will receive usual care. All women will be asked to participate in 6-month and 21-month follow-up telephone interviews querying stage of mammography adherence and beliefs.

Official Title
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Breast Cancer Screening Via Computer V. Phone

Conditions
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Breast Cancer Screening

Intervention / Treatment
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* Behavioral: Tailored, interactive intervention for mammography screening


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Must have been a member of their HMO/insurance plan for at least 15 months with records indicating no mammogram (screening or diagnostic) in that 15-month period Current member of the plan at time of study enrollment No history of breast cancer diagnosis Complete telephone number and mailing address Exclusion Criteria: • Any claim submitted for a mammogram (screening or diagnostic) in the last 15 months within the HMO/insurance plan or an outside source Previous breast cancer diagnosis Incomplete telephone number or mailing address

Ages Eligible for Study
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Minimum Age: 41 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: 1 - Usual Care<br>This arm looks at mammogram adherence in those individuals who at this time are not receiving booster mammogram interventions. | |
| Experimental: 2. DVD Intervention<br>This arm will receive the initial information provided in usual care and will also receive booster mammography interventions via DVD. | Behavioral: Tailored, interactive intervention for mammography screening<br>* Follow ups will occur at 6-, 12-, and 21-months in order to determine effectiveness of intervention as well as cost effectiveness and variation based on participant characteristics to facilitate a more effective program for mammography screenings<br>|
| Experimental: 3. Telephone Counseling<br>This arm will receive the initial information provided in usual care and receive boosters through tailored telephone counseling. | Behavioral: Tailored, interactive intervention for mammography screening<br>* Follow ups will occur at 6-, 12-, and 21-months in order to determine effectiveness of intervention as well as cost effectiveness and variation based on participant characteristics to facilitate a more effective program for mammography screenings<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To increase annual mammography adherence |  | at 6-, 12-, and 21-Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost-effectiveness of DVD versus telephone survey |  | at 6-, 12-, and 21-months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breast Cancer, Mammography