To determine the relative effectiveness of three interventions designed to increase the uptake of breast screening.
Randomised controlled trial of a nurse visit with health education (group A), nurse visit without health education (group B), and GP letter (group C).
The area of south east London served by the Butterfly Walk Breast Screening Unit in Camberwell.
Women aged between 50 and 64 years who were registered with 27 GPs in the Lambeth, Southwark and Lewisham family health services authority and who had not attended for first round screening.
Altogether 799 women were randomly allocated to the three groups.
In general, delivering the nurse based interventions proved difficult.
In group A, 11.4% (95% CI 7.9,14.9%) of women subsequently attended for screening compared with 7.8% (95% CI 5.1,11.4%) in group B and 13.1% (95% CI 7.9,18.4%) in group C. The differences between the groups (95% CIs) were not statistically significant :
A versus C,
1.7% (-8.0,4.6%) ;
B versus C,
5.3% (-11.3,0.7%) ;
A versus B, 3.6% (-1.0,8.2%). Conclusions - A personal letter from the GP seems to be at least as effective at increasing the uptake of breast screening in non-attenders as a nurse making a home visit to discuss the issue ofbreast screening, and is not noticeably less effective than a visit at which a health education intervention is delivered.
It is possible that the GP letter is considerably mor...
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Dépistage, Prévention, Femme, Homme, Etude comparative, Promotion santé, Infirmier, Médecin généraliste, Participation, Efficacité, Programme sanitaire, Royaume Uni, Europe, Santé publique, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Medical screening, Prevention, Woman, Human, Comparative study, Health promotion, Nurse, General practitioner, Participation, Efficiency, Sanitary program, United Kingdom, Europe, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0167096
Code Inist : 002B20E01. Création : 199608.