The objective of this study was to determine the effects of patient-based mammography screening strategies.
We performed a meta-analysis and included United States studies that met the following criteria :
(a) randomized or concurrent control design ;
(b) defined outcomes ;
and (c) data available for reanalysis.
Interventions were classified as behavioral, cognitive, or sociological and further categorized by the type of control group (active versus usual care), number of interventions, and mode of intervention (interactive versus static).
Data were combined using DerSimonian and Laird random effects models to yield summary effect sizes.
A total of 63 interventions in 43 studies met the inclusion criteria.
Behavioral interventions increased screening by 13.2% [95% confidence interval (Cl), 4.7-21.2] compared with usual care, and by 13.0% (95% CI, 8.7-17.4) when using multiple strategies and 5.6% (95% CI, 0.6-10.6) when using a single intervention compared to active controls.
Cognitive interventions using generic education strategies had little impact on screening, but those that used theory-based education (e.g., health belief model) increased rates by 23.6% (95% CI, 16.4-30.1) compared with usual care.
Sociological interventions also increased screening rates.
Interventions using a theoretical framework were the most effective in increasing screening rates. (...)
Mots-clés Pascal : Mammographie, Dépistage, Femelle, Tumeur maligne, Glande mammaire, Homme, Politique sanitaire, Rapport coût bénéfice, Sensibilité, Epidémiologie, Radiodiagnostic, Glande mammaire pathologie
Mots-clés Pascal anglais : Mammography, Medical screening, Female, Malignant tumor, Mammary gland, Human, Health policy, Cost benefit ratio, Sensitivity, Epidemiology, Radiodiagnosis, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0477369
Code Inist : 002B24A08. Création : 22/03/2000.