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Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women

Breast cancer mortality disparities continue, particularly for uninsured and minority women. A number of effective evidence-based interventions (EBIs) exist for addressing barriers to mammography screening; however, their uptake and use in community has been limited. Few cancer-specific studies have...

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Autores principales: Highfield, Linda, Hartman, Marieke A., Bartholomew, L. Kay, Balihe, Philomene, Ausborn, Valerie A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609333/
https://www.ncbi.nlm.nih.gov/pubmed/26504790
http://dx.doi.org/10.1155/2015/240240
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author Highfield, Linda
Hartman, Marieke A.
Bartholomew, L. Kay
Balihe, Philomene
Ausborn, Valerie A.
author_facet Highfield, Linda
Hartman, Marieke A.
Bartholomew, L. Kay
Balihe, Philomene
Ausborn, Valerie A.
author_sort Highfield, Linda
collection PubMed
description Breast cancer mortality disparities continue, particularly for uninsured and minority women. A number of effective evidence-based interventions (EBIs) exist for addressing barriers to mammography screening; however, their uptake and use in community has been limited. Few cancer-specific studies have evaluated adapted EBIs in new contexts, and fewer still have considered implementation. This study sought to (1) evaluate the effectiveness of an adapted mammography EBI in improving appointment keeping in African American women and (2) describe processes of implementation in a new practice setting. We used the type 1 hybrid design to test effectiveness and implementation using a quasi-experimental design. Logistic regression and intent-to-treat analysis were used to evaluate mammography appointment attendance. The no-show rate was 44% (comparison) versus 19% (intervention). The adjusted odds of a woman in the intervention group attending her appointment were 3.88 (p < 0.001). The adjusted odds of a woman attending her appointment in the intent-to-treat analysis were 2.31 (p < 0.05). Adapted EBI effectiveness was 3.88 (adjusted OR) versus 2.10 (OR) for the original program, indicating enhanced program effect. A number of implementation barriers and facilitators were identified. Our findings support previous studies noting that sequentially measuring EBI efficacy and effectiveness, followed by implementation, may be missing important contextual information.
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spelling pubmed-46093332015-10-26 Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women Highfield, Linda Hartman, Marieke A. Bartholomew, L. Kay Balihe, Philomene Ausborn, Valerie A. Biomed Res Int Research Article Breast cancer mortality disparities continue, particularly for uninsured and minority women. A number of effective evidence-based interventions (EBIs) exist for addressing barriers to mammography screening; however, their uptake and use in community has been limited. Few cancer-specific studies have evaluated adapted EBIs in new contexts, and fewer still have considered implementation. This study sought to (1) evaluate the effectiveness of an adapted mammography EBI in improving appointment keeping in African American women and (2) describe processes of implementation in a new practice setting. We used the type 1 hybrid design to test effectiveness and implementation using a quasi-experimental design. Logistic regression and intent-to-treat analysis were used to evaluate mammography appointment attendance. The no-show rate was 44% (comparison) versus 19% (intervention). The adjusted odds of a woman in the intervention group attending her appointment were 3.88 (p < 0.001). The adjusted odds of a woman attending her appointment in the intent-to-treat analysis were 2.31 (p < 0.05). Adapted EBI effectiveness was 3.88 (adjusted OR) versus 2.10 (OR) for the original program, indicating enhanced program effect. A number of implementation barriers and facilitators were identified. Our findings support previous studies noting that sequentially measuring EBI efficacy and effectiveness, followed by implementation, may be missing important contextual information. Hindawi Publishing Corporation 2015 2015-10-04 /pmc/articles/PMC4609333/ /pubmed/26504790 http://dx.doi.org/10.1155/2015/240240 Text en Copyright © 2015 Linda Highfield et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Highfield, Linda
Hartman, Marieke A.
Bartholomew, L. Kay
Balihe, Philomene
Ausborn, Valerie A.
Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title_full Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title_fullStr Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title_full_unstemmed Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title_short Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women
title_sort evaluation of the effectiveness and implementation of an adapted evidence-based mammography intervention for african american women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609333/
https://www.ncbi.nlm.nih.gov/pubmed/26504790
http://dx.doi.org/10.1155/2015/240240
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