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Patient Educ Couns. 2003 Jun;50(2):123-32.

Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data.

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Department of Family and Community Medicine, Baylor College of Medicine, 5615 Kirby Drive, Suite 610, Houston, TX 77005, USA.


Barriers to screening and early detection often result in cancers in low-income and minority women diagnosed at stages too advanced for optimal treatment. This randomized controlled trial examined whether a personalized form (PF) letter containing generic cancer information and a personalized tailored (PT) letter containing minimally tailored individualized risk factor information based on medical records data affected breast and cervical cancer screening among 1574 urban low-income and minority women. The personalized form-letter group was significantly more likely to schedule a screening appointment and to have undergone a Pap test and mammography within 1 year after the intervention than were the tailored letter and control groups (P<0.001 for all comparisons). Personalized tailored letters that contain individualized cancer risk factor information may decrease the likelihood of receiving cancer screening among medically underserved low-income and minority women, but personalized form letters that contain generic cancer information may improve these rates in this disadvantaged population.

[Indexed for MEDLINE]

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