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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.

Author information

1
Department of Family and Community Medicine, Baylor College of Medicine, 5615 Kirby Drive, Suite 610, Houston, TX 77005, USA. mariaj@bcm.tmc.edu

Abstract

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.

PMID:
12781927
DOI:
10.1016/s0738-3991(02)00119-2
[Indexed for MEDLINE]

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