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Oncol Nurs Forum. 2003 Jul-Aug;30(4):669-77.

The Delta project: increasing breast cancer screening among rural minority and older women by targeting rural healthcare providers.

Author information

1
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, AK, USA. colemanann@uams.edu

Abstract

PURPOSE/OBJECTIVES:

To test a multimethod approach designed for rural healthcare providers to increase breast cancer screening among low-income, African American, and older women.

DESIGN:

Two-year experimental pretest/post-test with random assignment by group.

SETTING:

Primary healthcare providers' offices.

SAMPLE:

224 nurses, physicians, and mammography technicians.

METHODS:

Standardized patients to observe and record healthcare providers' performances, followed by direct feedback, newsletters, posters, pocket reminder cards, and lay literature about screening to use in clinics.

MAIN RESEARCH VARIABLES:

Healthcare providers' knowledge and attitudes as measured by survey responses, skills as measured by a checklist, and the provision of breast cancer screening as measured by mammography facilities' data.

FINDINGS:

Healthcare providers significantly improved in demonstration of breast cancer screening practice after the intervention. Nurses performed significantly better than physicians on the breast examination during the post-test. More women older than 50 received mammograms in the experimental counties than in the comparison counties. Culturally sensitive lay literature is needed for African American women with low literacy.

CONCLUSIONS:

Successful interventions included use of standardized patients to teach healthcare providers in their office settings, prompts such as posters and pocket reminder cards, and easy-to-read newsletters.

IMPLICATIONS FOR NURSING:

Physicians and nurses play a powerful role in motivating women to have mammograms and clinical breast examinations and to practice breast self-examination. Interventions that help these providers fulfill that role should be implemented.

PMID:
12861326
DOI:
10.1188/03.ONF.669-677
[Indexed for MEDLINE]
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