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Womens Health Issues. 2005 Nov-Dec;15(6):258-64.

Loss-framed minimal intervention increases mammography use.

Author information

1
Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida 32306-1493, USA. dabood@mailer.fsu.edu

Abstract

INTRODUCTION:

Although mammography is the most effective early detection breast cancer screening technology available, it is underutilized. This study was conducted to test the effectiveness of a loss-framed minimal intervention to increase mammography use. Loss-frame refers to a communication strategy in which messages are framed from the perspective of what a person has to lose by not taking a particular behavioral action.

METHODS:

Participants were medically un- and underinsured women 50-64 years old who called one of two urban clinics randomly selected based on demographic statistical equivalency. The women who participated telephoned to inquire about a mammogram during the 6-month study period. The group randomly designated as the experimental group received a loss-framed message conveyed by trained staff telephonically. Members of the comparison group received the "usual" communication, also conveyed telephonically. In the experimental group, 31 of 112 (27%) women who inquired received mammograms, whereas 157 of the 992 (16%) comparison group women who inquired received mammograms.

RESULTS:

The odds of a mammogram, adjusted for race and breast cancer symptoms, significantly increased for the experimental (odds ratio [OR] = 1.914, chi2 = 7.48, p = .0063, 95% confidence interval [CI] 1.20-3.05) versus comparison group.

CONCLUSIONS:

A loss-framed, in-reach, minimal intervention approach holds promise as a mammography promotion strategy.

PMID:
16325139
DOI:
10.1016/j.whi.2005.07.005
[Indexed for MEDLINE]

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