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

Joint Authors

Bartholomew, L. Kay
Highfield, Linda
Hartman, Marieke A.
Balihe, Philomene
Ausborn, Valerie A.

Source

BioMed Research International

Issue

Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2015-10-04

Country of Publication

Egypt

No. of Pages

9

Main Subjects

Medicine

Abstract EN

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.

American Psychological Association (APA)

Highfield, Linda& Hartman, Marieke A.& Bartholomew, L. Kay& Balihe, Philomene& Ausborn, Valerie A.. 2015. Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women. BioMed Research International،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054713

Modern Language Association (MLA)

Highfield, Linda…[et al.]. Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women. BioMed Research International No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1054713

American Medical Association (AMA)

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. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054713

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1054713