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
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
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