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Process outcomes from a randomized controlled trial comparing tailored mammography interventions delivered via telephone vs. DVD

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Bibliographic Details
Title:	Process outcomes from a randomized controlled trial comparing tailored mammography interventions delivered via telephone vs. DVD
Authors:	Skinner, Celette Sugg¹ celette.skinner@utsouthwestern.edu, Buchanan, Adam², Champion, Victoria³, Monahan, Patrick⁴, Rawl, Susan³, Springston, Jeffrey⁵, Qianqian, Zhao⁴, Bourff, Sara³
Source:	Patient Education & Counseling. Nov2011, Vol. 85 Issue 2, p308-312. 5p.
Subject Terms:	Health care reminder systems, Randomized controlled trials, Medical communication, Telephone in medicine, DVD-Video discs, Health literacy, Women, Mammograms
Abstract:	Objective: Tailored, interactive mammography-promotion interventions can increase adherence if women are exposed to and find them usable. We compare exposure to and usability of interventions delivered via telephone vs. DVD.Methods: Process evaluation measures from 926 women randomly assigned to telephone or DVD intervention and completing post-intervention surveys.Results: ∼83% of each group reported exposure to all content. Partial exposure was higher for DVD (9% vs. 0.4%; p<.01); no exposure was higher for phone (15% vs. 8%; p<.01). There were no differences in exposure by age or race. Full phone exposure was less likely for women who already made mammography appointments. Usability rating was higher for DVD (p<.05), driven by ratings of understandability and length. Usability of both interventions was correlated with lower baseline barriers, and higher fear, benefits, and self efficacy. Higher ratings for phone were associated with lower knowledge and contemplating mammography. Non-whites rated DVD better than whites.Conclusion: Both tailored interactive interventions had wide reach and favorable ratings, but DVD recipients had greatest exposure to at least partial content and more favorable ratings, especially among non-white women.Practice Implications: This first evaluation of a tailored, interactive DVD provides promise for its use in mammography promotion. [ABSTRACT FROM AUTHOR]
	Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Education Research Complete

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