Abstract
Introduction: The Community Trial of Mammography Promotion assessed the effectiveness
of mammography promotion by community volunteer groups in rural areas. Three interventions
were tested. One used an individual counseling strategy, one used a community activities
strategy, and a third combined the two strategies.
Methods: The effects of the interventions were tested by randomizing 40 communities
either to the study interventions or to a control group. A cohort of 352 women from
each community was randomly selected and used to evaluate the interventions’ effectiveness.
Of these, 6592 women were eligible for screening mammography at baseline and follow-up
and were successfully interviewed prior to and after study intervention activities.
Results: Although the interventions did not significantly increase women’s overall
use of mammography, the community activities intervention increased use at follow-up
by regular users over baseline by 2.9% (p = 0.01). Intervention appears to have increased the use of mammography among certain
groups of women who were not regular users at baseline, including those in communities
without female physicians (10% to 16%; p < 0.05), and among women with no health insurance (10% to 23%; p ≤ 0.05).
Conclusion: Volunteers can effectively promote mammography in rural communities.
Keywords
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© 2000 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
