Breast cancer survivors often use clues to convey their concerns to their oncologists. The authors conducted a randomized trial of a communication coaching intervention in which 22 female breast cancer survivors were randomized to the coaching and 22 to treatment as usual. They hypothesized that the intervention would increase breast cancer self-efficacy, improve mood, and reduce fears of recurrence. Through a series of ANCOVAs they found that the intervention led to increases in self-efficacy. Changes in self-efficacy predicted changes in anxiety, depression, and womanhood fears. This coaching intervention shows promise but requires additional studies to establish is efficacy and effectiveness.
The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N=321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR=1.12; p=.002) and future time orientation (OR=1.12; p=.05) predicted mammography adherence with a positive association, while present time orientation (OR=0.91; p=.05) was significantly negatively associated. Religiosity (OR=1.11; p=.002) and future time orientation (OR=1.12; p=.05) were positive predictions of stage progression, whereas present time orientation (OR=0.90; p=.03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography-promoting interventions can be more effectively tailored.
The purpose of this study was to test an intervention to increase mammography screening in women ages 51 to 75 who had not received a mammogram in the last 15 months. A total of 1681 women were randomized to: 1) a mailed tailored interactive DVD, 2) a computer-tailored telephone counseling, or 3) usual care. Women with incomes below $75,000 who were in the interactive DVD group had significantly more mammograms than women in usual care. Women with incomes above $75,000 had significantly fewer mammograms than women with incomes less than $75,000 regardless of group. Further investigation is needed to understand why women with incomes above $75,000 did not show the same benefit of the intervention.
Clinical Trials number: NCT00287040
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.