TY - JOUR
T1 - Improving cancer screening among women with mobility impairments
T2 - Randomized controlled trial of a participatory workshop intervention
AU - Peterson, Jana J.
AU - Suzuki, Rie
AU - Walsh, Emily S.
AU - Buckley, David I.
AU - Krahn, Gloria L.
PY - 2012
Y1 - 2012
N2 - Purpose. To assess the efficacy of an intervention to promote mammography and Papanicolaou (Pap) testing among women with mobility impairments overdue for screenings Design. Randomized controlled trial. Setting. Urban and suburban Oregon. Participants. Women aged 35 to 64 with mobility impairments who reported not receiving a Pap test in the past 3 years and/or mammogram (if age > 40 years) in the last 2 years were eligible. A total of 211 women were randomized, and 156 completed the study (26% attrition). The majority were not employed and reported annual income < $10,000. Intervention. The Promoting Access to Health Services (PATHS) program is a 90-minute, smallgroup, participatory workshop with 6 months of structured telephone support, based on the health belief model and social cognitive theory. Measures. Perceived susceptibility to breast and cervical cancer, perceived benefits of and selfefficacy for screening, intention to be screened, and self-reported receipt of mammography and Pap testing. Analysis. Chi-square tests to examine the proportion of women obtaining screening; analysis of covariance to examine change in theoretical mediators. Results. The intervention group received more Pap tests than the control group at posttest (intervention 61%, control 27%, n = 71, p < 01). No significant group effect was observed for mammography (intervention 49%, control 42%, n = 125, p = .45). Conclusion. Findings indicate that the PATHS intervention promotes Pap testing but not mammography among women with mobility impairments. (Am J Health Promot 2012;26[4]:212- 216.).
AB - Purpose. To assess the efficacy of an intervention to promote mammography and Papanicolaou (Pap) testing among women with mobility impairments overdue for screenings Design. Randomized controlled trial. Setting. Urban and suburban Oregon. Participants. Women aged 35 to 64 with mobility impairments who reported not receiving a Pap test in the past 3 years and/or mammogram (if age > 40 years) in the last 2 years were eligible. A total of 211 women were randomized, and 156 completed the study (26% attrition). The majority were not employed and reported annual income < $10,000. Intervention. The Promoting Access to Health Services (PATHS) program is a 90-minute, smallgroup, participatory workshop with 6 months of structured telephone support, based on the health belief model and social cognitive theory. Measures. Perceived susceptibility to breast and cervical cancer, perceived benefits of and selfefficacy for screening, intention to be screened, and self-reported receipt of mammography and Pap testing. Analysis. Chi-square tests to examine the proportion of women obtaining screening; analysis of covariance to examine change in theoretical mediators. Results. The intervention group received more Pap tests than the control group at posttest (intervention 61%, control 27%, n = 71, p < 01). No significant group effect was observed for mammography (intervention 49%, control 42%, n = 125, p = .45). Conclusion. Findings indicate that the PATHS intervention promotes Pap testing but not mammography among women with mobility impairments. (Am J Health Promot 2012;26[4]:212- 216.).
KW - Disability
KW - Mammography
KW - Prevention Research
KW - Psychological Theory
KW - Randomized Controlled Trial
KW - Vaginal Smears
UR - http://www.scopus.com/inward/record.url?scp=84863510036&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863510036&partnerID=8YFLogxK
U2 - 10.4278/ajhp.100701-ARB-226
DO - 10.4278/ajhp.100701-ARB-226
M3 - Article
C2 - 22375570
AN - SCOPUS:84863510036
SN - 0890-1171
VL - 26
SP - 212
EP - 216
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 4
ER -