Accession Number:

ADA371245

Title:

Breast Cancer Outreach for Underserved Women: A Randomized Trial and Cost-Effectiveness Analysis

Descriptive Note:

Annual rept. 1 Jun 98-31 May 99

Corporate Author:

NORTHERN CALIFORNIA CANCER CENTER UNIONCITY

Personal Author(s):

Report Date:

1999-07-01

Pagination or Media Count:

56.0

Abstract:

The current study, BACCIS-II, is a randomized controlled trial of an outreach intervention model designed to increase the rate of periodic mammography and clinical breast exam among underserved women. The purpose is to assess the feasibility and cost-effectiveness of BACCIS-II, a moderate level of intervention, compared retrospectively with the more intensive predecessor, BACCIS, and compared with a minimal control group intervention. In BACCIS, paid full-time outreach workers provided motivation, education and support to women over time, resulting in increased routine, periodic screening. However the model was very costly. In BACCIS-lI, women in low-income communities are encouraged to become links to the community, volunteers who receive a modest incentive 5 per eligible woman to identify friends and family members at risk for late stage diagnosis age 45 and no mammogram past two years, and to provide their names to project staff. Women are then called by part-time staff who offer education, motivation and assistance in obtaining screening. Preliminary results show that the feasibility of the moderate level intervention is questionable since recruitment of women has fallen far short of expectations. However, once recruited, previously under- or unscreened women are getting mammograms d1 C

Subject Categories:

  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE