Breast Cancer Outreach for Underserved Women: A Randomized Trial and Cost-Effectiveness Analysis
Annual rept. 1 Jun 1999-31 May 2000
NORTHERN CALIFORNIA CANCER CENTER UNIONCITY
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BACCIS-lI, 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-lI, 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. Currently baseline recmitment is complete, having yielded a sample of 353 women. Ninety-one have completed outreach follow-up and the final telephone survey. For all others, outreach follow-up and final surveys are ongoing.
- Economics and Cost Analysis
- Anatomy and Physiology
- Medicine and Medical Research