Department of Diagnostic Radiology and Neuroradiology, Ernst Moritz Arndt University Medical Center Greifswald, Germany.
Am J Prev Med. 2011 Oct;41(4):421-7. doi: 10.1016/j.amepre.2011.06.040.
In Germany, a mammography-screening program (MSP) was implemented on a national level. It complies with all criteria of the European guidelines for quality assurance in screening mammography; however, the attendance rate is 54%, falling short of the target attendance rate of 70%. The aim of this study was to investigate whether additional telephone counseling improves attendance among nonresponders and the level of satisfaction with telephone counseling.
In a prospective RCT, women identified as nonresponders in the MSP were randomized to a control group that received written reminders or to an intervention group that additionally received telephone counseling. In a follow-up, a subset of the intervention group was contacted by telephone regarding their satisfaction with telephone counseling.
SETTING/PARTICIPANTS: In 2008, a total of 5477 women aged 50-69 years who were eligible for the German MSP but had not participated up to 6 weeks after the first invitation were included in the study.
Individual telephone counseling consisted of scripted calls from a trained counselor who provided information on MSP and answered the woman's questions.
Report of mammography use provided by the screening unit 3 months after the reminder was sent.
Analysis was conducted in 2009. Comparison of screening attendance revealed a significantly higher attendance rate in the intervention group compared with controls (29.7% vs 26.1%, p=0.0035). When only women for whom telephone numbers were available were analyzed, attendance was even better (35.5% vs 29.7%, p=0.0004). In the follow-up, 278 of 404 women were actually surveyed. Of those, 33% stated that telephone counseling had influenced their decision, 56% stated that they had undergone screening mammography, and 77% agreed that personal telephone counseling should be used routinely to encourage nonresponders to go for screening.
Individual telephone counseling for nonresponders to a national program for breast cancer screening was well accepted by participants and effective.
This study is registered at the Australian New Zealand Clinical Trials Registry ACTRN12611000645954.
在德国，实施了一项全国性的乳房 X 光筛查计划（MSP）。该计划符合欧洲筛查乳房 X 光摄影质量保证指南的所有标准；然而，参与率仅为 54%，未达到 70%的目标参与率。本研究旨在探讨额外的电话咨询是否能提高未回复者的参与率以及他们对电话咨询的满意度。
在一项前瞻性随机对照试验中，将 MSP 中被确定为未回复者的女性随机分配到对照组（仅接受书面提醒）或干预组（另外接受电话咨询）。在随访中，对干预组的一部分女性进行了电话调查，了解她们对电话咨询的满意度。
地点/参与者：2008 年，共有 5477 名年龄在 50-69 岁之间、有资格参加德国 MSP 但在首次邀请后 6 周内未参加的女性被纳入研究。
个体电话咨询由一名经过培训的顾问进行，顾问提供有关 MSP 的信息并回答女性的问题。
筛查单位在发送提醒后 3 个月报告的乳房 X 光检查使用情况。
分析于 2009 年进行。筛查参与率的比较显示，干预组的参与率明显高于对照组（29.7%比 26.1%，p=0.0035）。仅分析有电话号码的女性时，参与率甚至更高（35.5%比 29.7%，p=0.0004）。在随访中，404 名女性中有 278 名实际接受了调查。其中，33%的女性表示电话咨询影响了她们的决定，56%的女性表示已经进行了乳房 X 光筛查，77%的女性同意应常规使用个人电话咨询来鼓励未回复者进行筛查。
针对全国性乳腺癌筛查计划的未回复者进行的个体电话咨询受到参与者的欢迎并有效。
本研究在澳大利亚和新西兰临床试验注册中心注册，注册号为 ACTRN12611000645954。
