Long-Term Care Division, Department of Health, Kaohsiung City Government, No. 2, Sihwei 3rd Road, Lingya District, Kaohsiung City, 80203, Taiwan.
College of Nursing, Kaohsiung Medical University, No. 2, Sihwei 3rd Road, Lingya District, Kaohsiung City, 80203, Taiwan.
BMC Health Serv Res. 2020 Feb 12;20(1):114. doi: 10.1186/s12913-020-4948-6.
The study's purpose was to examine the effectiveness of different reminder strategies on first-time free mammography screening among middle-aged women in Taiwan.
A quasi-experimental design with random assignment was adopted to divide the participants into three Reminder Strategies groups (mail reminder, telephone reminder, and combined mail and telephone reminders) and one control group. This study recruited 240 eligible middle-aged women, and 205 of them completed the study. Upon the completion of data collection, mail reminders were provided to women of the first group; telephone reminders were provided to the second group; mail followed by telephone reminders were provided to the third group, and the usual postcards were provided to the control group 1 month after the interventions. Two follow-up assessments were conducted 1 and 3 months after the intervention to collect mammography-screening behaviors from all groups.
The findings showed that, compared to the control group, more participants in the intervention groups underwent mammography screening after receiving reminder interventions. Telephone contact as reminder was found to have the most significant influence among the interventions (OR = 5.0556; 95% CI = 2.0422-13.5722).
Government and healthcare providers are recommended to consider adopting the telephone reminder strategy to encourage women to undergo their first-time mammography screening.
本研究旨在探讨不同提醒策略对台湾中年女性首次免费乳房 X 光筛查的效果。
采用准实验设计，随机将参与者分为三组提醒策略（邮件提醒、电话提醒和邮件与电话相结合的提醒）和一组对照组。本研究共招募了 240 名符合条件的中年女性，其中 205 名完成了研究。数据收集完成后，第一组妇女收到了邮件提醒；第二组收到了电话提醒；第三组先收到了邮件提醒，然后又收到了电话提醒，对照组则在干预后 1 个月收到了常规明信片。在干预后 1 个月和 3 个月进行了两次随访评估，以收集所有组的乳房 X 光筛查行为。
研究结果表明，与对照组相比，干预组中有更多的参与者在接受提醒干预后接受了乳房 X 光筛查。电话联系作为提醒被发现是干预中最有影响的（OR=5.0556；95%CI=2.0422-13.5722）。
建议政府和医疗保健提供者考虑采用电话提醒策略，鼓励女性进行首次乳房 X 光筛查。
