Breast Cancer Outreach for Underserved Women: A Randomized Trial and Cost-Effectiveness Analysis
Abstract
BACCIS-II, is a randomized controlled trial of an outreach intervention designed to increase the rate of periodic mammography among underserved women. The purpose was 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-II, women in low-income communities are encouraged to become 'links' to the community to identify women ages 45+ with no mammogram past two years, and to provide their names to project staff. Women were then called by part-time staff who offered education, motivation and assistance in obtaining screening. Only 346 women were recruited by links, a number far short of our goal indicating low feasibility of the model. Outcome data are available for 60% of the sample who could be recontacted 14-25 months after recruitment for a telephone survey. A significantly higher proportion of women in the intervention group received a mammogram since baseline (83% vs 67%, p = 0.02) despite the fact that women in the intervention group reported significantly lower income (p < .05) and had less health insurance (p < 0.0001). We conclude that outreach to underserved women remains time-consuming and costly. However, personal contact by trusted others is effective in motivating and assisting women to obtain initial and repeat screening.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2001
- Accession Number
- ADA398684
Entities
People
- Rena J. Pasick
Organizations
- Cancer Prevention Institute of California