Browsing by Subject "mammography"

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    Champion’s Health Belief Model Scale Validity Evidence for Brazil
    (UNIFESP, 2020) Moreira, Camila Brasil; Carvalho Fernandes, Ana Fátima; Champion, Victoria; Dahinten, Virginia Susan; da Silva Carvalho Vila, Vanessa; Howard, Amanda Fuchsia; Oliveira Batista Oriá, Mônica; Schirmer, Janine; School of Nursing
    Objective Performing translation and cross-cultural adaptation of the Champion’s Health Belief Model Scale (CHBMS) for use in Brazil for mammographic screening, and verify the validity evidence of the Brazilian version of this scale. Methods Methodological study, conducted with 206 women attending a Basic Health Unit, in the city of Fortaleza, state of Ceará, Brazil, from August 2015 to December 2017. The scale went through a process of translation and cross-cultural adaptation, including face and content validation. Afterwards, validity evidence was verified (1.Vality based on internal structure, assessed by exploratory analysis, with varimax orthogonal rotation and retention of factors by parallel analyzes; 2. Reliability from Cronbach’s alpha homogeneity and test-retest stability). Results In face and content validation, the tool showed good acceptance among the judges and the target audience. The final exploratory factor analysis model resulted in a seven-item scale, divided into three domains, with an explained variance of 71.4%, with Cronbach’s alpha ranging from 0.50 to 0.88. For scale reliability, Pearson r and Spearman ρ showed high reliability (0.997 and 0.986). Conclusion The Brazilian version of Champion’s Health Belief Model Scale provides good evidence of validity based on internal structure and is reliable. It may be used in Brazil to assess mammography compliance monitoring.
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    Increasing breast, cervical, and colorectal cancer screening among rural women: Baseline characteristics of a randomized control trial
    (Elsevier, 2022-12) Biederman, Erika; Baltic, Ryan; Katz, Mira L.; Rawl, Susan; Vachon, Eric; Monahan, Patrick O.; Stump, Timothy E.; Kettler, Carla; Carter, Lisa; Young, Gregory; Xu, Wendy; Paskett, Electra D.; Champion, Victoria; Biostatistics, School of Public Health
    Background Rural women suffer disproportionately from breast, cervical, and colorectal cancer mortality compared to those in urban areas. Screening behaviors for these three cancers share many similar beliefs and barriers. Unfortunately, published interventions have not attempted to simultaneously bring women up to date with screening for three cancers (breast, cervical, and colorectal) even though multiple behavior change interventions are effective. The aim of this randomized controlled study was to compare the effectiveness of a mailed interactive and tailored DVD vs. DVD plus telephonic patient navigation (DVD + PN) vs. Usual Care (UC) to increase the percentage of rural women (aged 50–74) up to date for breast, cervical, and colorectal cancer screening. Methods Nine hundred eighty-three participants needing one, two, or three cancer screening tests were consented and randomized to one of three groups. Prior to randomization, women were assessed for baseline characteristics including sociodemographics, health status, and cancer screening test beliefs. Screening status was assessed by medical record review. Results At baseline, the average age of participants was 58.6 years. Nineteen percent of the sample was not up to date with screenings for all three cancers. Colorectal cancer had the highest percentage of women (69%) who were not up to date with screening followed by cervical (57%) and then breast cancer (41%). Sixty percent of women reported receiving a reminder for mammography; 30%, for cervical cancer screening; 15% for colonoscopy; and 6% for FOBT/FIT. Discussion Increasing adherence to colorectal cancer screening may be the most urgent need among all screening tests.
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    Process outcomes from a randomized controlled trial comparing tailored mammography interventions delivered via telephone versus DVD
    (2011-11) Skinner, Celette Sugg; Buchanan, Adam; Champion, Victoria; Monahan, Patrick; Rawl, Susan M.; Springston, Jeffrey; Qianqian, Zhao; Bourff, Sara
    Objective Tailored, interactive mammography-promotion interventions can increase adherence if women are exposed to and find them usable. We compare exposure to and usability of interventions delivered via telephone vs. DVD. Methods Process evaluation measures from 926 women randomly assigned to telephone or DVD intervention and completing post-intervention surveys. Results ∼83% of each group reported exposure to all content. Partial exposure was higher for DVD (9% vs. 0.4%; p < .01); no exposure was higher for phone (15% vs. 8%; p < .01). There were no differences in exposure by age or race. Full phone exposure was less likely for women who already made mammography appointments. Usability rating was higher for DVD (p < .05), driven by ratings of understandability and length. Usability of both interventions was correlated with lower baseline barriers, and higher fear, benefits, and self efficacy. Higher ratings for phone were associated with lower knowledge and contemplating mammography. Non-whites rated DVD better than whites. Conclusion Both tailored interactive interventions had wide reach and favorable ratings, but DVD recipients had greatest exposure to at least partial content and more favorable ratings, especially among non-white women. Practice implications This first evaluation of a tailored, interactive DVD provides promise for its use in mammography promotion.