Physicians' recommendations for mammography

Do tailored messages make a difference?

C. S. Skinner, V. J. Strecher, H. Hospers

Research output: Contribution to journalArticle

403 Citations (Scopus)

Abstract

Objectives. Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screening and risk status and perceptions about breast cancer and mammography are more effective than standardized printed recommendations. Methods. Computer-assisted telephone interviews were conducted with 435 women, aged 40 to 65 years, who had visited family practice groups within the previous 2 years. Subjects were randomly allocated to receive individually tailored or standardized mammography recommendation letters mailed from physicians to patients' homes. Follow-up interviews were conducted 8 months later. Results. Tailored letter recipients were more likely to remember and to have read more of their letters than standardized version recipients. After controlling for baseline status, tailored letter receipt was associated with more favorable follow-up mammography status for women with incomes below $26 000 and for Black women. Conclusions. Tailored messages are a more effective medium for physicians' mammography recommendations; tailoring may be especially important for women of low socioeconomic status.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalAmerican Journal of Public Health
Volume84
Issue number1
StatePublished - 1994

Fingerprint

Mammography
Physicians
Interviews
Women's Rights
Family Practice
Social Class
Counseling
Breast Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Physicians' recommendations for mammography : Do tailored messages make a difference? / Skinner, C. S.; Strecher, V. J.; Hospers, H.

In: American Journal of Public Health, Vol. 84, No. 1, 1994, p. 43-49.

Research output: Contribution to journalArticle

@article{786001bcabc648208ab230e2465474b6,
title = "Physicians' recommendations for mammography: Do tailored messages make a difference?",
abstract = "Objectives. Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screening and risk status and perceptions about breast cancer and mammography are more effective than standardized printed recommendations. Methods. Computer-assisted telephone interviews were conducted with 435 women, aged 40 to 65 years, who had visited family practice groups within the previous 2 years. Subjects were randomly allocated to receive individually tailored or standardized mammography recommendation letters mailed from physicians to patients' homes. Follow-up interviews were conducted 8 months later. Results. Tailored letter recipients were more likely to remember and to have read more of their letters than standardized version recipients. After controlling for baseline status, tailored letter receipt was associated with more favorable follow-up mammography status for women with incomes below $26 000 and for Black women. Conclusions. Tailored messages are a more effective medium for physicians' mammography recommendations; tailoring may be especially important for women of low socioeconomic status.",
author = "Skinner, {C. S.} and Strecher, {V. J.} and H. Hospers",
year = "1994",
language = "English (US)",
volume = "84",
pages = "43--49",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "1",

}

TY - JOUR

T1 - Physicians' recommendations for mammography

T2 - Do tailored messages make a difference?

AU - Skinner, C. S.

AU - Strecher, V. J.

AU - Hospers, H.

PY - 1994

Y1 - 1994

N2 - Objectives. Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screening and risk status and perceptions about breast cancer and mammography are more effective than standardized printed recommendations. Methods. Computer-assisted telephone interviews were conducted with 435 women, aged 40 to 65 years, who had visited family practice groups within the previous 2 years. Subjects were randomly allocated to receive individually tailored or standardized mammography recommendation letters mailed from physicians to patients' homes. Follow-up interviews were conducted 8 months later. Results. Tailored letter recipients were more likely to remember and to have read more of their letters than standardized version recipients. After controlling for baseline status, tailored letter receipt was associated with more favorable follow-up mammography status for women with incomes below $26 000 and for Black women. Conclusions. Tailored messages are a more effective medium for physicians' mammography recommendations; tailoring may be especially important for women of low socioeconomic status.

AB - Objectives. Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screening and risk status and perceptions about breast cancer and mammography are more effective than standardized printed recommendations. Methods. Computer-assisted telephone interviews were conducted with 435 women, aged 40 to 65 years, who had visited family practice groups within the previous 2 years. Subjects were randomly allocated to receive individually tailored or standardized mammography recommendation letters mailed from physicians to patients' homes. Follow-up interviews were conducted 8 months later. Results. Tailored letter recipients were more likely to remember and to have read more of their letters than standardized version recipients. After controlling for baseline status, tailored letter receipt was associated with more favorable follow-up mammography status for women with incomes below $26 000 and for Black women. Conclusions. Tailored messages are a more effective medium for physicians' mammography recommendations; tailoring may be especially important for women of low socioeconomic status.

UR - http://www.scopus.com/inward/record.url?scp=0028097645&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028097645&partnerID=8YFLogxK

M3 - Article

VL - 84

SP - 43

EP - 49

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 1

ER -