Promoting mammography use through progressive interventions: is it effective?

Am J Public Health. 1994 Jan;84(1):104-6. doi: 10.2105/ajph.84.1.104.


This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared utilization for women randomly assigned to receive a second reminder, a letter suggesting a preventive office visit, or telephone counseling: 29% of those who received telephone counseling, 14% of those who received a letter, and 12% of those who received a second reminder obtained mammograms.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Breast Neoplasms / diagnostic imaging*
  • Female
  • Health Promotion / methods*
  • Humans
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Odds Ratio
  • Program Evaluation
  • Reminder Systems*