Breast Cancer
Conditions
Keywords
Economics, Behavioral, Mammography, Risk Reduction Behavior, Communication
Brief summary
The project aims to evaluate four different versions and modalities of interventions encouraging mammogram screening among all eligible women due or overdue for screening. The evaluation will compare among the following forms of outreach to help determine whether (a) live calls are more effective at increasing mammogram screening than other forms of outreach and (b) each form of outreach is more effective than no outreach: (1) a postcard, (2) a letter, (3) an auto-dialer phone message, and (4) a live call from a care gaps team. The interventions will be rolled out over many months, allowing for comparisons of effectiveness against those who have not yet been contacted.
Interventions
BEHAVIORALPostcard
Postcard with phone number to call for help scheduling a mammogram.
BEHAVIORALLetter
Letter with phone number to call for help scheduling a mammogram.
BEHAVIORALAuto-dialer
Auto-dialer with option to press button for help scheduling a mammogram.
BEHAVIORALLive call
Live call offering help scheduling a mammogram.
Sponsors
Geisinger Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Each intervention will be rolled out to only a subset of the total population each month, such that all patients will receive one of the interventions over the course of 7 months. Active arms will be compared contemporaneously against a passive control group consisting of active arm participants for whom the intervention has not yet begun, as well as a random subset of participants who are excluded before the future intervention begins.
Eligibility
Sex/Gender
FEMALE
Age
51 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* Female Geisinger Health Plan members between ages 52 and 74 as of December 31, 2023 * Overdue for annual mammogram * Continuously enrolled with the Geisinger Health Plan as of October 1, 2021 * Can be contacted via both phone and mail
Exclusion criteria
* Geisinger Health Plan members on a do-not-contact list * Had a mammogram as of October 1, 2021 * In hospice, using hospice services, or receiving palliative care as of January 1, 2023 * Medicare members 66 years of age or above at time of outreach, who are institutionalized or have both frailty and advanced illness * Had a bilateral mastectomy at any time
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mammogram completed | In the 180 days following the patient's intervention send date | Record of completed mammogram (yes/no), for comparing postcards, letters, and auto-dialer messages with live calls |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mammogram completed | In the 180 days following the patient's intervention send date | Record of completed mammogram (yes/no), for comparing across postcards, letters, and auto-dialer messages |
| Breast malignancy risk detected | In the 210 days following the patient's intervention send date | Record of high malignancy risk (yes/no), for comparing across different modalities of outreach |
| Mammogram appointment scheduled | In the 30 days following the patient's intervention send date | Appointment scheduled for mammogram, among patients visiting Geisinger clinics (yes/no) |
Countries
United States
Outcome results
None listed