Increasing screening mammography among predominantly Spanish speakers at a federally qualified health center using a brief previsit video

Mita Sanghavi Goel*, Rachel O'Conor

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Objective: Assess the impact of a 5 min video on screening mammogram referrals and completion. Methods: We recruited women ages 40 years or older without a current mammogram at a federally qualified community health center (FQHC). Women were assigned to the intervention or usual care. Immediately prior to their appointments, women in the intervention group viewed a brief video that included a demonstration of how patients may request a mammogram referral. All women completed a pre- and post-visit telephone survey about knowledge of breast cancer screening and patient activation. Results: Mean age was 52 years, 50% had less than a high school education and 75% preferred Spanish. The proportion of mammogram referrals in the intervention group was significantly higher than the control group, 37% vs. 15%, respectively (p < 0.01). Similarly, the intervention group had a higher proportion of completed mammograms, 33% vs. 13% (p < 0.02). There were no differences in breast cancer knowledge or patient activation between the intervention and control groups. Conclusions: A brief, pre-visit video significantly increased screening mammography referrals and completion in this mostly Spanish-speaking FQHC population. Practice implications: Our intervention demonstrates the effectiveness of a brief-video intervention in a population with low education and low English language proficiency.

Original languageEnglish (US)
Pages (from-to)408-413
Number of pages6
JournalPatient education and counseling
Volume99
Issue number3
DOIs
StatePublished - Mar 1 2016

Funding

The authors would like to acknowledge Ms. Amy Valukas and Ms. Ana Cesan at Erie Family Health Center in Chicago, IL for their ongoing collaboration and organizational support of this project, as well as Avon Foundation for their generous grant support.

Keywords

  • Latina
  • Mammography
  • Multimedia
  • Social cognitive theory
  • Video

ASJC Scopus subject areas

  • General Medicine

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