Mammogram Mail- and Phone-based Interventions

Geisinger Clinic14,386 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

14,386

Conditions

Breast Cancer

Interventions

PostcardBEHAVIORAL

Postcard with phone number to call for help scheduling a mammogram.

LetterBEHAVIORAL

Letter with phone number to call for help scheduling a mammogram.

Auto-dialerBEHAVIORAL

Auto-dialer with option to press button for help scheduling a mammogram.

Eligibility

Sex: FEMALEMin age: 51 YearsMax age: 74 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

Geisinger

Danville, Pennsylvania, United States

Outcomes

Primary Outcomes

Mammogram completed

Record of completed mammogram (yes/no), for comparing postcards, letters, and auto-dialer messages with live calls

Time frame: In the 180 days following the patient's intervention send date

Mammogram completed

Record of completed mammogram (yes/no), for comparing postcards, letters, auto-dialer messages, and live calls with controls

Time frame: In the 120 days following the patient's intervention send date

Data from ClinicalTrials.gov

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