Mammography screening after risk-tailored messages: The Women Improving Screening through Education and Risk Assessment (WISER) randomized, controlled trial

Joann Bodurtha, John M. Quillin, Kelly A. Tracy, Joseph Borzelleca, Donna McClish, Diane Baer Wilson, Resa M. Jones, Julie Quillin, Deborah Bowen

Research output: Contribution to journalArticle


Aims: A randomized trial investigated the impact of risk-tailored messages on mammography in diverse women in the Virginia Commonwealth University Health System's gynecology clinics. Methods: From 2003 to 2005, 899 patients ≥40 years of age were randomized to receive risk-tailored information or general information about breast health. Multiple logistic regression analyses summarize their breast health practices at 18 months. Results: At baseline, 576 (64%) women reported having a mammogram in the past year. At 18-month follow-up, mammography rates were 72.6% in the intervention group and 74.2% in the control group (N.S.). Women (n = 123) who reported worrying about breast cancer "often" or "all the time" had significantly higher mammography rates with the intervention (85.0%) vs. the controls (63.5%). No significant differences existed in clinical breast examination, self-examination, or mammography intentions between the two study arms. However, intervention women with lower education reported significantly fewer clinical breast examinations at follow-up. Conclusions: The brief intervention with a risk-tailored message did not have a significant effect overall on screening at 18 months. However, among those who worried, mammography rates in the intervention group were higher. Individual characteristics, such as worry about breast cancer and education status, may impact interventions to improve breast cancer prevention practices.

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalJournal of Women's Health
Issue number1
StatePublished - Jan 1 2009
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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