Tailored telephone counseling to improve adherence to follow-up regimens after an abnormal pap smear among minority, underserved women

作者：Miller Suzanne M^*; Hui Siu kuen Azor; Wen Kuang Yi; Scarpato John; Zhu Fang; Buzaglo Joanne; Hernandez Enrique E

来源：Patient Education and Counseling, 2013, 93(3): 488-495.

DOI：10.1016/j.pec.2013.08.008

• Cervical cancer screening
• Follow up adherence
• Tailored counseling

Objective: The present study explored the impact of a tailored telephone counseling intervention on increasing follow-up adherence after an abnormal Pap smear result among low-income, minority women, which may reduce cervical cancer disparity. %26lt;br%26gt;Methods: Participants (N = 211) were randomly assigned to receive: (1) a telephone reminder that included an assessment of barriers to adherence, as well as counseling tailored to the barriers elicited; (2) telephone reminder and barriers assessment, followed by a mailed home tailored barriers print brochure; or (3) enhanced standard care comprising telephone reminder and barriers assessment. Assessments were obtained at initial contact and 1-week later, as well as at 6- and 12-months after the initial colposcopy. %26lt;br%26gt;Results: The telephone counseling group showed greater adherence to follow-up recommendations than did the combined other two groups (p %26lt; 0.05). For the initial colposcopy, tailored telephone barriers counseling was more effective among women with a high school education or less. %26lt;br%26gt;Conclusion: Tailored telephone barriers counseling improves adherence to initial colposcopy, as well as to longer-term medical follow-up, among low-income, inner-city women. %26lt;br%26gt;Practice Implications: Dissemination of barriers counseling into ongoing telephone reminder calls and contacts may decrease disparities in cancer outcomes, especially among women with less than post-secondary education.

• 出版日期2013-12