Prevention Care Management
An Evidence-Based Practice
Description
The Prevention Care Management program is a centralized telephone system to increase cancer screenings among women aged 50-69 years. Prevention care managers call women who are not up to date for cancer screenings, and help facilitate the screening process by addressing barriers that prevent or delay cancer screenings. The calls provide motivational support, respond to the patient's personal barriers, and provide patient activity cards that list overdue screenings to improve communication between patients and clinicians. The managers schedule appointments, educate women about screenings, remind women of appointments, provide directions, and help women arrange transportation to appointments. Women participating in the program are recruited during routine visits to health centers or by clinician referral.
Goal / Mission
The goal of the Prevention Care Management program is to increase cancer screening among women.
Impact
Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.
Results / Accomplishments
In a pre- and post-test study, women in the intervention group had significantly greater increases in cancer screening from baseline to follow-up when compared to a control group. The proportion of women up-to-date for one cancer screening increased significantly more from baseline in the intervention group than the control group (5% vs. 1%, p < 0.017). Women in the intervention group had significantly greater increases than the control group in the proportion up-to-date for two cancer screenings (14% vs. 1%, p < 0.017) and three cancer screenings (22% vs. 8%, p < 0.017). Between baseline and follow-up women in the intervention group who were up-to-date for mammography screenings increased by 10% (p < 0.001) and women up-to-date for cervical cancer screening increased by 7% (p < 0.001), while there were no increases in the control group. The proportion of women up-to-date for colorectal cancer screening increased significantly in both groups, but this increase was greater in the intervention group (24%, p < 0.001) than the control group (11%, p < 0.05).
About this Promising Practice
Organization(s)
Dartmouth-Hitchcock Norris Cotton Cancer Center
Primary Contact
Allen Dietrich
Norris Cotton Cancer Center and Dartmouth Medical School
One Medical Center Drive
Lebanon, NH 03756
(603) 653-9050
Allen.J.Dietrich@dartmouth.edu
http://www.cancer.dartmouth.edu/
Norris Cotton Cancer Center and Dartmouth Medical School
One Medical Center Drive
Lebanon, NH 03756
(603) 653-9050
Allen.J.Dietrich@dartmouth.edu
http://www.cancer.dartmouth.edu/
Topics
Health / Cancer
Health / Prevention & Safety
Health / Women's Health
Health / Prevention & Safety
Health / Women's Health
Organization(s)
Dartmouth-Hitchcock Norris Cotton Cancer Center
Source
National Cancer Institute Research-Tested Intervention Programs
Date of publication
2007
Date of implementation
Nov 2001
Geographic Type
Urban
Location
New York, NY
For more details
Target Audience
Adults, Women