Research Article Evaluation of the Effectiveness and Implementation of an Adapted Evidence-Based Mammography Intervention for African American Women

Copyright © 2015 Linda Highfield et al.This is an open access article distributed under the Creative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Breast cancermortality disparities continue, particularly for uninsured andminority women. A number of effective evidence-based interventions (EBIs) exist for addressing barriers tomammography screening; however, their uptake anduse in community has been limited. Few cancer-specific studies have evaluated adapted EBIs in new contexts, and fewer still have considered implementation. This study sought to (1) evaluate the effectiveness of an adapted mammography EBI in improving appointment keeping in African American women and (2) describe processes of implementation in a new practice setting. We used the type 1 hybrid design to test effectiveness and implementation using a quasi-experimental design. Logistic regression and intent-to-treat analysis were used to evaluatemammography appointment attendance.The no-show rate was 44 % (comparison) versus 19 % (intervention).The adjusted odds of a woman in the intervention group attending her appointment were 3.88