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首页> 外文期刊>American Journal of Health Sciences >Examining The Effectiveness Of Interventions Designed To Increase Mammography Adherence Among African American Women
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Examining The Effectiveness Of Interventions Designed To Increase Mammography Adherence Among African American Women

机译:检查旨在提高非洲裔美国女性乳房X线摄影依从性的干预措施的有效性

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The objective of this paper was to assess and synthesize the key findings, conclusions, and recommendations of mammography interventions targeting African American women conducted between 1999 and 2010. Collection of materials for this study included searches of academic databases using the following inclusion criteria: 1) publication in the English language, 2) between 1999 and 2010, 3) conducted in the United States, 4) targeting African American women. Titles and abstracts of identified studies were evaluated independently by two researchers. A total of 24 studies met the inclusion criteria. Interventions were categorized as either practice-based or community-based. Classifications were then sub-categorized based on the employment of targeted or tailored strategies. Culturally-appropriate tailored and targeted messages are an effective approach to increase screening mammography adherence. Community-wide interventions that employ lay health advisors were found to assist in offsetting issues related to trust and access. Interventions delivered in faith-based settings were effective mediums for increasing adherence to screening guidelines. Stepped-care interventions were an efficient, cost-effective method for increasing adherence among non-compliant populations. The majority of the identified studies relied upon theoretical frameworks to guide the intervention. Community-based interventions should progress from atheoretical to theory-based intervention frameworks.
机译:本文的目的是评估和综合1999年至2010年间针对非裔美国女性的乳房X线摄影术干预措施的主要发现,结论和建议。本研究的资料收集包括使用以下纳入标准的学术数据库搜索:1) 2)1999年至2010年之间,3)在美国进行,4)针对非裔美国女性的英语出版物。已确定研究的标题和摘要由两名研究人员独立评估。共有24项研究符合纳入标准。干预措施分为基于实践的干预措施或基于社区的干预措施。然后根据有针对性或量身定制的策略对分类进行分类。在文化上适合的量身定制的针对性信息是增加筛查乳房X线摄影依从性的有效方法。发现雇用非专业卫生顾问的社区范围干预措施有助于抵消与信任和获取有关的问题。在基于信仰的环境中进行的干预是提高对筛查指南依从性的有效手段。阶梯式护理干预是一种提高不合规人群依从性的有效且具有成本效益的方法。大部分已确定的研究都依靠理论框架来指导干预。基于社区的干预措施应从理论干预框架发展为基于理论的干预框架。

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