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The impact of translated reminder letters and phone calls on mammography screening booking rates: two randomised controlled trials

Beauchamp, Alison, Mohebbi, Mohammadreza, Cooper, Annie, Pridmore, Vicki, Livingston, Patricia, Scanlon, Matthew, Davis, Melissa, O'Hara, Jonathan and Osborne, Richard 2020, The impact of translated reminder letters and phone calls on mammography screening booking rates: two randomised controlled trials, PLoS One, vol. 15, no. 1, pp. 1-16, doi: 10.1371/journal.pone.0226610.

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Title The impact of translated reminder letters and phone calls on mammography screening booking rates: two randomised controlled trials
Author(s) Beauchamp, AlisonORCID iD for Beauchamp, Alison orcid.org/0000-0001-6555-6200
Mohebbi, MohammadrezaORCID iD for Mohebbi, Mohammadreza orcid.org/0000-0001-9713-7211
Cooper, Annie
Pridmore, Vicki
Livingston, PatriciaORCID iD for Livingston, Patricia orcid.org/0000-0001-6616-3839
Scanlon, Matthew
Davis, Melissa
O'Hara, Jonathan
Osborne, Richard
Journal name PLoS One
Volume number 15
Issue number 1
Article ID e0226610
Start page 1
End page 16
Total pages 16
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2020
ISSN 1932-6203
Summary Introduction: Participation in mammographic screening for breast cancer in Australia is approximately 54% among the general population, but screening among women from some culturally and linguistically diverse (CALD) backgrounds is lower. BreastScreen Victoria apply strategies to increase screening including reminder letters and phone calls; however, these are usually provided in English. Using intervention strategies generated from the Ophelia (OPtimise HEalth LIteracy and Access) community co-design process, translated mammography reminder letters and in-language phone calls were tested within two randomised control trials (RCTs). Methods and analysis: Women aged 50-75 years who were due for their 2-yearly screening mammography (for RCT#1) or were under-screened, i.e. ≥27 months since last screen (for RCT#2) were randomised into intervention or control groups. RCT#1 compared sending women routine reminder letters (English only) with translated (Arabic or Italian) letters. RCT#2 compared reminder telephone calls to women in their preferred language (Arabic or Italian) to no telephone call. The primary outcome for each trial was screening booking rates within 14-days. Primary outcomes were tested using Pearson's chi-square test. Rates within language group (incidence ratio: IR) were compared using the Cochran-Mantel-Haenszel test. Results For RCT#1 (letters) 1,032 women were randomised into the intervention arm or to usual care. Uptake of screening bookings was similar between both groups, with no differences observed by language group. For RCT#2 (phone calls), 195 women were randomised to the intervention group or to usual care. Overall, 64.2% of women in the intervention arm and 6% in the control arm booked a screening appointment within 14 days (p<0.0001). The IR (95% CI) of booking was 10.1 (3.9, 26.3) times higher among Italian women, and 11.6 (2.9, 46.5) times higher among Arabic women in the intervention compared to usual care groups. Discussion and conclusion: A service improvement initiative derived from community members and breast screen providers was found to be highly effective. This evidence informed the service provider, BreastScreen Victoria, who have implemented these improvements into routine practice to improve screening among CALD groups and reduce health inequalities.
Language eng
DOI 10.1371/journal.pone.0226610
Indigenous content off
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30134136

Document type: Journal Article
Collections: Faculty of Health
Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.