Video-assisted Intervention for Increasing Mammography Uptake in Private Primary Care in Singapore

NCT02108314 | Completed DMC

• 1 other identifier: 13-494
• Study Type: interventional
• Target: 448
• Locations: 1 country
• Sites: 1

Brief Summary

Breast cancer is the leading female cancer in Singapore, but 3 in 5 women are not going for their regular mammography screenings at recommended frequencies despite 15 years of nationwide efforts by Breast Screen Singapore. The investigators aim to determine the efficacy of opportunistic health promotion for uptake of mammography screening in Singaporean women attending private sector primary care clinics in Singapore by implementing a simple and feasible questionnaire to identify potential candidates for mammography screening, coupled with recommendations by the primary care provider and a directed promotional video produced by Kandang Kerbau Hospital (KKH) that is aimed at addressing some of the barriers to screening.

Conditions

Mammogram Scheduled

Outcome Measures

Primary Outcomes (2)

• Mammography Uptake

  The primary outcome is assessing the effectiveness of specific interventions in promoting mammography uptake in Singaporean females who are non-compliant to regular mammography. This was measured via self-reporting of mammography at 3 and 120 days.

  3 days after intervention

• Mammography Uptake

  The primary outcome is assessing the effectiveness of specific interventions in promoting mammography uptake in Singaporean females who are non-compliant to regular mammography. This was measured via self-reporting of mammography at 3 and 120 days.

  120 days after intervention

Secondary Outcomes (2)

• Stages of behavior change

  3 days after intervention

• Stages of behavior change

  120 days after intervention

Study Arms (2)

Control Group

NO INTERVENTION

Participants in the control arm were blinded as to the hypothesis of the study, undergoing a series of questions in about general health behaviours before their consultation, allowing the investigators to determine eligibility for the study. The associated participant information sheets for the control arm did not specifically mention breast cancer screening, maintaining blinding throughout. There was no reminder to the physician to promote mammography to participants. The physician continued with his or her usual counseling on health screening and mammography, if any. A 3-minute health promotion video by the Singapore Heart Foundation on healthy eating habits was administered to each participant, followed by a post-consultation questionnaire. The entire process took approximately 10 minutes.

Video Screening and Counselling

ACTIVE COMPARATOR

The intervention comprises 1) GP counseling, 2) 3-minute promotional video on mammography and 3) an informational brochure with relevant contact details and information for arranging a mammography screening. Pre- and post-consultation questionnaire were administered to participants to evaluate their health beliefs, with emphasis on breast cancer and mammography.

Behavioral: Video Screening and Counselling

Interventions

Video Screening and Counselling BEHAVIORAL

The intervention comprises 1) GP counseling, 2) 3-minute promotional video on mammography and 3) an informational brochure with relevant contact details and information for arranging a mammography screening. Pre- and post-consultation questionnaire were administered to participants to evaluate their health beliefs, with emphasis on breast cancer and mammography.

Video Screening and Counselling

Eligibility Criteria

• Age: 40 Years - 69 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Singapore citizens or Permanent Residents
• Women aged 40 - 69 years old who are not regularly undergoing mammography screening as per Singapore breast cancer screening guidelines, i.e.:
• A) Not done a mammogram in the past 1 year if they are 40 to 49 years old B) Not done a mammogram in the past 2 years if they are 50 to 69 years old

You may not qualify if:

• Women who have already enrolled in the study (i.e. at a previous visit to the same or even other GP).
• Women who undergo regular mammography screenings (see above).
• Women with a personal history of breast cancer.
• Women who are unable to give informed consent (e.g. mentally incapacitated).
• Women who have requested to be excluded from the study.

Sponsors & Collaborators

• National University Health System, Singapore: lead

Study Sites (1)

Multiple General Practitioner Clinics in Singapore

Singapore, Singapore, Singapore

Location

MeSH Terms

Interventions

Counseling

Intervention Hierarchy (Ancestors)

Mental Health Services; Behavioral Disciplines and Activities; Community Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Mark Chen, PhD

  NUHS

  PRINCIPAL INVESTIGATOR

• Fong Seng Lim, M.Med

  NUHS

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 31, 2014
• First Posted: April 9, 2014
• Study Start: February 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: September 30, 2016

Record last verified: 2016-09

Locations

SG (1)