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Improving referral compliance after public cholesterol screening

Bibliographic Data

ID11040303
AuthorsL A Maiman, Wika Matana Nion, N G Hildreth, Ing Ir Andreas Triwiyono, C Cox (0009-0009-6784-9379), P Greenland
Year1992
Volume82
Issue6
Pages804-809
Publication date1992-06-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.82.6.804
OpenAlexW1316721
LanguageEN
Citations received3
References cited27

BACKGROUND. Noncompliance with referral to a physician for retesting and diagnosis is a concern in public cholesterol screening. METHODS. Participants (n = 2109) were referred by a health professional or lay communicator and randomly assigned to a coupon offer, referral reminder letter, or control group. A questionnaire was completed at screening, and a telephone interview was conducted 5 months later. RESULTS. Physician visit rates showed no professional or lay differences. For "no history" subjects, the behavioral interventions were effective compared with controls (coupon = 60.7% and reminder = 57.7% vs control = 46.1%). With professional counseling, only the coupon was effective; for lay counseling, both coupon and reminder yielded higher visit rates. Adjusted for sociodemographics, heart disease risk factors, and health perceptions, the intervention effects remained (professional-coupon offer: odds ratio [OR] = 1.94, 95% confidence interval [CI] = 1.21, 3.09; professional-reminder letter: OR = 1.04, 95% CI = 0.67, 1.63; lay-coupon offer: OR = 2.52, 95% CI = 1.52, 4.18; and lay-reminder letter: OR = 3.10, 95% CI = 1.83, 5.22). CONCLUSIONS. For unaware participants, lay counselors and referral follow-up efforts tailored to specific cholesterol risk groups are indicated

Nuclear chemistry · Physics · Chemistry · Geotechnical and construction materials studies

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Citations per year0.1
Citation span1995 - 2018 (24)
Highly citedNo

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