<\/p>\n\n\n
Ib\u00e1\u00f1ez-Sanz G, Garcia M, Mil\u00e0 N, Hubbard RA, Vidal C, Binefa G, Benito L, Moreno V, on Colorectal Cancer Screening in Adverse Effects Catalonia (EACC) Study Working Group. <\/p>
False-Positive Results in a Population-Based Colorectal Screening Program: Cumulative Risk from 2000 to 2017 with Biennial Screening<\/a>. Journal Article<\/span> <\/p>Cancer Epidemiol Biomarkers Prev. <\/span>2019<\/span>;28<\/span>:1909\u20131916<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31488415,\r\ntitle = {False-Positive Results in a Population-Based Colorectal Screening Program: Cumulative Risk from 2000 to 2017 with Biennial Screening},\r\nauthor = {Ib\u00e1\u00f1ez-Sanz G and Garcia M and Mil\u00e0 N and Hubbard RA and Vidal C and Binefa G and Benito L and Moreno V and Adverse Effects on Colorectal Cancer Screening in Catalonia (EACC) Study Working Group},\r\ndoi = {10.1158\/1055-9965.EPI-18-1368},\r\nissn = {1538-7755},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {Cancer Epidemiol Biomarkers Prev},\r\nvolume = {28},\r\nnumber = {11},\r\npages = {1909--1916},\r\nabstract = {BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Cancer Epidemiol Biomarkers Prev. <\/span>2019<\/span>;28<\/span>:1909\u20131916<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31488415,\r\ntitle = {False-Positive Results in a Population-Based Colorectal Screening Program: Cumulative Risk from 2000 to 2017 with Biennial Screening},\r\nauthor = {Ib\u00e1\u00f1ez-Sanz G and Garcia M and Mil\u00e0 N and Hubbard RA and Vidal C and Binefa G and Benito L and Moreno V and Adverse Effects on Colorectal Cancer Screening in Catalonia (EACC) Study Working Group},\r\ndoi = {10.1158\/1055-9965.EPI-18-1368},\r\nissn = {1538-7755},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {Cancer Epidemiol Biomarkers Prev},\r\nvolume = {28},\r\nnumber = {11},\r\npages = {1909--1916},\r\nabstract = {BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31488415,\r\ntitle = {False-Positive Results in a Population-Based Colorectal Screening Program: Cumulative Risk from 2000 to 2017 with Biennial Screening},\r\nauthor = {Ib\u00e1\u00f1ez-Sanz G and Garcia M and Mil\u00e0 N and Hubbard RA and Vidal C and Binefa G and Benito L and Moreno V and Adverse Effects on Colorectal Cancer Screening in Catalonia (EACC) Study Working Group},\r\ndoi = {10.1158\/1055-9965.EPI-18-1368},\r\nissn = {1538-7755},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {Cancer Epidemiol Biomarkers Prev},\r\nvolume = {28},\r\nnumber = {11},\r\npages = {1909--1916},\r\nabstract = {BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid31488415,\r\ntitle = {False-Positive Results in a Population-Based Colorectal Screening Program: Cumulative Risk from 2000 to 2017 with Biennial Screening},\r\nauthor = {Ib\u00e1\u00f1ez-Sanz G and Garcia M and Mil\u00e0 N and Hubbard RA and Vidal C and Binefa G and Benito L and Moreno V and Adverse Effects on Colorectal Cancer Screening in Catalonia (EACC) Study Working Group},\r\ndoi = {10.1158\/1055-9965.EPI-18-1368},\r\nissn = {1538-7755},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {Cancer Epidemiol Biomarkers Prev},\r\nvolume = {28},\r\nnumber = {11},\r\npages = {1909--1916},\r\nabstract = {BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>BACKGROUND: The aim of this study was to estimate the cumulative risk of a false-positive (FP) result in a fecal occult blood test (FOBT) through 7 screening rounds and to identify its associated factors in a population-based colorectal cancer screening program.nnMETHODS: Retrospective cohort study, which included participants ages 50 to 69 years of a colorectal cancer screening program in Catalonia, Spain. During this period, 2 FOBTs were used (guaiac and immunochemical). A discrete-time survival model was performed to identify risk factors of receiving a positive FOBT with no high-risk adenoma or colorectal cancer in the follow-up colonoscopy. We estimated the probability of having at least 1 FP over 7 screening rounds.nnRESULTS: During the period of 2000 to 2017, the cumulative FP risk was 16.3% (IC: 14.6%-18.3%), adjusted by age, sex, and type of test. The median number of screens was 2. Participants who began screening at age 50 years had a 7.3% [95% confidence interval (CI), 6.35-8.51] and a 12.4% (95% CI, 11.00-13.94) probability of an FP with 4 screening rounds of guaiac-based test and immunochemical test, respectively. Age, the fecal immunochemical test, first screening, and number of personal screens were factors associated with an FP result among screenees.nnCONCLUSIONS: The cumulative risk of an FP in colorectal screening using FOBT seems acceptable as the colonoscopy, with its high accuracy, lengthens the time until additional colorectal screening is required, while complication rates remain low.nnIMPACT: It is useful to determine the cumulative FP risk in cancer screening for both advising individuals and for health resources planning.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1158\/1055-9965.EPI-18-1368<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Coudray C, Palmer R, Frazier P. <\/p>Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Coudray C, Palmer R, Frazier P. <\/p>
Moderators of the efficacy of a web-based stress management intervention for college students<\/a>. Journal Article<\/span> <\/p>J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
J Couns Psychol. <\/span>2019<\/span>;66<\/span>:747\u2013754<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid30998054,\r\ntitle = {Moderators of the efficacy of a web-based stress management intervention for college students},\r\nauthor = {Coudray C and Palmer R and Frazier P},\r\ndoi = {10.1037\/cou0000340},\r\nissn = {0022-0167},\r\nyear = {2019},\r\ndate = {2019-11-01},\r\njournal = {J Couns Psychol},\r\nvolume = {66},\r\nnumber = {6},\r\npages = {747--754},\r\nabstract = {High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>High levels of stress are common among college students. Web-based interventions may be one way to teach students stress management skills. Although previous research has demonstrated the overall efficacy of web-based stress management interventions, little attention has been paid to who might benefit most from these interventions. In this study, we analyzed data from 3 prior studies ( = 782) to examine moderators of the efficacy of a web-based stress management intervention that focused on increasing perceived present control (i.e., aspects of stressors that are controllable in the present). Specific moderators assessed in regression analyses were baseline scores on outcome measures (perceived stress, stress symptoms, anxiety, depression) and the putative mechanism (perceived present control) of the intervention. Baseline symptom levels moderated the effects of the intervention on all outcomes, such that the intervention was more effective for students with more baseline symptoms. Baseline levels of present control had less consistent moderating effects, but significant interactions indicated that the intervention was more effective for those with lower levels of present control. The novel Johnson-Neyman technique was used to identify specific cutoff scores on these measures, below which the effect of the intervention was not significant, and scores on the measures associated with varying effect sizes. Findings from the Johnson-Neyman analyses can inform the development of screening criteria for future research and clinical application. Because the intervention was more effective for students with higher levels of baseline distress, it may be better suited for an indicated rather than universal prevention approach. (PsycINFO Database Record (c) 2019 APA, all rights reserved).<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1037\/cou0000340<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Rom\u00e1n M, Sala M, Bar\u00e9 M, Posso M, Vidal C, Louro J, S\u00e1nchez M, Pe\u00f1alva L, Castells X, study BELE group. <\/p>
Changes in mammographic density over time and the risk of breast cancer: An observational cohort study<\/a>. Journal Article<\/span> <\/p>Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Breast. <\/span>2019<\/span>;46<\/span>:108\u2013115<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid31132476,\r\ntitle = {Changes in mammographic density over time and the risk of breast cancer: An observational cohort study},\r\nauthor = {Rom\u00e1n M and Sala M and Bar\u00e9 M and Posso M and Vidal C and Louro J and S\u00e1nchez M and Pe\u00f1alva L and Castells X and BELE study group},\r\ndoi = {10.1016\/j.breast.2019.04.007},\r\nissn = {1532-3080},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {Breast},\r\nvolume = {46},\r\npages = {108--115},\r\nabstract = {BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>BACKGROUND: The effect of changes in mammographic density over time on the risk of breast cancer remains inconclusive.nnMETHODS: We used information from four centres of the Breast Cancer Screening Program in Spain in the period 1996-2015. We analysed individual level data from 117,388 women first screened age 50-54, with at least two screening examinations. Breast density was determined using the BI-RADS classification (A to D in increasing order) at earliest and latest screening examination. Adjusted Poisson regression models were used to estimate the relative risk (RR) and 95% confidence intervals (95%CI) of the association between changes in mammographic density and breast cancer risk over time.nnRESULTS: During an average 5.8 years of follow-up, 1592 (1.36%) women had a breast cancer diagnosis. An increase in density category increased breast cancer risk, and a decrease in density decreased the risk, compared with women who remained in the same BI-RADS category. Women whose density category increased from B to C or B to D had a RR of 1.55 (95%CI\u202f=\u202f1.24-1.94) and 2.32 (95%CI\u202f=\u202f1.48-3.63), respectively. The RR for women whose density increased from C to D was 1.51 (95%CI\u202f=\u202f1.03-2.22). Changes in BI-RADS density were similarly associated with the risk for invasive cancer than for ductal carcinoma in situ.nnCONCLUSIONS: Although a modest proportion of women changed BI-RADS density category, mammographic density changes modulated the risk of breast cancer and identified women at a differential risk. Using two longitudinal measures of BI-RADS density could help target women for risk-based screening strategies.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.breast.2019.04.007<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Buckland G, Travier N, Arribas L, Del Barco S, Pernas S, Zamora E, Bellet M, Cirauqui B, Margel\u00ed M, Mu\u00f1oz M, Tusquets I, Arcusa A, Javierre C, Moreno F, Valverde Y, Jansen E, Chaj\u00e8s V, Castro C, Agudo A. <\/p>
Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial<\/a>. Journal Article<\/span> <\/p>J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
J Hum Nutr Diet. <\/span>2019<\/span>;32<\/span>:468\u2013479<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid30663156,\r\ntitle = {Changes in dietary intake, plasma carotenoids and erythrocyte membrane fatty acids in breast cancer survivors after a lifestyle intervention: results from a single-arm trial},\r\nauthor = {Buckland G and Travier N and Arribas L and Del Barco S and Pernas S and Zamora E and Bellet M and Cirauqui B and Margel\u00ed M and Mu\u00f1oz M and Tusquets I and Arcusa A and Javierre C and Moreno F and Valverde Y and Jansen E and Chaj\u00e8s V and Castro C and Agudo A},\r\ndoi = {10.1111\/jhn.12621},\r\nissn = {1365-277X},\r\nyear = {2019},\r\ndate = {2019-08-01},\r\njournal = {J Hum Nutr Diet},\r\nvolume = {32},\r\nnumber = {4},\r\npages = {468--479},\r\nabstract = {BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>BACKGROUND: The influence of nutrition on breast cancer prognosis is still inconclusive and therefore dietary interventions incorporating dietary biomarkers are needed to confirm compliance with dietary goals and clarify biological mechanisms. The present study assessed whether a lifestyle intervention in breast cancer survivors could affect dietary biomarkers of fruit and vegetables and fatty acids.nnMETHODS: In this phase II single-arm trial, 37 overweight\/obese early stage breast cancer patients completed a 12-week diet and exercise intervention. The intervention involved 1-h weekly diet sessions delivered by a dietician and 75-min bi-weekly physical activity sessions of moderate-to-high intensity led by trained monitors. Before and after the intervention, three 24-h dietary recalls were carried out to calculate nutrient intakes and, in addition, blood samples were taken to measure plasma carotenoids, vitamin E and retinol concentrations and erythrocyte membrane fatty acid (EFA) composition. Wilcoxon signed rank tests were used to assess changes in dietary and biomarkers measurements over the intervention period.nnRESULTS: After the intervention, there was a significant increase in the intake of dietary carotenoids (+15.1% compared to baseline) but not plasma carotenoids levels (+6.3%). Regarding the EFA levels, we observed a significant decrease in percentage of saturated fatty acids (-1.4%) and n-6 polyunsaturated fatty acids (-2.9%) and an increase in monounsaturated fatty acids (1.7%) and total and long-chain n-3 polyunsaturated fatty acids (by 13.1% and 13.7%, respectively). A favourable decrease in the ratio of long-chain n-6 to n-3 polyunsaturated fatty acids (-9.1%) was also observed.nnCONCLUSIONS: After a short-term diet and exercise intervention in overweight\/obese breast cancer survivors, we observed significant changes in dietary nutrients and fatty acid biomarkers, suggesting positive dietary changes that could be relevant for breast cancer prognosis.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1111\/jhn.12621<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Toribio MJ, Lope V, Castell\u00f3 A, Salas D, Vidal C, Ascunce N, Santamari\u00f1a C, Moreo P, Pedraz-Pingarr\u00f3n C, S\u00e1nchez-Contador C, Aragon\u00e9s N, P\u00e9rez-G\u00f3mez B, Poll\u00e1n M. <\/p>
Prevalence of healthy lifestyles against cancer in Spanish women<\/a>. Journal Article<\/span> <\/p>Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Sci Rep. <\/span>2019<\/span>;9<\/span>:10638<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid31337864,\r\ntitle = {Prevalence of healthy lifestyles against cancer in Spanish women},\r\nauthor = {Toribio MJ and Lope V and Castell\u00f3 A and Salas D and Vidal C and Ascunce N and Santamari\u00f1a C and Moreo P and Pedraz-Pingarr\u00f3n C and S\u00e1nchez-Contador C and Aragon\u00e9s N and P\u00e9rez-G\u00f3mez B and Poll\u00e1n M},\r\ndoi = {10.1038\/s41598-019-47180-x},\r\nissn = {2045-2322},\r\nyear = {2019},\r\ndate = {2019-07-01},\r\njournal = {Sci Rep},\r\nvolume = {9},\r\nnumber = {1},\r\npages = {10638},\r\nabstract = {Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>Modifying behavior towards healthier lifestyles could prevent a significant number of malignant tumors. We evaluated the prevalence of healthy habits against cancer in Spanish women free of this disease, taking as a reference the recommendations for cancer prevention included in the European Code Against Cancer (ECAC), and we explored the characteristics associated with it. Our population comprised 3,584 women recruited in a population-based cross-sectional study carried out in 7 breast cancer screening programs. Information was directly surveyed and used to calculate a score based on ECAC recommendations referred to bodyweight, physical activity, diet, breastfeeding, tobacco, alcohol and hormone replacement therapy use. The degree of adherence was estimated with a score that evaluated null (0 points), partial (0.5 points) and full adherence (1 point) of each specific recommendation. Associations were explored using binary and ordinal logistic regression models. The median score was 5.7 out of 9 points. Recommendations with lower adherence were those related to intake of red\/processed meat and foods high in salt (23% of total adherence), physical activity (24%) and body weight (29%), and recommendations with greater adherence where those related to hormone replacement therapy use (91%), vegetable intake (84%), alcohol (83%) and tobacco (61%). Overall adherence was better among older women, parous women, and in those living in rural areas, and worse among women with higher caloric intake. These recommendations should be evaluated periodically. Screening programs can be an appropriate place to disseminate this information.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1038\/s41598-019-47180-x<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Travier N, Vidal C, Garcia M, Benito L, Medina P, Moreno V. <\/p>
Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
J Med Syst. <\/span>2019<\/span>;43<\/span>:244<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid31236712,\r\ntitle = {Communication Channels Used by Women to Contact a Population-Based Breast Cancer Screening Program in Catalonia, Spain},\r\nauthor = {Travier N and Vidal C and Garcia M and Benito L and Medina P and Moreno V},\r\ndoi = {10.1007\/s10916-019-1382-6},\r\nissn = {1573-689X},\r\nyear = {2019},\r\ndate = {2019-06-01},\r\njournal = {J Med Syst},\r\nvolume = {43},\r\nnumber = {8},\r\npages = {244},\r\nabstract = {Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and\/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69\u00a0years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1007\/s10916-019-1382-6<\/a><\/li><\/ul><\/div>Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/div><\/div> Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Stoffel S, Benito L, Mil\u00e0 N, Travier N, Binefa G, Vidal C, Espinosa J, Moreno V, Garcia M. <\/p>
Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain<\/a>. Journal Article<\/span> <\/p>Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Prev Med. <\/span>2019<\/span>;119<\/span>:58\u201362<\/span>.<\/p>Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Abstract<\/a><\/span> | Links<\/a><\/span> | BibTeX<\/a><\/span> | Etiquetes: <\/span><\/p>@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
@article{pmid30594532,\r\ntitle = {Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia, Spain},\r\nauthor = {Stoffel S and Benito L and Mil\u00e0 N and Travier N and Binefa G and Vidal C and Espinosa J and Moreno V and Garcia M},\r\ndoi = {10.1016\/j.ypmed.2018.12.013},\r\nissn = {1096-0260},\r\nyear = {2019},\r\ndate = {2019-02-01},\r\njournal = {Prev Med},\r\nvolume = {119},\r\npages = {58--62},\r\nabstract = {The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.},\r\nkeywords = {},\r\npubstate = {published},\r\ntppubtype = {article}\r\n}\r\n<\/pre><\/div>Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div>The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69\u202fyears. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38-0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned.<\/div>Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>
Close<\/a><\/p><\/div><\/i>doi:10.1016\/j.ypmed.2018.12.013<\/a><\/li><\/ul><\/div>