Increasing screening mammography among predominantly Spanish speakers at a federally qualified health center using a brief previsit video

• We conducted a quasi-randomized controlled trial of a video intervention on screening mammogram referrals and completion.
• Our study population was largely Spanish-speaking from 2 federally qualified health centers.
• The intervention group had higher rates of mammogram referrals and completions.

ObjectiveAssess the impact of a 5 min video on screening mammogram referrals and completion.MethodsWe recruited women ages 40 years or older without a current mammogram at a federally qualified community health center (FQHC). Women were assigned to the intervention or usual care. Immediately prior to their appointments, women in the intervention group viewed a brief video that included a demonstration of how patients may request a mammogram referral. All women completed a pre- and post-visit telephone survey about knowledge of breast cancer screening and patient activation.ResultsMean age was 52 years, 50% had less than a high school education and 75% preferred Spanish. The proportion of mammogram referrals in the intervention group was significantly higher than the control group, 37% vs. 15%, respectively (p < 0.01). Similarly, the intervention group had a higher proportion of completed mammograms, 33% vs. 13% (p < 0.02). There were no differences in breast cancer knowledge or patient activation between the intervention and control groups.ConclusionsA brief, pre-visit video significantly increased screening mammography referrals and completion in this mostly Spanish-speaking FQHC population.Practice implicationsOur intervention demonstrates the effectiveness of a brief-video intervention in a population with low education and low English language proficiency.