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Biomedical subjects

J P Fulton

Publications and source records attributed to J P Fulton.

At least 55 records · Page 3Linked to original sources
PubMed1993

Women's decision making about mammography: a replication of the relationship between stages of adoption and decisional balance.

The motivational and cognitive processes of behavior change in the area of screening mammography were investigated. A total of 676 women, 40 to 79 years old, were recruited for telephone interview through random selection from designated census tracts and were asked questions that assessed mammography stage-of-adoption and decisional balance constructs from the trans-theoretical model of behavior change. Two definitions of stage of adoption were used. Analysis of covariance showed that a history of regular screening and an intention to continue having the exam were associated with a more favorable decisional balance. Results replicated a prior investigation and demonstrated the usefulness of stage of adoption and decisional balance as guides for designing stage-matched interventions to increase rates of mammography.

Adult↗
PubMed1992

The Breast Cancer Screening Program in Rhode Island.

The Rhode Island Department of Health has undertaken a Breast Cancer Screening Program which incorporates assessment, policy development, and assurance functions, following the model proposed in the Institute of Medicine (IOM) report, The Future of Public Health. With the community's help, projects have been implemented to increase screening capacity with dedicated, state-of-the-art equipment, to increase screening accessibility, to publicize the need for mammography, and to minimize false test results. In the program's first 15 months, the proportion of women ages 40 and over who were screened with mammography according to current guidelines increased from 35 to 46 percent (from 38 to 49 percent among women ages 40-49; from 31 to 43 percent among women ages 50 and over), including 15 percent who received their first screening mammogram. Providers' recommendations and knowledge of screening guidelines were important in explaining first-time use. The Department plans to apply the IOM model in other program areas. Its adoption by others is urged.

Adult↗
PubMed1990

Cancer control in Rhode Island: blueprint for the 1990s.

Rhode Island has one of the highest cancer mortality rates in the nation. In an average year, about 5000 new cancers are reported to the Rhode Island Cancer Registry, and more than 2300 Rhode Islanders succumb to the disease. In response to this problem the Rhode Island Department of Health assembled cancer experts from around the state to plan priority cancer control activities for the 1990s. Their plan for 1990-1992 is the subject of this report. Five cancers were selected as the foci of cancer control activities: cancers of the lung, colon-rectum, breast, cervix, and oral cavity. The plan proposes prevention, screening, and treatment interventions to reduce morbidity and mortality from these diseases. Rhode Islanders will have to work together to achieve the 33% reduction in cancer mortality proposed as a goal for the year 2000. Surveillance suggests progress on some fronts, but marching in place on others.

Adolescent↗
PubMed1990

Mammography referral patterns among Rhode Island physicians.

In 1987, the Rhode Island Department of Health conducted a survey of Rhode Island primary care physicians to determine their attitudes and practices regarding breast cancer screening, particularly their use of clinical breast exam (CBE) and referral for screening mammography, and compared the data with information obtained from primary care physicians in the US in 1984 and 1989. The survey showed that the same percentage of Rhode Island physicians (71%) and physicians nationally (72%) agree with American Cancer Society (ACS) guidelines for breast cancer screening, but Rhode Island physicians refer for mammography (43 vs 37%) and perform CBE (97 vs 80%) according to ACS guidelines more frequently. Cost, reliability and availability were of greater concern to physicians nationally than in Rhode Island. Despite better use of breast cancer screening by Rhode Island physicians, only 43% reported referring for mammography according to guidelines. Since studies indicate that the recommendation of her physician is a key determinant of a woman's decision to have a screening mammogram, physician referral needs to increase in order to meet the Year 2000 Objectives of 80% for screening mammography for women 40 and older.

Adult↗