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The LHAs are one of the initiative's most innovative north carolina central university elements. "Our outcome evaluation suggests that our LHA intervention -- probably supplemented with our Access and InReach interventions -- made a difference in the number of older African-American women who actually got mammograms in the past two years," reports principal north carolina central university investigator Jo Anne Earp, professor north carolina central university and chair of the department of health behavior and health education. The initiative was most successful with poor women in households with family income under $12,000, and this group is generally the most difficult to reach. Moving forward, NC-BCSP is developing a brochure on abnormal mammogram results for use by LHAs, recruiting more primary care physicians for practice-based research, organizing support for those undergoing treatment and the first breast cancer survivors group for African-Americans in eastern North Carolina, and continuing to analyze the program's effectiveness and cost-effectiveness.
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