Breast Cancer
Conditions
Brief summary
In order to better communicate personal risk of breast cancer to women who have not yet initiated breast cancer screening (mammography), The Annenberg School of Communication at the University of Pennsylvania has created a personal breast cancer screening decision aid tool. This tool will be pilot tested, and then implemented and tested in nine primary care and OB/GYN practices within the University of Pennsylvania Health System.
Detailed description
In order to better communicate personal risk of breast cancer to women who have not yet initiated breast cancer screening (mammography), The Annenberg School of Communication at the University of Pennsylvania has created a personal breast cancer screening decision aid tool. This tool incorporates questions about a women's personal history of breast cancer and compares her to the average women her age in terms of breast cancer risk. The tool helps the women to understand the benefits and risks of breast cancer screening. This tool will be pilot tested using SSI to help develop the final version of the decision aid tool. The decision aid tool will then be implemented and tested in nine general internal medicine, family medicine, and OB/GYN practices within the University of Pennsylvania Health System.
Interventions
BEHAVIORALBreast Cancer Screening Decision Aid
The intervention will include access to the personal decision aid tool for patients in the intervention arm of the study, determined by the randomized physician schedule and the patient's appointment time.
Sponsors
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
39 Years to 48 Years
Healthy volunteers
Yes
Inclusion criteria
* Women ages 39-48 * Patient of one of the nine primary care or OB/GYN practices that are participating in the study * Must have had an appointment at one of these locations in the past 24 months * Must have an appointment during the study period * Woman has not yet initiated breast cancer screening (no prior mammogram) * No history of breast cancer
Exclusion criteria
* Prior diagnosis of breast cancer * Major comorbidity that substantially affects their 10 year mortality * Non-English speaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mammography Use Correlated to Personal Risk of Breast Cancer | One year post-intervention | Medical charts of women in both the intervention and control groups of the study will be analyzed to determine if these women initiated breast cancer screening (mammography) correlated to their personal risk of breast cancer as displayed by the decision aid. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge, Worry, Regret, Decisional Conflict, Accuracy of Risk Perception | 6 weeks post-intervention | Six weeks after a women's appointment with their primary care or OB/GYN provider, they will receive a post-intervention survey which will assess knowledge, worry, satisfaction, numeracy, behavior, etc. |
Countries
United States
Outcome results
None listed