Breast Cancer Risk Reduction: A Patient Doctor Intervention

University of California, San Francisco1,235 enrolled

Overview

The proposed research combines the scientific advances in breast cancer research with health information technology (IT) to design a personalized intervention that assesses breast cancer risk for women, disseminates important breast health information, and facilitates discussion of breast cancer risk reduction practices. Our goal is to implement a tablet-PC (personal computer) based breast cancer risk education (BreastCare) intervention in the primary care setting that estimates a woman's individual risk for breast cancer and provides her and her physician with personalized breast cancer risk information and recommendations for action.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

1,235

Conditions

Breast Cancer

Interventions

Physician Report. At the time of an individual participant's visit to her primary care physician and her completion of the assessment tool, her physician will receive a physician report. The physician report is designed to facilitate communication about breast cancer risk during the primary care visit and to provide tailored risk reduction recommendations.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 74 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patient component: * Women who visit the General Internal Medicine (GIM) practices at SFGH and UCSF during the study period * Between the ages of 40 and 74 * Self-identify as Asian American, Spanish- and English-speaking Latinas, African American, or White * Have no history of breast cancer are eligible to participate. 2. Physician component: Primary care physicians currently practicing at the GIM clinics at SFGH and UCSF Exclusion Criteria: 1. Patient component: Women whose physicians object to their participation in the study 2. Physician component: No exclusion criteria for physicians

Locations (2)

San Francisco General Hospital (SFGH)

San Francisco, California, United States

University of California, San Francisco Mt. Zion campus

San Francisco, California, United States

Outcomes

Primary Outcomes

Knowledge of Breast Cancer Risk Factors

Risk knowledge was assessed using a post-survey. Participants could have scored 0-100 (with 0 meaning no correct answers, and 100 is all correct answers). This outcome was measured through a survey. Breast cancer risk knowledge was based on a series of eight questions in the survey. O

Time frame: one week post-initial visit (approximately one week)

Percentage of Participants With Correct Perception of Risk

This outcome was measured through a survey. Women were asked what they thought about their risk of getting breast cancer was compared to other women of the same age.

Time frame: baseline, one week post-initial visit (approximately one week)

Percentage of Participants Who Had a Discussion of Breast Cancer Risk

Self-reported discussion of breast cancer risk with physicians.

Time frame: one week post-initial visit (approximately one week)

Percentage of Participants Who Reported Discussion of Mammography Screening

Self reported discussion of mammography with physician.

Time frame: up to 14 months