PROSPR/PCIPS Project 3: Communication of Personalized Breast Cancer Risk

University of Pennsylvania1,302 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

1,302

Conditions

Breast Cancer

Interventions

Breast Cancer Screening Decision AidBEHAVIORAL

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.

Eligibility

Sex: FEMALEMin age: 39 YearsMax age: 48 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (9)

Edward S. Cooper Internal Medicine

Philadelphia, Pennsylvania, United States

Family Medicine St. Leonard's Court

Philadelphia, Pennsylvania, United States

Family Medicine

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Mammography Use Correlated to Personal Risk of Breast Cancer

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.

Time frame: One year post-intervention

Secondary Outcomes

Knowledge, Worry, Regret, Decisional Conflict, Accuracy of Risk Perception

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.

Time frame: 6 weeks post-intervention

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.