Developing a website to help doctors discuss mammography with older women
Testing a Conversation Aid on Mammography Screening for Clinicians and Women 75 and Older in Practice
This study is testing a new website to help doctors talk with women aged 75 and older about the pros and cons of mammograms.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 157 (estimated) |
| Ages | 75 Years to 89 Years |
| Sex | Female |
| Sponsor | Beth Israel Deaconess Medical Center Academic / other |
| Locations | 1 site (Boston, Massachusetts) |
| Trial ID | NCT06011434 on ClinicalTrials.gov |
What this trial studies
This research aims to create and evaluate a web-based conversation aid designed to assist primary care providers in discussing the benefits and drawbacks of mammography screening with women aged 75 and older. The study will involve 36 primary care providers and 8 medical assistants who will engage with approximately 190 patients and their family members over a period of four months. Participants will undergo screening for eligibility, complete questionnaires, and attend clinic visits to assess the effectiveness of the conversation aid in facilitating shared decision-making regarding mammography. The study is supported by the National Institute on Aging.
Who should consider this trial
Good fit: Ideal candidates for this study are English-speaking women aged 75 to 89 who are contemplating their next mammogram.
Not a fit: Patients who have a history of invasive or non-invasive breast cancer or have had an abnormal last mammogram may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance shared decision-making in mammography screening for older women, leading to more informed healthcare choices.
How similar studies have performed: Other studies have shown success in using decision aids for shared decision-making in healthcare, indicating a promising approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Participant Inclusion Criteria: * English-speaking * Aged 75 - 89 years * Seen by an attending-level (non-resident) seen at the recruitment practices who have the -Ability and willingness to provide verbal consent. Participant Family Members Inclusion Criteria: * Family member of patient that has agreed to participate in the study * Age \>18 * English speaking * Ability and willingness to provide verbal consent Primary Care Provider Inclusion Criteria: * Non-resident physician, nurse practitioner, or physician assistant -\>18 years old * English speaking * Cares for a panel of patients that includes women \>75 years at one of the recruitment practices * Ability and willingness to provide verbal consent Participant Exclusion Criteria: * Last mammogram \<6 or \>30 months (so that participants may be contemplative of their next mammogram) * History of dementia * Incapacity for informed consent * History of invasive or non-invasive breast cancer * Last mammogram was abnormal * Non-English speaking * Already chose to stop being screened (documented in medical records or scores of 1-3 \[do not intend to be screened\] on a validate 15 point intentions to be screened scale.) * PCP unwilling to have patient participate * In hospice * PCP not willing to participate * Psychiatric illness situations that would limit compliance with study requirements Participant Family Member Exclusion Criteria: * Age \<18 * Non-English speaking * Psychiatric illness situations that would limit compliance with study requirements Primary Care Provider Exclusion Criteria: * Resident physician * Psychiatric illness situations that would limit compliance with study requirements
Where this trial is running
Boston, Massachusetts
- Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States (Recruiting)
Study contacts
- Principal investigator: Mara Schonberg, MD, MPH — Beth Israel Deaconess Medical Center
- Study coordinator: Mara Schonberg, MD, MPH
- Email: mschonbe@bidmc.harvard.edu
- Phone: 617-754-1414
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.