This study promotes informed choice for breast cancer screening in women between the ages of 39 and 49. Mammography is a type of radiography used specifically to examine breast tissue. The procedure utilizes a low dose of x-rays or radiation to generate an image. A mammography exam or mammogram is used as a screening tool to detect early breast cancer in women experiencing no symptoms and to detect and diagnose breast disease. Researchers want to learn more about individuals' reactions to evidence about breast cancer screening with mammography, including benefits and harms. Researchers also hope to identify how this information informs conversations with a health care provider about deciding when to receive mammography.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT05838417.
PRIMARY OBJECTIVES:
I. Identify the prevalence and predictors REDS (Reactance [i.e. perceived manipulation or influence, e.g. “this is trying to ration healthcare”], self-Exemption [e.g., “this doesn’t apply to me”], Disbelief [e.g., “you can’t believe all the research anyway”], and Source derogation [e.g., “I don’t trust this source”]), in reaction to evidence about mammography benefits and harms, and consequences for decision-making and trust.
II. Identify how women’s evaluations of the evidence predict conversations with a primary care provider and how evaluations of the evidence change over time.
IIa. Identify how women react to the new USPSTF breast cancer screening guidelines, to determine what information about the harms and benefits of screening women now wish to receive in light of this change, and to evaluate how to more effectively communicate about the harms and benefits of screening to the public.
OUTLINE: This is an observational study.
Participants complete surveys and have their electronic medical records reviewed throughout the study. Participants may optionally participate in a focus group during follow-up.
Trial PhaseNo phase specified
Trial Typehealth services research
Lead OrganizationUCHealth University of Colorado Hospital
Principal InvestigatorLaura Scherer