Mammography decision aid reduces decisional conflict for women in their forties considering screening

Karen Eden, Paula Scariati, Krystal Klein, Lindsey Watson, Mark Remiker, Michelle Hribar, Vanessa Forro, LeAnn Michaels, Heidi Nelson

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study. Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening. Women aged 40-49 years who were patients of rural primary care clinics, had no major risk factors for breast cancer, and no mammography during the previous year were invited to use the decision aid. Twenty women participated in pretesting of the decision aid and 75 additional women completed the before-after study. The primary outcome was decisional conflict measured before and after using Mammopad. Secondary outcomes included decision self-efficacy and intention to begin or continue mammography screening. Differences comparing measures before versus after use were determined using Wilcoxon signed rank tests. Results: After using Mammopad, women reported reduced decisional conflict based on mean Decisional Conflict Scale scores overall (46.33 versus 8.33; Z = -7.225; p <0.001) and on all subscales (p <0.001). Women also reported increased mean Decision Self-Efficacy Scale scores (79.67 versus 95.73; Z = 6.816, p <0.001). Although 19% of women changed their screening intentions, this was not statistically significant. Conclusions: Women reported less conflict about their decisions for mammography screening, and felt more confident to make decisions after using Mammopad. This approach may help guide women through the decision making process to determine personalized screening choices that are appropriate for them.

Original languageEnglish (US)
Pages (from-to)1013-1020
Number of pages8
JournalJournal of Women's Health
Volume24
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Decision Support Techniques
Mammography
Self Efficacy
Mobile Applications
Breast Neoplasms
Conflict (Psychology)
Nonparametric Statistics
Primary Health Care
Decision Making
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mammography decision aid reduces decisional conflict for women in their forties considering screening. / Eden, Karen; Scariati, Paula; Klein, Krystal; Watson, Lindsey; Remiker, Mark; Hribar, Michelle; Forro, Vanessa; Michaels, LeAnn; Nelson, Heidi.

In: Journal of Women's Health, Vol. 24, No. 12, 01.12.2015, p. 1013-1020.

Research output: Contribution to journalArticle

Eden, Karen ; Scariati, Paula ; Klein, Krystal ; Watson, Lindsey ; Remiker, Mark ; Hribar, Michelle ; Forro, Vanessa ; Michaels, LeAnn ; Nelson, Heidi. / Mammography decision aid reduces decisional conflict for women in their forties considering screening. In: Journal of Women's Health. 2015 ; Vol. 24, No. 12. pp. 1013-1020.
@article{fcac5fecb90146388c2b6615a6ac145b,
title = "Mammography decision aid reduces decisional conflict for women in their forties considering screening",
abstract = "Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study. Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening. Women aged 40-49 years who were patients of rural primary care clinics, had no major risk factors for breast cancer, and no mammography during the previous year were invited to use the decision aid. Twenty women participated in pretesting of the decision aid and 75 additional women completed the before-after study. The primary outcome was decisional conflict measured before and after using Mammopad. Secondary outcomes included decision self-efficacy and intention to begin or continue mammography screening. Differences comparing measures before versus after use were determined using Wilcoxon signed rank tests. Results: After using Mammopad, women reported reduced decisional conflict based on mean Decisional Conflict Scale scores overall (46.33 versus 8.33; Z = -7.225; p <0.001) and on all subscales (p <0.001). Women also reported increased mean Decision Self-Efficacy Scale scores (79.67 versus 95.73; Z = 6.816, p <0.001). Although 19{\%} of women changed their screening intentions, this was not statistically significant. Conclusions: Women reported less conflict about their decisions for mammography screening, and felt more confident to make decisions after using Mammopad. This approach may help guide women through the decision making process to determine personalized screening choices that are appropriate for them.",
author = "Karen Eden and Paula Scariati and Krystal Klein and Lindsey Watson and Mark Remiker and Michelle Hribar and Vanessa Forro and LeAnn Michaels and Heidi Nelson",
year = "2015",
month = "12",
day = "1",
doi = "10.1089/jwh.2015.5256",
language = "English (US)",
volume = "24",
pages = "1013--1020",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "12",

}

TY - JOUR

T1 - Mammography decision aid reduces decisional conflict for women in their forties considering screening

AU - Eden, Karen

AU - Scariati, Paula

AU - Klein, Krystal

AU - Watson, Lindsey

AU - Remiker, Mark

AU - Hribar, Michelle

AU - Forro, Vanessa

AU - Michaels, LeAnn

AU - Nelson, Heidi

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study. Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening. Women aged 40-49 years who were patients of rural primary care clinics, had no major risk factors for breast cancer, and no mammography during the previous year were invited to use the decision aid. Twenty women participated in pretesting of the decision aid and 75 additional women completed the before-after study. The primary outcome was decisional conflict measured before and after using Mammopad. Secondary outcomes included decision self-efficacy and intention to begin or continue mammography screening. Differences comparing measures before versus after use were determined using Wilcoxon signed rank tests. Results: After using Mammopad, women reported reduced decisional conflict based on mean Decisional Conflict Scale scores overall (46.33 versus 8.33; Z = -7.225; p <0.001) and on all subscales (p <0.001). Women also reported increased mean Decision Self-Efficacy Scale scores (79.67 versus 95.73; Z = 6.816, p <0.001). Although 19% of women changed their screening intentions, this was not statistically significant. Conclusions: Women reported less conflict about their decisions for mammography screening, and felt more confident to make decisions after using Mammopad. This approach may help guide women through the decision making process to determine personalized screening choices that are appropriate for them.

AB - Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study. Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening. Women aged 40-49 years who were patients of rural primary care clinics, had no major risk factors for breast cancer, and no mammography during the previous year were invited to use the decision aid. Twenty women participated in pretesting of the decision aid and 75 additional women completed the before-after study. The primary outcome was decisional conflict measured before and after using Mammopad. Secondary outcomes included decision self-efficacy and intention to begin or continue mammography screening. Differences comparing measures before versus after use were determined using Wilcoxon signed rank tests. Results: After using Mammopad, women reported reduced decisional conflict based on mean Decisional Conflict Scale scores overall (46.33 versus 8.33; Z = -7.225; p <0.001) and on all subscales (p <0.001). Women also reported increased mean Decision Self-Efficacy Scale scores (79.67 versus 95.73; Z = 6.816, p <0.001). Although 19% of women changed their screening intentions, this was not statistically significant. Conclusions: Women reported less conflict about their decisions for mammography screening, and felt more confident to make decisions after using Mammopad. This approach may help guide women through the decision making process to determine personalized screening choices that are appropriate for them.

UR - http://www.scopus.com/inward/record.url?scp=84949968247&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84949968247&partnerID=8YFLogxK

U2 - 10.1089/jwh.2015.5256

DO - 10.1089/jwh.2015.5256

M3 - Article

C2 - 26360918

AN - SCOPUS:84949968247

VL - 24

SP - 1013

EP - 1020

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 12

ER -