Barriers to Screening Breast MRI Utilization Among Patients at Elevated Risk

Study Overview
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Brief Summary
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This study seeks to develop an explanatory framework for breast MRI utilization to inform future interventions. The Health Services Utilization Model (HSUM) will guide the selection of specific participant-level factors for examination, including predisposing characteristics (knowledge, health/cultural beliefs), enabling resources (social support, cost/insurance coverage), and perceived need (perceived susceptibility, provider recommendation).

Official Title
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Barriers to Screening Breast MRI Utilization Among Patients at Elevated Risk (B-SUPER)

Conditions
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Breast Cancer

Intervention / Treatment
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* Behavioral: Self-Report Survey
* Behavioral: Qualitative Interviews


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ability to speak/read English Within 2 years of last screening mammogram Pathogenic BRCA1/2 mutations OR estimated lifetime risk ≥20% per the National Cancer Institute (NCI) Breast Cancer Risk Assessment Tool (BCRAT) Exclusion Criteria: Women who have received a prior diagnosis of breast cancer

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Assessing Health Services Utilization Model (HSUM)<br>150 women with a high lifetime breast cancer risk will be recruited from mammography and primary care clinics. Researchers will assess HSUM factors influencing screening breast MRI utilization. Results will identify participant-level HSUM factors significantly associated with screening outcomes. | Behavioral: Self-Report Survey<br>* The self-report survey will be created using the Health Services Utilization Model (HSUM)<br>|
| Qualitative Interviews<br>Researchers will randomly select 30 participants from group 1 and will use semi-structured qualitive interviews exploring factors impacting utilization of screening breast MRI | Behavioral: Qualitative Interviews<br>* Researchers will randomly select 30 participants from group 1 and will use semi structured qualitive interviews exploring factors impacting utilization of screening breast MRI<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reporting receipt of MRI breast screening | Participant-reported receipt of screening breast MRI in the last 12 months | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reporting receipt of mammogram | Participant-reported receipt of breast cancer screening mammogram in the last 12 months | 12 months | 
| Reporting receipt of ultrasound | Participant-reported receipt of breast cancer screening ultrasound in the last 12 months | 12 months | 
| Reporting receipt of chemoprevention | Participant-reported receipt of chemoprevention in the last 12 months | 12 months | 
| Reporting receipt of genetic counseling/testing | Participant-reported receipt of genetic counseling/testing in the last 12 months | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pathogenic BRCA 1/2 Mutation