Patient Perception of Mammogram Guidelines

Study Overview
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Brief Summary
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The purpose of this study was to determine attitudes regarding the 2009 USPSTF Guidelines for breast cancer screening for women in their 40's and assess the effect of one of two newspaper articles on their attitudes. The population studied was women seeing their private gynecologist for annual exams in the 39-49 year old age group.

Detailed Description
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Subjects completed a baseline questionnaire listing demographics, previous experience with mammograms, and acquaintances with breast cancer. They then were randomly assigned one of two articles (one favorable and one unfavorable) that had been published in the newspaper regarding the USPSTF breast cancer screening guidelines. Their attitudes towards the safety of the guidelines and their willingness to comply with them was then measured.

Official Title
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Patient Perception of Mammogram Guidelines

Conditions
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Attitude, Practice Guideline, Breast Cancer

Intervention / Treatment
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* Other: read unfavorable article prior to answering questions
* Other: read favorable article prior to answering questions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women aged 39-49 seeing their gynecologist for routine preventive care Exclusion Criteria: women not aged 39-49 women with breast cancer women not able to read English

Ages Eligible for Study
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Minimum Age: 39 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Guideline unfavorable article<br> | Other: read unfavorable article prior to answering questions<br>* article title: Taking a hit on healthcare- why that's women's work<br>* Other names: Boston Globe, November 19, 2009; Section A17. Joan Vennochi.;|
| Active Comparator: Guideline favorable article<br> | Other: read favorable article prior to answering questions<br>* read A Backlash of Mistrust<br>* Other names: Washington Post; November 25, 2009. Ellen Goodman.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Willingness to forgo mammograms from age 40-49 |  | within 15 minutes of completion of reading assigned article | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Do you feel that the mammogram recommendations safe? |  | within 15 minutes of completion of reading assigned article | 
| Do attitudes regarding the breast cancer screening guidelines differ by acquaintance with breast cancer? |  | within 15 minutes of completion of reading assigned article | 
| Does willingness to forgo mammograms in their 40's differ by previous false alarms with mammography? |  | within 15 minutes of completion of reading assigned article | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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U.S. Preventive Services Task Force, Patient attitude, Mammogram, Guideline