{"doi":"10.1016/j.pecinn.2023.100132","title":"Clinician and patient perspectives on screening mammography among women age 75 and older: A pilot study of a novel decision aid","abstract":"Objective: Supporting patient-clinician communication is key to implementing tailored, risk-based screening for older adults. Objectives of this multiphase mixed methods study were to identify factors that primary care clinicians consider influential when making screening mammography recommendations for women ≥ 75 years, develop a patient decision aid that incorporates these factors, and gather feasibility and acceptability from the patients' perspective. Methods: Clinicians from a Mid-Atlantic practice network completed online surveys. Women in the same network completed surveys before and after receiving a tailored booklet that included information about the benefits and harms of screening for women ≥ 75 years, a breast cancer risk-estimate, and a question prompt list to support patient-clinician communication. Results: Clinicians (N = 21) were primarily women [57.1%] and practiced family medicine [81.0%]. They cited patients' age ≥ 75 years [95.4%], comorbidity [86.4%], functional status [77.3%], cancer family history [63.6%], U.S. Preventive Services Task Force guidelines [81.8%] and new research [77.3%] as factors influencing their recommendations. Fourteen women completed baseline surveys and received personalized decision aids (Mean age = 79.1 years). Eleven completed the post-intervention survey. All were satisfied with the booklet length, 81.8% found the booklet easy to understand and 72.7% helpful in decision-making Perceived lifetime breast cancer risk decreased significantly from pre- to post-intervention (p = 0.02). Conclusions: Results suggest this decision aid, which incorporates key decisional factors from the clinician's perspective, is feasible and acceptable to patients. Innovation: A tailored decision aid booklet is innovative as it provides information on personalized risk and potential benefits and harms to older women considering screening.","journal":"PEC Innovation","year":2023,"id":350775,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9584,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":952319,"name":"Anthony Chicaiza","orcid":"0000-0002-7336-4070","position":1,"is_corresponding":false},{"id":1095147,"name":"Katherine Lopez","orcid":"0000-0003-1735-4852","position":2,"is_corresponding":false},{"id":419692,"name":"Kenneth W. Lin","orcid":"0000-0002-0490-4002","position":3,"is_corresponding":false},{"id":1095148,"name":"Ranit Mishori","orcid":"0000-0002-4292-0580","position":4,"is_corresponding":false},{"id":882350,"name":"Shama D. Karanth","orcid":"0000-0001-5371-6908","position":5,"is_corresponding":false},{"id":330409,"name":"Stephen D. Anton","orcid":null,"position":6,"is_corresponding":false},{"id":525775,"name":"Kristen Miller","orcid":"0000-0002-8991-2342","position":7,"is_corresponding":false},{"id":344265,"name":"Mara A. Schonberg","orcid":"0000-0001-5162-5922","position":8,"is_corresponding":false},{"id":1049700,"name":"Nancy L. Schoenborn","orcid":"0000-0001-5053-5132","position":9,"is_corresponding":false},{"id":441923,"name":"Suzanne C. O’Neill","orcid":"0000-0001-9942-6041","position":10,"is_corresponding":false},{"id":48301,"name":"Dejana Braithwaite","orcid":"0000-0001-8376-5903","position":0,"is_corresponding":true}],"reference_count":56,"raw_metadata":null,"created_at":"2026-07-19T01:12:37.409066Z","pmid":"37124453","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}