{"doi":"10.1111/jgs.19466","title":"Creating a Mammography Conversation Aid for Shared Decision‐Making Between Clinicians and Women Aged 75 and Older","abstract":"BACKGROUND: Guidelines recommend primary care practitioners (\"PCPs\") engage women ≥ 75 years in shared decision-making (SDM) around mammography screening. Therefore, we aimed to develop a web-based conversation aid about mammography screening for women ≥ 75 using output from established simulation models to provide screening outcomes based on > 23,000 combinations of individual women's health and breast cancer risk factors. METHODS: We used an end-user centered design approach to develop a prototype web-based conversation aid incorporating feedback. From July 2023 to April 2024, 10 PCPs from a Boston-area health system and a safety-net hospital used the prototype aid during encounters with women ≥ 75 without breast cancer or dementia (n = 30; 1-5 patients per PCP). We observed aid use and assessed clinician effort to involve patients in SDM using OPTION5 (assesses five components of SDM, scores range 0-100). We surveyed PCPs and patients about the aid's acceptability. Patients completed the SDM-process scale (scores range 0-4) to rate the SDM quality experienced. Participants' comments were subject to thematic analysis. RESULTS: Of 10 PCP-participants, seven were female and four were community-based. Of 30 patient-participants, 22 (73%) were non-Hispanic White, 9 (30%) had ≥ 2 Charlson comorbidities and mean age was 78.5 years (SD 2.8). Nine PCPs agreed that the aid helped them with SDM and was easy-to-use; six felt it had too much information; and seven planned to continue using the aid. Patients rated the SDM-process highly (scores = 3.0 [SD 0.9]) and we observed high SDM (mean OPTION5 = 77.9 [SD 20.6]). Participants felt the aid was \"empowering\" and \"helpful for decision-making.\" After SDM discussions, seven patients intended to stop screening, nine to screen less frequently, and 14 to continue screening regularly. CONCLUSIONS: We developed a novel conversation aid that supports SDM about mammography screening with women ≥ 75 years. Lessons learned will guide revisions of a final tool for testing in a clinical trial.","journal":"Journal of the American Geriatrics Society","year":2025,"id":523099,"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":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9592,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":627050,"name":"Natasha K. Stout","orcid":null,"position":1,"is_corresponding":false},{"id":340128,"name":"Sarah Stein","orcid":"0000-0002-1485-0829","position":2,"is_corresponding":false},{"id":1395155,"name":"Matthew T. Corey","orcid":"0009-0009-8075-7807","position":3,"is_corresponding":false},{"id":1395558,"name":"Jessica A. Jushchyshyn","orcid":null,"position":4,"is_corresponding":false},{"id":1039943,"name":"Ria Shah","orcid":"0009-0002-8800-9917","position":5,"is_corresponding":false},{"id":487226,"name":"Emily A Wolfson","orcid":"0000-0003-3711-2105","position":6,"is_corresponding":false},{"id":292842,"name":"Jeanne S. Mandelblatt","orcid":"0000-0002-2490-005X","position":7,"is_corresponding":false},{"id":61545,"name":"Víctor M. Montori","orcid":"0000-0003-0595-2898","position":8,"is_corresponding":false},{"id":765670,"name":"Ilana B. Richman","orcid":"0000-0001-7438-8907","position":9,"is_corresponding":false},{"id":323510,"name":"Daniel D. Matlock","orcid":"0000-0001-9597-9642","position":10,"is_corresponding":false},{"id":305672,"name":"Clyde B. Schechter","orcid":"0000-0003-0010-2827","position":11,"is_corresponding":false},{"id":721282,"name":"Russell Harris","orcid":null,"position":12,"is_corresponding":false},{"id":898107,"name":"Barbara LeStage","orcid":null,"position":13,"is_corresponding":false},{"id":292840,"name":"Jinani Jayasekera","orcid":"0000-0001-9212-7225","position":14,"is_corresponding":false},{"id":1049700,"name":"Nancy L. Schoenborn","orcid":"0000-0001-5053-5132","position":15,"is_corresponding":false},{"id":344265,"name":"Mara A. Schonberg","orcid":"0000-0001-5162-5922","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T02:49:58.707747Z","pmid":"40231782","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":[]}