Trial Outcomes & Findings for Promoting Informed Choice for Breast Cancer Screening (NCT NCT05376241)

NCT ID: NCT05376241

Last Updated: 2025-10-24

Results Overview

In response to mammography evidence, feeling that the information is manipulative or biased. 4 questions total, each on a 7 point Likert scale, with mean scores that range from 1 to 5. Higher mean scores reflect greater reactance.

Recruitment status

COMPLETED

Target enrollment

637 participants

Primary outcome timeframe

24 hours

Results posted on

2025-10-24

Participant Flow

Data were collected from January to April 2022 through the online survey research panel Ipsos KnowledgePanel. A total of 637 participants were identified for the survey, but 22 did not meet eligibility criteria, 103 did not complete the survey, and 17 were excluded for failing 2 attention check questions, resulting in a final analytic sample of 495 participants.

Participant milestones

Participant milestones
Measure
Women Age 39-49 in the United States
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Overall Study
STARTED
637
Overall Study
COMPLETED
495
Overall Study
NOT COMPLETED
142

Reasons for withdrawal

Reasons for withdrawal
Measure
Women Age 39-49 in the United States
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Overall Study
did not meet eligibility criteria after consenting
22
Overall Study
103 did not complete the survey
103
Overall Study
17 failed 2 attention check questions
17

Baseline Characteristics

Promoting Informed Choice for Breast Cancer Screening

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Age, Continuous
43.9 years
STANDARD_DEVIATION 3.2 • n=5 Participants
Sex: Female, Male
Female
495 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-hispanic white
327 Participants
n=5 Participants
Race/Ethnicity, Customized
non-hispanic Black
53 Participants
n=5 Participants
Race/Ethnicity, Customized
non-hispanic other race
25 Participants
n=5 Participants
Race/Ethnicity, Customized
non-hispanic >2 races
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
70 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours

Population: The group is women aged 39-49 in the United States with no history of breast cancer or known BRCA1/2 mutation, who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

In response to mammography evidence, feeling that the information is manipulative or biased. 4 questions total, each on a 7 point Likert scale, with mean scores that range from 1 to 5. Higher mean scores reflect greater reactance.

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Reactance
Response to screening benefits
2.28 score on a scale
Standard Deviation 0.71
Reactance
Response to false positives
2.45 score on a scale
Standard Deviation 0.75
Reactance
Response to overdiagnosis
2.55 score on a scale
Standard Deviation 0.80

PRIMARY outcome

Timeframe: 24 hours

Population: The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

In response to mammography evidence, feeling that the evidence is not accurate or believable. 4 questions total, each on a 5 point Likert scale, with mean scores that range from 1 to 5. Higher mean score reflects more disbelief in the information.

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Disbelief
Response to screening benefits
2.06 Score on a scale
Standard Deviation 0.61
Disbelief
Response to false positives
2.32 Score on a scale
Standard Deviation 0.63
Disbelief
Response to overdiagnosis
2.41 Score on a scale
Standard Deviation 0.68

PRIMARY outcome

Timeframe: 24 hours

Population: The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

In response to mammography evidence, feeling that the source of the evidence is not trustworthy or competent. 4 questions total, each on a 5 point Likert scale, with mean scores that range from 1 to 5. Higher mean score reflects more source derogation.

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Source Derogation
2.56 score on a scale
Standard Error 0.09

PRIMARY outcome

Timeframe: 24 hours

Population: The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

Feeling that mammography evidence is not relevant to oneself.34 questions total, each on a 5 point Likert scale, with mean scores that range from 1 to 5. Higher mean scores indicate greater belief that the information is not self relevant.

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Self Exemption
Response to screening benefits
2.20 score on a scale
Standard Deviation 0.70
Self Exemption
Response to false positives
2.21 score on a scale
Standard Deviation 0.71
Self Exemption
Response to overdiagnosis
2.32 score on a scale
Standard Deviation 0.72

PRIMARY outcome

Timeframe: 24 hours

Population: The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

Intentions to engage in mammography screening. Options will include: 1. I am planning to start/continue having regular mammograms this year. 2. I am planning to wait until I'm older but before age 50 to have my first/next mammogram. 3. I am planning to wait until I am 50 to have my first/next mammogram. 4. I am not planning to have a mammogram in the future at any age

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Screening Intentions
Have regular mammograms at current age
286 Participants
Screening Intentions
Wait until older but before age 50
100 Participants
Screening Intentions
Wait until age 50
88 Participants
Screening Intentions
never have a mammogram
21 Participants

SECONDARY outcome

Timeframe: 24 hours

Population: The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.

6 question scale that assesses mistrust in healthcare providers. Calculated as mean trust (range 1-low trust to 5-high trust). Assessed both pre and post receipt of screening decision aid to evaluate change

Outcome measures

Outcome measures
Measure
Women Age 39-49 in the United States
n=495 Participants
The group is women age 39-49 in the United States who receive a decision aid intervention. The intervention is a breast cancer screening decision aid with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate. Decision aid: Mammography screening decision aid for women in their 40s with information about screening guidelines, breast cancer mortality reduction, false positives, overdiagnosis, and a personal breast cancer risk estimate.
Medical Mistrust Scale (Eaton et al., 2015)
Pre-DA trust
3.11 score on a scale
Standard Deviation 0.69
Medical Mistrust Scale (Eaton et al., 2015)
Post-DA trust
3.02 score on a scale
Standard Deviation 0.65

Adverse Events

Women Age 39-49 in the United States

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Laura Scherer

University of Colorado

Phone: 303-724-5749

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place