Messaging Strategies to Reduce Breast Cancer Over-screening in Older Women

NCT ID: NCT05821023

Last Updated: 2024-02-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

4173 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-12

Study Completion Date

2023-06-19

Brief Summary

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This is an online survey experiment with data collection over 2 time points two weeks apart. This is Aim 2 of a three-aim R01 project; overall project goal is to better understand how messages from different sources interact to affect older women's breast cancer screening decisions. In this current project, the investigators propose to test the effect of combined exposure to a clinician message + a message from another source (i.e. family/friend or media) on older women's breast cancer screening beliefs, attitudes, and intentions.

Detailed Description

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In a two-wave national online survey experiment, the investigators will randomly assign 3,000 women 65 years or older without personal history of breast cancer to 6 groups, including two control groups and four experimental groups. The experimental groups will read a message at Time 1 (T1) that may be from either family/friend or the media followed by a second message from a clinician one to two weeks later at Time 2 (T2).

The clinician message will be directed at reducing over-screening, mentioning the harms of over-screening and supporting screening cessation. The investigators will systematically vary the non-clinician message to be either consistent with the clinician message (also mentions harms of over-screening and supports screening cessation) or conflicting (mentions benefits of screening, supports continued screening and opposes screening cessation). The investigators include a no-exposure control group (Group 1) where the participants read no message at either time point and will only be asked the assessment questions. The investigators also include a single exposure group that reads only the clinician message (Group 2).

Conditions

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Breast Cancer Screening

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants
Participants will be randomly assigned to one of six study groups

Study Groups

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Group 1 - control (no exposure)

No message at T1 or T2.

Group Type NO_INTERVENTION

No interventions assigned to this group

Group 2 - control (single exposure)

Single clinician message at T1 aimed at reducing over-screening. No message at T2.

Group Type OTHER

messages

Intervention Type OTHER

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Group 3

T1 - message from media source aimed at reducing over-screening. T2 - message from clinician aimed at reducing over-screening

Group Type EXPERIMENTAL

messages

Intervention Type OTHER

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Group 4

T1 - message from a close family member aimed at reducing over-screening. T2 - message from clinician aimed at reducing over-screening

Group Type EXPERIMENTAL

messages

Intervention Type OTHER

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Group 5

T1 - message from media source aimed at supporting continued screening. T2 - message from clinician aimed at reducing over-screening

Group Type EXPERIMENTAL

messages

Intervention Type OTHER

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Group 6

T1 - message from a close family member aimed at supporting continued screening.

T2 - message from clinician aimed at reducing over-screening

Group Type EXPERIMENTAL

messages

Intervention Type OTHER

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Interventions

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messages

Different messages describing either the benefits of breast cancer screening aimed at supporting continued screening or messages describing the harms of over-screening and making recommendations to stop screening

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Part of an online survey panel called KnowledgePanel
* able to complete survey in English

Exclusion Criteria

* Personal history of breast cancer
Minimum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Minnesota

OTHER

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role collaborator

National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy Schoenborn, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins School of Medicine

Locations

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Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Schoenborn NL, Gollust SE, Nagler RH, Pollack CE, Boyd CM, Xue QL, Schonberg MA. Effect of Messaging on Support for Breast Cancer Screening Cessation Among Older US Women: A Randomized Clinical Trial. JAMA Netw Open. 2024 Aug 1;7(8):e2428700. doi: 10.1001/jamanetworkopen.2024.28700.

Reference Type DERIVED
PMID: 39158912 (View on PubMed)

Other Identifiers

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R01AG066741

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00283392

Identifier Type: -

Identifier Source: org_study_id

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