Karen Eden|Paula Scariati|Krystal A. Klein|Lindsey Watson|Mark Remiker|Michelle R. Hribar|Vanessa A. Forro|LeAnn Michaels|Heidi D Nelson
Mammography Decision Aid Reduces Decisional Conflict for Women in Their Forties Considering Screening
Oregon Health & Science University|Marin Endocrine Care and Research|Oregon Health & Science University|Oregon Health & Science University|Research Network (United States)|Oregon Health & Science University|Oregon Health & Science University|Research Network (United States)|Oregon Health & Science University|Research Network (United States)|Oregon Health & Science University|Oregon Health & Science University|Providence Health & Services
clinical guidelines recommend personalized approach mammography screening women forties however methods lacking evidencebased mammography screening decision aid developed electronic mobile application evaluated beforeafter studythe decision aid mammopad included modules breast cancer mammography risk assessment priority setting screening women aged 4049 years patients rural primary care clinics major risk factors breast cancer mammography previous year invited use decision aid twenty women participated pretesting decision aid 75 additional women completed beforeafter study primary outcome decisional conflict measured using mammopad secondary outcomes included decision selfefficacy intention begin continue mammography screening differences comparing measures versus use determined using wilcoxon signed rank testsafter using mammopad women reported reduced decisional conflict based mean decisional conflict scale scores overall 4633 versus 833 z 7225 p 0001 subscales p 0001 women also reported increased mean decision selfefficacy scale scores 7967 versus 9573 z 6816 p 0001 although 19 women changed screening intentions statistically significantwomen reported less conflict decisions mammography screening felt confident make decisions using mammopad approach may help guide women decision making process determine personalized screening choices appropriate