Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Screening intentions |
Change in women's intentions to be screened with mammography after the intervention by 5-year breast cancer risk using a multivariable linear regression to examine the association between 5-year breast cancer risk and intentions to be screened after the intervention (as a continuous variable from 1 [not intending to be screened] to 15 [strongly intending to be screened]) adjusting for intentions to be screened at baseline as well as age, educational attainment, and race/ethnicity. |
1 week |
|
Secondary |
Screening intentions within risk groups |
The investigators will us the paired t-test (or Wilcoxon Signed Rank Test if data are not normal) to examine the differences in intentions to be screened with mammography after the intervention within each risk group. |
1 week |
|
Secondary |
Knowledge of the pros and cons of mammography screening |
The investigators will use the paired t-test (or Wilcoxon Signed Rank Test when data are not normal) to examine the effect of the intervention on participants' knowledge of the benefits and risks of mammography screening (mean score on knowledge test) |
1 week |
|
Secondary |
Decisional conflict scale |
The DCS is a validated 16 item scale to measure uncertainty around a decision, whether one feels informed, clear about their personal values, and supported in their decision-making (Cronbach's alpha=0.78 to 0.92); scores range 0-100 and lower scores indicate less conflict. |
1 week |
|
Secondary |
Difference in PCP discussion of breast cancer risk |
The investigators will use McNemar's test to examine patient reports of PCP discussions of breast cancer risk [yes/no] before and after the intervention. |
1 week |
|
Secondary |
Difference in PCP discussion of pros/cons of mammography screening |
The investigators will use McNemar's test to examine patient report of PCP discussion of the pros and cons of mammography screening [yes/no] before and after the intervention. |
1 week |
|
Secondary |
PCP discussion of breast cancer prevention medications |
The investigators will use descriptive statistics to examine the proportion of women with >1.7% 5-year breast cancer risk that report discussing breast cancer prevention medications with their PCP. |
1 week |
|
Secondary |
PCP documentation of discussions of breast cancer medications |
The investigators will use descriptive statistics to examine the proportion of women with >1.7% 5-year breast cancer whose PCPs document discussions about breast cancer prevention medications on the day of the visit. |
1 week |
|
Secondary |
Prescription of breast cancer prevention medications |
The investigators will use descriptive statistics to report proportion of women with >1.7% 5-year breast cancer risk who were prescribed breast cancer prevention medications through review of medication lists |
6 months |
|
Secondary |
Time until breast screening MRI |
The investigators will use the log-rank test to examine time until breast screening MRI among women with >20% lifetime breast cancer risk by lifetime breast cancer risk score as a continuous variable. |
6 months |
|
Secondary |
Referral to genetic counseling |
The investigators will examine the proportion of women who meet NCCN criteria for genetic counseling for a BRCA mutation that are referred for genetic counseling |
6 months |
|
Secondary |
Attended genetic counseling |
The investigators will examine the proportion of women who meet NCCN criteria for genetic counseling for a BRCA mutation that meet with a genetic counselor |
6 months |
|
Secondary |
Time until next mammogram after intervention |
The investigators will examine the time until next mammogram after our intervention stratified by women's 5-year risk of breast cancer (based on the Breast Cancer Risk Assessment Tool [BCRAT]/Tice model [whichever is higher]) using the log-rank test. |
21 months |
|
Secondary |
Date of mammogram(s) after intervention |
The investigators will document the date of mammogram performed on any women in the study during the study's follow-up time period. |
21 months |
|
Secondary |
Type of mammogram(s) after intervention |
The investigators will document the type of mammogram performed on any women in the study during the study's follow-up time period. |
21 months |
|
Secondary |
No mammogram after intervention |
The investigators will perform a chart review of women not identified as having had a mammogram during the study's follow-up time period to confirm that there is no mammogram noted in their screening sheet. |
21 months |
|
Secondary |
Risk report acceptability |
The investigators will ask whether patients and PCPs found our risk report acceptable and/or helpful. |
1 week |
|
Secondary |
PCP facilitators and barriers |
The investigators will examine facilitators and/or barriers noted by PCPs when assessing women's breast cancer risk and managing women based on their risk. |
up to 24 months |
|
Secondary |
PCP risk of malpractice/litigation |
The investigators will ask whether PCPs feel that our intervention would help lower their risk of malpractice litigation. |
up to 24 months |
|