Messaging Strategies to Reduce Breast Cancer Over-Screening in Older Women
减少老年女性乳腺癌过度筛查的信息传递策略
基本信息
- 批准号:10382428
- 负责人:
- 金额:$ 48.97万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-04-15 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdministratorAdvocacyAgeAmerican Cancer SocietyAnecdotesAttitudeBehaviorBeliefBreast Cancer DetectionCaregiversClinicalClinical TreatmentCommunicationCommunitiesConflict (Psychology)DataDiagnosisElderlyFamilyFamily memberFocus GroupsFriendsGoalsGuidelinesHealthHealth systemIncidenceInterventionKnowledgeLifeLife ExpectancyMalignant NeoplasmsMammographic screeningMorbidity - disease ratePatientsRandomizedRecommendationReportingResearchScreening for cancerSocial NetworkSourceSurveysTimeTrustVacuumWomanWorkexperienceexperimental studyhigh riskinnovationmalignant breast neoplasmmortalitymultidisciplinarynewsnovelolder patientolder womenovertreatmentpatient screeningpatient-clinician communicationroutine screeningscreeningscreening guidelinessocial relationshipsyoung woman
项目摘要
PROJECT SUMMARY
Mammography screening may decrease breast cancer mortality and morbidity but the potential benefits
are often delayed for many years while significant harms can occur in the short term. While breast cancer
incidence increases with age, older women are also at higher risks for screening-related harms and burdens
compared to younger women. The harms of routine screening outweigh the benefits among older women with
limited life expectancies, but many of these women continue to be screened, highlighting the need for
interventions to promote appropriate screening cessation in order to reduce over-screening in older women.
Our prior research suggests that older adults are willing to stop routine cancer screening when recommended
by their clinicians. We also found that clinicians are increasingly willing to recommend that older patients forgo
screening when harms outweigh the benefits. However, patients at times receive contradictory messages from
their family, friends, or the news media which weaken the impact of the clinicians' recommendations and
contribute to over-screening.
This project aims to examine how messages from clinicians, family and friends, and media, separately
and together, impact breast cancer screening intentions among older women, with the goal of identifying
messaging strategies that most effectively reduce breast cancer over-screening. We seek to accomplish this
goal through 3 aims. We will first establish which messages intended to reduce breast cancer over-screening
are considered most credible in a national online survey of 600 older women (Aim 1). Then, we will conduct a
two-wave online survey experiment with 3,000 older women to examine the combined effects of consistent and
conflicting messages from different sources—including clinicians, social relationships, and the news media —
on breast cancer screening beliefs, attitudes, and intentions over time (Aim 2). Lastly, we will conduct focus
groups with multi-disciplinary stakeholders to devise strategies to deliver the messages from Aim 2 that most
effectively reduced over-screening intentions (Aim 3).
The proposed project will identify effective messaging strategies to promote appropriate screening
cessation and reduce over-screening for breast cancer in older women and engage stakeholders to inform
message dissemination. The results will directly inform a communication intervention as a next step to reduce
breast cancer over-screening among older women.
项目总结
项目成果
期刊论文数量(0)
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Nancy Schoenborn其他文献
Nancy Schoenborn的其他文献
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{{ truncateString('Nancy Schoenborn', 18)}}的其他基金
Messaging Strategies to Reduce Breast Cancer Over-Screening in Older Women
减少老年女性乳腺癌过度筛查的信息传递策略
- 批准号:
10592067 - 财政年份:2021
- 资助金额:
$ 48.97万 - 项目类别:
Messaging Strategies to Reduce Breast Cancer Over-Screening in Older Women
减少老年女性乳腺癌过度筛查的信息传递策略
- 批准号:
10617181 - 财政年份:2021
- 资助金额:
$ 48.97万 - 项目类别:
Messaging Strategies to Reduce Breast Cancer Over-Screening in Older Women
减少老年女性乳腺癌过度筛查的信息传递策略
- 批准号:
10206384 - 财政年份:2021
- 资助金额:
$ 48.97万 - 项目类别:
Improving cancer screening in older adults with limited life expectancy
改善预期寿命有限的老年人的癌症筛查
- 批准号:
10161680 - 财政年份:2018
- 资助金额:
$ 48.97万 - 项目类别:
Improving cancer screening in older adults with limited life expectancy
改善预期寿命有限的老年人的癌症筛查
- 批准号:
9926798 - 财政年份:2018
- 资助金额:
$ 48.97万 - 项目类别:
Understanding Older Adults' Perspectives on How to Incorporate Life Expectancy in Cancer Screening
了解老年人对如何将预期寿命纳入癌症筛查的看法
- 批准号:
8958982 - 财政年份:2015
- 资助金额:
$ 48.97万 - 项目类别:
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