title: Developing and testing a decision aid for use by providers in making recommendations: about mammography screening in older women.
abstract: Breast cancer incidence increases with age, but many older women do not receive appropriate mammography screening. A tool to support provider decision making holds potential to help providers and patients reach the best-informed decisions possible. We developed and tested a decision aid (DA) for healthcare providers to use in mammography screening recommendations in older women. Literature review, expert opinion, focus groups, and pilot testing of the DA were conducted in a university ambulatory geriatrics practice. Provider evaluations of the DA after piloting were collected and analyzed. Geriatricians reported important factors in decision making included patient life-expectancy, preferences, cognitive function, and individualization. Geriatricians reported the DA would have helped them make recommendations for mammography screening in 66% of pilot cases. It was less helpful when there was more certainty regarding decision making.
authors.affiliation: University of California, Los Angeles, CA, USA Diana.Tisnado@va.gov.
authors.forename: Diana M
authors.initials: DM
authors.lastname: Tisnado
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Alison A
authors.initials: AA
authors.lastname: Moore
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Levin
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Sonja
authors.initials: S
authors.lastname: Rosen
mesh_terms: D000368:Aged; D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D017144:Focus Groups; D005853:Geriatrics / Q000379:methods; D006801:Humans; D008017:Life Expectancy; D008297:Male; D008327:Mammography / Q000379:methods / Q000706:statistics & numerical data; D057240:Patient Preference; D010865:Pilot Projects
keywords: decision aid; elderly; mammography; screening