In order to better communicate personal risk of breast cancer to women who have not yet initiated breast cancer screening (mammography), The Annenberg School of Communication at the University of Pennsylvania has created a personal breast cancer screening decision aid tool. This tool will be pilot tested, and then implemented and tested in nine primary care and OB/GYN practices within the University of Pennsylvania Health System.

In order to better communicate personal risk of breast cancer to women who have not yet initiated breast cancer screening (mammography), The Annenberg School of Communication at the University of Pennsylvania has created a personal breast cancer screening decision aid tool. This tool incorporates questions about a women's personal history of breast cancer and compares her to the average women her age in terms of breast cancer risk. The tool helps the women to understand the benefits and risks of breast cancer screening. This tool will be pilot tested using SSI to help develop the final version of the decision aid tool. The decision aid tool will then be implemented and tested in nine general internal medicine, family medicine, and OB/GYN practices within the University of Pennsylvania Health System.

Inclusion Criteria:

• Women ages 39-48
• Patient of one of the nine primary care or OB/GYN practices that are participating in the study
• Must have had an appointment at one of these locations in the past 24 months
• Must have an appointment during the study period
• Woman has not yet initiated breast cancer screening (no prior mammogram)
• No history of breast cancer

Exclusion Criteria:

• Prior diagnosis of breast cancer
• Major comorbidity that substantially affects their 10 year mortality
• Non-English speaker