The goal of this research study is to develop and test a website to help primary care providers (PCPs) discuss the pros and cons of mammography with women aged 75 and older and to help participants make decisions about mammography.

This research study is to conduct a pilot pretest-posttest trial to learn if providing a web-based conversation aid (CA) on mammography screening to 36 primary care providers facilitates shared decision making (SDM) and 8 medical assistants with 190 of their patients (2-3 per PCP) aged 75-89 years and 23 involved family members.

Research procedures include screening for eligibility, questionnaires, and clinic visits.

Participation in this research study is expected to last about 4 months.

It is expected about 90 participants, 23 participant family members, 36 primary care providers, and 8 medical assistants will participant in this research study.

The National Institute on Aging is supporting this research study by providing funding.

Participant Inclusion Criteria:

• English-speaking
• Aged 75 - 89 years
• Seen by an attending-level (non-resident) seen at the recruitment practices who have the -Ability and willingness to provide verbal consent.

Participant Family Members Inclusion Criteria:

• Family member of patient that has agreed to participate in the study
• Age >18
• English speaking
• Ability and willingness to provide verbal consent

Primary Care Provider Inclusion Criteria:

• Non-resident physician, nurse practitioner, or physician assistant

  ->18 years old

• English speaking

• Cares for a panel of patients that includes women >75 years at one of the recruitment practices

• Ability and willingness to provide verbal consent

Participant Exclusion Criteria:

• Last mammogram <6 or >30 months (so that participants may be contemplative of their next mammogram)
• History of dementia
• Incapacity for informed consent
• History of invasive or non-invasive breast cancer
• Last mammogram was abnormal
• Non-English speaking
• Already chose to stop being screened (documented in medical records or scores of 1-3 [do not intend to be screened] on a validate 15 point intentions to be screened scale.)
• PCP unwilling to have patient participate
• In hospice
• PCP not willing to participate
• Psychiatric illness situations that would limit compliance with study requirements

Participant Family Member Exclusion Criteria:

• Age <18
• Non-English speaking
• Psychiatric illness situations that would limit compliance with study requirements

Primary Care Provider Exclusion Criteria:

• Resident physician
• Psychiatric illness situations that would limit compliance with study requirements

Primary care practices at Beth Israel Deaconess Medical Center

The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: [contact information for Sponsor Investigator or designee]. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Data can be shared no earlier than 1 year following the date of publication

Contact the Beth Israel Deaconess Medical Center Technology Ventures Office at tvo@bidmc.harvard.edu