Evidence map›Paper›PMID 31485969›Full record

ArticleJournal of general internal medicine2019

Primary Care-Based Staff Ideas for Implementing a Mammography Decision Aid for Women 75+: a Qualitative Study.

Mara A Schonberg, Alicia R Jacobson, Gianna M Aliberti, Michelle Hayes, Anne Hackman, Maria Karamourtopolous, Christine Kistler

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mara A SchonbergBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. mschonbe@bidmc.harvard.edu.
Alicia R JacobsonBeth Israel Deaconess Medical Center, Boston, MA, USA.
Gianna M AlibertiBeth Israel Deaconess Medical Center, Boston, MA, USA.
Michelle HayesDivision of Geriatric Medicine and Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Anne HackmanAtrius Health, Boston, MA, USA.
Maria KaramourtopolousBeth Israel Deaconess Medical Center, Boston, MA, USA.
Christine KistlerDivision of Geriatric Medicine and Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Randomized Trial of a Mammography Decision Aid for Women Aged 75 and OlderR01CA181357 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SCHONBERG, MARA A · 2014 to 2018
$2.9M
NCI NIH HHS R01 CA181357
6 · The paper itself

Abstract

backgroundWe previously developed a pamphlet decision aid (DA) on mammography screening for women ≥ 75 years. However, implementing DAs in primary care may be challenging and may require support from non-physician healthcare team members.

objectiveTo learn from primary care administrators, nurses, and staff their thoughts on how best to implement a mammography DA for women ≥ 75 years in practice.

designQualitative study entailing in-person individual interviews using a semi-structured interview guide.

participantsThirty-two non-physician healthcare team members (69.6% of those approached) participated from 8 different primary care practices (community and academic) in the Boston area or in Chapel Hill, NC. APPROACH: Participants were asked to provide feedback on the DA, their thoughts on ways to make the DA available to older women, and factors that would make it easier and/or harder to implement. KEY

resultsParticipants felt the DA was clear, balanced, and understandable, but felt that it needed to be shorter for women with low health literacy. Most participants felt that as long as use of the DA was approved and supported by clinicians that women ≥ 75 years should receive the DA before a visit from staff (usually medical assistants) so that patients could ask their clinicians questions during the visit. Facilitators of DA use included its perceived helpfulness with decision-making, its format, and that existing systems (panel management, electronic medical record alerts) could be accessed to get the DA to patients especially at Medicare Annual Wellness visits. Participants perceived a need for training, albeit minimal, to provide the DA to patients. Barriers of DA use included competing demands on clinician and staff time.

conclusionsParticipants felt that as long as use of the mammography DA for women ≥ 75 years was supported by clinicians, it would be feasible to implement with minimal refinements to existing healthcare system processes.

Indexed as

Attitude of Health PersonnelDecision MakingAgedFemaleHumansMammographyPatient Education as TopicPrimary Health CareQualitative Researchdecision aidsimplementationmammography screeningolder women

Identifiers

PMID31485969
PMCPMC6848349

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