Evidence map›Paper›PMID 39874687›Full record

Trial reportPatient education and counseling2025

The effect of conflicting versus consistent messaging on older women's support for breast cancer screening cessation.

Nancy L Schoenborn, Sarah E Gollust, Craig E Pollack, Mara A Schonberg, Cynthia M Boyd, Qian-Li Xue, Rebekah H Nagler

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nancy L SchoenbornJohns Hopkins University School of Medicine, Department of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, MD, USA. Electronic address: nancyschoenborn@jhmi.edu.
Sarah E GollustUniversity of Minnesota School of Public Health, Division of Health Policy and Management, Minneapolis, MN, USA.
Craig E PollackJohns Hopkins University Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, USA.
Mara A SchonbergBeth Israel Deaconess Medical Center, Harvard Medical School, Division of General Medicine and Primary Care, Boston, MA, USA.
Cynthia M BoydJohns Hopkins University School of Medicine, Department of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, MD, USA; Johns Hopkins Center on Aging and Health, Baltimore, MD, USA.
Qian-Li XueJohns Hopkins University School of Medicine, Department of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, MD, USA; Johns Hopkins Center on Aging and Health, Baltimore, MD, USA.
Rebekah H NaglerUniversity of Minnesota Hubbard School of Journalism and Mass Communication, Minneapolis, MN, USA.

Funding

Messaging Strategies to Reduce Breast Cancer Over-Screening in Older WomenR01AG066741 · NIA · JOHNS HOPKINS UNIVERSITY · PI SCHOENBORN, NANCY · 2021 to 2024
$2.3M
Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring ProgramK24AG056578 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2017 to 2021
$1.1M
NIA NIH HHS K24 AG056578NIA NIH HHS R01 AG066741
6 · The paper itself

Abstract

objectiveBreast cancer over-screening is common in older women. Messaging about breast cancer screening cessation may reduce over-screening but the broader informational environment often emphasizes screening continuation. We aimed to examine the effect of receiving consistent messages about breast cancer screening cessation versus conflicting messages (i.e., receiving messages about screening cessation and screening continuation from different sources).

methodsIn a two-wave survey experiment with 3809 women 65 + years from a U.S. population-based online panel, we randomized participants to a) no messages, b) consistent messages promoting screening cessation, or c) conflicting messages - a message promoting screening continuation followed by a message promoting screening cessation.

resultsThe conflicting message group had significantly lower support for screening cessation in a hypothetical older woman (mean 3.87 [SD 2.00] on 7-point scale, 95 % CI 3.76-3.97) compared with the consistent message group (mean 4.17 [SD 1.99], 95 % CI 4.08-4.28), but was still significantly higher than the control group (mean 2.68 [SD 1.87], 95 % CI 2.54-2.82, p's < 0.001). Message effects on self-screening intentions were similar. Participants reported low rates of confusion, distrust or ambivalence.

conclusionsMessaging about screening cessation can significantly increase older women's support for screening cessation, with low rates of negative reactions, even if there are competing messages on continued screening. PRACTICE IMPLICATIONS: Messaging about screening cessation can be incorporated into clinical discussions or used in conjunction with other interventions aimed at reducing over-screening.

Indexed as

Breast NeoplasmsEarly Detection of CancerMass ScreeningAgedFemaleHumansMammographySurveys and QuestionnairesUnited StatesBreast cancer screeningConflicting informationMammographyRandomized controlled studyScreening cessationSurvey experiment

Identifiers

PMID39874687
PMCPMC11913574

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.