Evidence map›Paper›PMID 40712404›Full record

ArticlePatient education and counseling2025

The perceived ethical appropriateness of messaging on breast cancer screening cessation among older women.

Vivian V Altiery De Jesus, Mary Catherine Beach, Susan M Hannum, Sarah E Gollust, Rebekah Nagler, Mara A Schonberg, Cynthia Boyd, Craig Evan Pollack, Qian-Li Xue, Nancy L Schoenborn

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Article 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
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1 · What the graph read from it

What it found

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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

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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

10 authors.

Vivian V Altiery De JesusDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, USA. Electronic address: valtier1@jhmi.edu.
Mary Catherine BeachDepartment of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, USA; Department of Bioethics, Johns Hopkins Berman Institute of Bioethics, Baltimore, USA.
Susan M HannumDepartment of Health, Behavior and Society Johns Hopkins University, Baltimore, USA.
Sarah E GollustDivision of Health Policy & Management, University of Minnesota, Minneapolis, USA.
Rebekah NaglerHubbard School of Journalism and Mass Communication, University of Minnesota, Minneapolis, USA.
Mara A SchonbergDepartment of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, USA.
Cynthia BoydDepartment of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, USA.
Craig Evan PollackDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, USA.
Qian-Li XueDepartment of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, USA.
Nancy L SchoenbornDepartment of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, 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
NIA NIH HHS R01 AG066741
6 · The paper itself

Abstract

objectiveMessaging about breast cancer screening cessation may reduce over-screening by raising awareness of the harms of screening, but in a background of strongly positive beliefs about screening among the public, such messaging may be perceived negatively. We aimed to assess whether older women perceived it to be ethically appropriate for clinicians to share a message that encourages breast cancer screening cessation.

methodsAs part of a large national online survey experiment with women 65+ years, we presented a message (hereafter referred to as primary message) describing the rationales for stopping breast cancer screening (e.g., guideline recommendation, harms of screening) and assessed how ethical women thought it would be for doctors to share this information with patients. We assessed open-ended reactions. We also tested two variations of the primary message with different wordings of the recommendation to consider stopping screening.

resultsOf 683 participants, 75.9 % agreed that the primary message is ethically appropriate for doctors to share with patients., 13.2 % neither agree or disagree, and 10.9 % disagreed. Themes in open-ended responses suggested that the difference in participant response was partly attributed to whether participants perceived the message as informative or persuasive. Comparing across message variations, messages with stronger recommendations to stop screening were perceived to be less ethically appropriate than the primary message.

conclusionsMost older women perceived that it was ethically appropriate for doctors to share messages aimed at reducing breast cancer over-screening with patients. PRACTICE IMPLICATIONS: Interventions should be developed to deliver messages to reduce over-screening among older women in practice settings, with evaluations to monitor their response.

Indexed as

Breast NeoplasmsEarly Detection of CancerMass ScreeningAgedFemaleHumansMammographyPhysician-Patient RelationsSurveys and QuestionnairesCancer screeningEthical appropriateness in persuasionMammographyMessage intervention

Identifiers

PMID40712404
PMCPMC12396241

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Registered trials

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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.