Trial Information

An Evaluation of a Decision Aid for Women Aged Over 70 Considering Whether to Stop or Continue Having Mammography Screening.

The primary aims of the study are to assess the impact of the decision aid on (1) the
proportion of women who make an informed choice about whether to continue screening
mammography, and (2) the participation rates of screening among women aged 70 years and
older.

There are two secondary aims of the study. First, to measure the effect of the decision
support tool on women's decisional conflict, anxiety, and knowledge about the issues
involved in screening mammography. Second, to compare relationships between a woman's
objective and perceived risk of breast cancer with her decision to continue or stop
screening mammography.

Screening mammography is recommended for women aged 50-69 years but there is no
recommendation for women aged 70 years and older. Therefore the decision to continue or stop
having screening mammograms are largely dependent on the importance women place on the
perceived benefits and harms of screening.

The decision aid is a paper workbook and worksheet containing information on the outcomes of
screening mammography for women aged 70 years and older (based on a published model- Barratt
et al. 2005), steps to decision making and values clarification exercise. Currently it is
not known if a decision aid with information about the benefits and risks of screening
mammography can help women aged 70 years and older to make an informed choice. In addition
to delivering benefits to individual women in assisting them to to make an informed choice
the decision aid may lead to benefits for service providers such as improved efficiency and
cost-effectiveness of screening women in this age group. Thus the impact of a decision aid
in the efficiency and cost-effectiveness of screening mammography is an important but
untested hypothesis.