Effect of a Randomized Trial of a Web-Based Intervention on Patient–Provider Communication About Breast Density Article Swipe
Erin J. Aiello Bowles
,
Suzanne C. O’Neill
,
Tengfei Li
,
Sarah Knerr
,
Jeanne S. Mandelblatt
,
Marc D. Schwartz
,
Jinani Jayasekera
,
Kathleen A. Leppig
,
Kelly Ehrlich
,
David Farrell
,
Hongyuan Gao
,
Amanda L. Graham
,
George Luta
,
Karen J. Wernli
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1089/jwh.2021.0053
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1089/jwh.2021.0053
Background: Breast density increases breast cancer risk and decreases mammographic detection. We evaluated a personalized web-based intervention designed to improve breast cancer risk communication between women and their providers. Materials and Methods: This was a secondary outcome analysis of an online randomized trial. Women aged 40-69 years were randomized, February 2017-May 2018, to a control (n = 503) versus intervention website (n = 492). The intervention website included information about breast density, personalized breast cancer risk, chemoprevention, and magnetic resonance imaging. Participants self-reported communication about density with providers (yes/no) at 6 weeks and 12 months. We used logistic regression with generalized estimating equations to evaluate the association of study arm with density communication. In secondary analyses, we tested if the intervention was associated with indicators of patient activation (breast cancer worry, perceived risk, or health care use). Results: Women (mean age 62 years) in the intervention versus control arm were 2.39 times (95% confidence interval [CI] = 1.37-4.18) more likely to report density communication at 6 weeks; this effect persisted at 12 months (odds ratio [OR] = 1.71, 95% CI = 1.25-2.35). At 6 weeks, this effect was only significant among women who reported (OR = 3.23, 95% CI = 1.24-8.40) versus did not report any previous density discussions (OR = 1.64, 95% CI = 0.83-3.26). A quarter of women in each arm never had a density conversation at any time during the study. Conclusions: Despite providing personalized density and risk information, the intervention did not promote density discussions between women and their providers who had not had them previously. This intervention is unlikely to be used clinically to motivate density conversations in women who have not had them before. Clinical trial registration number NCT03029286.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1089/jwh.2021.0053
- OA Status
- green
- Cited By
- 1
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3202686468
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3202686468Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1089/jwh.2021.0053Digital Object Identifier
- Title
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Effect of a Randomized Trial of a Web-Based Intervention on Patient–Provider Communication About Breast DensityWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-09-28Full publication date if available
- Authors
-
Erin J. Aiello Bowles, Suzanne C. O’Neill, Tengfei Li, Sarah Knerr, Jeanne S. Mandelblatt, Marc D. Schwartz, Jinani Jayasekera, Kathleen A. Leppig, Kelly Ehrlich, David Farrell, Hongyuan Gao, Amanda L. Graham, George Luta, Karen J. WernliList of authors in order
- Landing page
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https://doi.org/10.1089/jwh.2021.0053Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/8823670Direct OA link when available
- Concepts
-
Medicine, Breast cancer, Randomized controlled trial, Odds ratio, Confidence interval, Intervention (counseling), Internal medicine, Cancer, NursingTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1Per-year citation counts (last 5 years)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.imaging. | 80 |
| abstract_inverted_index.included | 67 |
| abstract_inverted_index.interval | 154 |
| abstract_inverted_index.logistic | 97 |
| abstract_inverted_index.magnetic | 78 |
| abstract_inverted_index.motivate | 269 |
| abstract_inverted_index.previous | 206 |
| abstract_inverted_index.reported | 193 |
| abstract_inverted_index.unlikely | 263 |
| abstract_inverted_index.(<i>n</i> | 55, 61 |
| abstract_inverted_index.analyses, | 115 |
| abstract_inverted_index.decreases | 8 |
| abstract_inverted_index.equations | 102 |
| abstract_inverted_index.evaluated | 12 |
| abstract_inverted_index.increases | 3 |
| abstract_inverted_index.perceived | 131 |
| abstract_inverted_index.persisted | 169 |
| abstract_inverted_index.providers | 87, 253 |
| abstract_inverted_index.providing | 236 |
| abstract_inverted_index.resonance | 79 |
| abstract_inverted_index.secondary | 35, 114 |
| abstract_inverted_index.web-based | 15 |
| abstract_inverted_index.1.24-8.40) | 200 |
| abstract_inverted_index.1.37-4.18) | 157 |
| abstract_inverted_index.activation | 127 |
| abstract_inverted_index.associated | 122 |
| abstract_inverted_index.clinically | 267 |
| abstract_inverted_index.confidence | 153 |
| abstract_inverted_index.detection. | 10 |
| abstract_inverted_index.estimating | 101 |
| abstract_inverted_index.indicators | 124 |
| abstract_inverted_index.providers. | 28 |
| abstract_inverted_index.randomized | 41 |
| abstract_inverted_index.regression | 98 |
| abstract_inverted_index.0.83-3.26). | 215 |
| abstract_inverted_index.1.25-2.35). | 181 |
| abstract_inverted_index.association | 106 |
| abstract_inverted_index.discussions | 208, 248 |
| abstract_inverted_index.generalized | 100 |
| abstract_inverted_index.information | 68 |
| abstract_inverted_index.previously. | 259 |
| abstract_inverted_index.randomized, | 48 |
| abstract_inverted_index.significant | 189 |
| abstract_inverted_index.NCT03029286. | 284 |
| abstract_inverted_index.Participants | 81 |
| abstract_inverted_index.conversation | 227 |
| abstract_inverted_index.information, | 241 |
| abstract_inverted_index.intervention | 16, 59, 65, 120, 145, 243, 261 |
| abstract_inverted_index.mammographic | 9 |
| abstract_inverted_index.personalized | 14, 72, 237 |
| abstract_inverted_index.registration | 282 |
| abstract_inverted_index.communication | 23, 83, 163 |
| abstract_inverted_index.conversations | 271 |
| abstract_inverted_index.self-reported | 82 |
| abstract_inverted_index.communication. | 112 |
| abstract_inverted_index.<b><i>Materials | 29 |
| abstract_inverted_index.Methods:</i></b> | 31 |
| abstract_inverted_index.chemoprevention, | 76 |
| abstract_inverted_index.<b><i>Results:</i></b> | 137 |
| abstract_inverted_index.<b><i>Background:</i></b> | 0 |
| abstract_inverted_index.<b><i>Conclusions:</i></b> | 234 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5053382377 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 14 |
| corresponding_institution_ids | https://openalex.org/I150117356 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6800000071525574 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.52939986 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |