Breast Cancer Risk Reduction: A Patient Doctor Intervention

Not Applicable

Completed

Brief Summary: The proposed research combines the scientific advances in breast cancer research with health information technology (IT) to design a personalized intervention that assesses breast cancer risk for women, disseminates important breast health information, and facilitates discussion of breast cancer risk reduction practices. Our goal is to implement a tablet-PC (personal computer) based breast cancer risk education (BreastCare) intervention in the primary care setting that estimates a woman's individual risk for breast cancer and provides her and her physician with personalized breast cancer risk information and recommendations for action.

Recruitment & Eligibility

Inclusion Criteria

Patient component:
- Women who visit the General Internal Medicine (GIM) practices at SFGH and UCSF during the study period
- Between the ages of 40 and 74
- Self-identify as Asian American, Spanish- and English-speaking Latinas, African American, or White
- Have no history of breast cancer are eligible to participate.
Physician component: Primary care physicians currently practicing at the GIM clinics at SFGH and UCSF

Exclusion Criteria

Patient component: Women whose physicians object to their participation in the study
Physician component: No exclusion criteria for physicians

Arm && Interventions

Group	Intervention	Description
BreastCARE Intervention	BreastCARE	Intervention Clinic Patients: The RA will welcome the patient upon arrival at the clinic and again explain study procedures and field any questions. The RA will have the patient sign the HIPAA authorization form and then demonstrate how to enter information and answer questions on the tablet-PC and the patient will indicate their consent electronically before beginning the assessment. Intervention Patient Report. Once the patient completes the BreastCare Computer survey, the program will immediately generate a personal feedback report containing information about her risk factors and recommendations to reduce her risk. This report will be printed and given to the patietns before she meets with her doctor.

Primary Outcome Measures

Name	Time	Method
Knowledge of Breast Cancer Risk Factors	one week post-initial visit (approximately one week)	Risk knowledge was assessed using a post-survey. Participants could have scored 0-100 (with 0 meaning no correct answers, and 100 is all correct answers). This outcome was measured through a survey. Breast cancer risk knowledge was based on a series of eight questions in the survey. O
Percentage of Participants Who Reported Discussion of Mammography Screening	up to 14 months	Self reported discussion of mammography with physician.
Percentage of Participants With Correct Perception of Risk	baseline, one week post-initial visit (approximately one week)	This outcome was measured through a survey. Women were asked what they thought about their risk of getting breast cancer was compared to other women of the same age.
Percentage of Participants Who Had a Discussion of Breast Cancer Risk	one week post-initial visit (approximately one week)	Self-reported discussion of breast cancer risk with physicians.

Secondary Outcome Measures

Name	Time	Method

Locations (2): San Francisco General Hospital (SFGH)
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San Francisco, California, United States
University of California, San Francisco Mt. Zion campus
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San Francisco, California, United States

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