Plans to Stop Cancer Screening Tests Among Adults Who Recently Considered Screening

Lewis, Carmen L.; Couper, Mick P.; Levin, Carrie A.; Pignone, Michael; Zikmund‐Fisher, Brian J.

doi:10.1007/s11606-010-1346-5

Cited by 22 publications

(29 citation statements)

References 15 publications

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“…M. Gunn et al has been confirmed in other studies (Lewis, Couper, Levin, Pignone, & Zikmund-Fisher, 2010). Future research may benefit from using a multilevel analysis including both patient and provider reports of SDM, preferences for cancer screening, and utilization outcomes.…”

Section: Strengths and Limitationsmentioning

confidence: 63%

Shared Decision Making and the Use of Screening Mammography in Women Younger Than 50 Years of Age

Gunn

Soley‐Bori

Battaglia

et al. 2015

Journal of Health Communication

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Current breast cancer screening guidelines promote the use of shared decision making for women younger than 50 years of age, yet their effect on mammography utilization is largely unknown. This study aimed to examine the effect of two elements of shared decision making on the use of mammogram screening: patient-perceived choice and patient-provider communication. Data were obtained from HINTS 4, a nationally representative survey of the U.S. population, administered from 2011 to 2013. Choice was measured with the question "Has a doctor ever told you that you could choose whether or not to have a mammogram?" Communication was measured using a 7-item scale (range: 7-28; higher scores denote better communication). Binary logistic regression models assessed the effect of patient choice and communication on ever having a mammogram using weighted sample data. The sample included 1,085 women younger than 50 years of age: 31% of women perceived having a choice to undergo mammography. The mean patient-provider communication score was 22.8. Those who thought they were given a choice regarding mammography were more likely to have a mammogram relative to those who did not think a choice was given by the provider. Patient-provider communication had no significant association with mammography utilization. Patient perceived choice, but not patient-provider communication, is positively associated with mammography utilization in women younger than 50 years of age.

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Section: Strengths and Limitationsmentioning

confidence: 63%

Shared Decision Making and the Use of Screening Mammography in Women Younger Than 50 Years of Age

Gunn

Soley‐Bori

Battaglia

et al. 2015

Journal of Health Communication

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“…Such an interpretation is supported by prior research regarding the effects of shared decision making on patient cancer screening decisions. 31,32 Papanicolaou testing and influenza vaccination had the weakest strength of association across individual primary care attributes. Both Papanicolaou testing and the influenza vaccine are readily available in the United States through non-USOC providers (eg, Planned Parenthood for Papanicolaou testing, pharmacies or public health departments for the influenza vaccination).…”

Section: Discussionmentioning

confidence: 99%

Primary Care Attributes Associated with Receipt of Preventive Care Services: A National Study

VanGompel

Jerant

Franks

2015

The Journal of the American Board of Family Medicine

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“…These plans were unrelated to self-reported health status or age, with individuals aged 70 years or older no more likely to stop than those aged 50 to 69 years. 14 …”

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confidence: 99%

Older Adults and Forgoing Cancer Screening

et al. 2013

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Importance: Although there is a growing recognition that older adults and those with extensive comorbid conditions undergo cancer screening too frequently, there is little information about patients' perceptions regarding cessation of cancer screening. Information on older adults' views of screening cessation would be helpful both for clinicians and for those designing interventions to reduce overscreening.Objective: To obtain a deeper understanding of older adults' perspectives on screening cessation and their experiences communicating with clinicians about this topic.Design: Semistructured interview study.Setting: Senior health center affiliated with an urban hospital. Participants:We interviewed 33 older adults presenting to a senior health center. Their median age was 76 years (range, 63-91 years). Of the 33 participants, 27 were women; 15 were African American, 16 were white, 1 was Asian, and 1 was American Indian. Main Outcome Measures:We transcribed audio recordings of interviews and analyzed them using methods of grounded theory to identify themes and illustrative quotes.Results: Undergoing screening tests was perceived by participants as morally obligatory. Although many saw continued screening as a habit or custom not involving any decision, cessation of screening would require a major decision. Many asserted that they had never discussed screening cessation with their physicians or considered stopping on their own; some reported being upset when their physician recommended stopping. Although some would accept a physician's strong recommendation to stop, others thought that such a physician's recommendation would threaten trust or lead them to get another opinion. Participants were skeptical about the role of statistics and the recommendations of government panels in screening decisions but were more favorable toward stopping because of the balance of risks and benefits, complications, or test burdens.Conclusions and Relevance: For many older adults, stopping screening is a major decision, but continuing screening is not. A physician's recommendation to stop may threaten patient trust. Effective strategies to reduce nonbeneficial screening may include discussion of the balance of risks and benefits, complications, or burdens.

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Plans to Stop Cancer Screening Tests Among Adults Who Recently Considered Screening

Cited by 22 publications

References 15 publications

Shared Decision Making and the Use of Screening Mammography in Women Younger Than 50 Years of Age

Shared Decision Making and the Use of Screening Mammography in Women Younger Than 50 Years of Age

Primary Care Attributes Associated with Receipt of Preventive Care Services: A National Study

Older Adults and Forgoing Cancer Screening

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