Testing a Mammography Decision Intervention in a Rural Setting

Part of paid clinical trials in Keene, New Hampshire.

Sponsor
Dartmouth-Hitchcock Medical Center
Study ID
NCT06522568
Status
Recruiting
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Conditions

Eligibility Criteria

Sex
FEMALE
Age
39 Years - 49 Years
Healthy Volunteers
Not accepted

Interventions

  • MyMammogram — BEHAVIORAL
    An online breast cancer screening decision aid
  • Provider communication — OTHER
    Provider will be provided with information from MyMammogram that includes patient's breast cancer risk and preferences for mammograms prior to the appointment

Study Details

The overall objective of this COBRE pilot project is to enhance the design of a 3-arm cluster randomized trial that will test the efficacy and mechanism of effect of the MyMammogram DA with or without a provider communication intervention. This will be accomplished through two aims: (1) Refine, with community partner input, a clinical trial protocol to optimize engagement among patients and primary care providers (PCPs) practicing in rural settings. In consultation with patients, PCPs, and informatics experts, the study team will refine site selection, randomization, patient and PCP recruitment, and data collection protocols to meet the needs of the rural health care delivery system and participants. The result of this aim will be a modified protocol and intervention strategy that is acceptable to partners. (2) Adapt and test trial and intervention implementation features to achieve protocol acceptance and adherence. The investigators will pilot the adapted three-arm randomized trial protocol in rural primary care settings that compares the MyMammogram DA with or without a risk summary provided to the PCP pre-visit, relative to usual care. Implementing the trial in two phases (n=15 each) will systematically identify barriers and facilitators to trial participation to refine protocols. Participants will receive acceptability surveys and investigators will conduct qualitative interviews with patients and PCPs to understand experiences with trial implementation from multiple perspectives.

Key Dates

Start date
Sep 1, 2025
Status verified
May 2026
Primary completion
Sep 15, 2026
Completion
Sep 15, 2026

Study Design

Enrollment
39 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • No Intervention: Usual Care
    Usual care.
  • Experimental: MyMammogram
    Patient uses MyMammogram prior to appointment.
  • Experimental: MyMammogram plus provider communication
    Patient uses MyMammogram prior to appointment. Provider receives a summary from MyMammogram prior to appointment.

Primary Outcome Measure

Intervention acceptability [ Time Frame: within one day of completing the intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Cheshire Medical CenterKeeneNew Hampshire03431
Christine Gunn, PhD
[email protected]
603-646-5430

Find similar trials in Keene, NH

By condition
Breast cancer
By specialty
OncologyBreast oncologyWomen's health
By research site
Cheshire Medical Center· Keene, NH

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