Actively Recruiting
A Multi-Level Strategy for De-implementing Mammography Overuse Among Older Women
Led by Columbia University · Updated on 2026-04-06
500
Participants Needed
1
Research Sites
103 weeks
Total Duration
On this page
Sponsors
C
Columbia University
Lead Sponsor
N
National Cancer Institute (NCI)
Collaborating Sponsor
AI-Summary
What this Trial Is About
This project aims to advance methodological and theoretical approaches for developing, selecting, refining, and piloting a multilevel de-implementation strategy to reduce the overuse of screening mammography in women aged ≥75 years. Informed by an innovative participatory, stakeholder-driven innovation tournament and a discrete choice experiment, the research team identified, prioritized, and tailored a multilevel de-implementation strategy. The research team will conduct a cluster randomized controlled trial (at the provider level) to test the impact of the provider- and patient-level components of the multilevel strategy on screening mammography use, and secondarily, on provider referrals/orders for screening mammography. The organizational level components of the multilevel strategy will be implemented among all participants, not via random assignment.
CONDITIONS
Official Title
A Multi-Level Strategy for De-implementing Mammography Overuse Among Older Women
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women aged 75 years or older at the time of their scheduled primary care visit
- English- or Spanish-speaking based on preferred language in electronic health record
- Women with a primary care visit scheduled within the next 2 to 4 weeks
- Women who have not had a screening mammogram in the past 6 months but had one 7 to 18 months prior
- Primary care clinicians at the 2 intervention clinics serving adult patients including those 75 years and older
You will not qualify if you...
- Women with a history of atypical ductal hyperplasia or breast cancer (non-invasive or invasive)
- Women with dementia
- ICD codes used for exclusion include F01-F03, Z85.3, G30-G31, N60, C50, or D05
- Specialists, primary care clinicians for patients under 18 years old, non-clinicians, and physician assistants
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Trial Site Locations
Total: 1 location
1
Columbia University Irving Medical Center
New York, New York, United States, 10032
Actively Recruiting
Research Team
P
Parisa Tehranifar, DrPH
CONTACT
A
Anita G Karr, MPH
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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