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Informed by qualitative methods, we constructed a discrete choice experiment (DCE) based on a hypothetical patient activation de-implementation strategy (the Rethink Resource) for prompting patient\/provider discussions about whether to stop getting mammograms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Women\u2009\u2265\u200970\u00a0years old selected using sampling strata based on age, race\/ethnicity, and education and without a breast cancer history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>Attributes (levels) included modality (electronic, paper, in-person); context (reviewed with provider, group, on their own); content (mammography pros\/cons, patient story\/testimonial); frequency (once, yearly); and decision-making principles (age\/health calculator, personal preferences\/responsibilities checklist). We estimated a random utility model to quantify patient preferences and calculate importance scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 673 eligible participants; the weighted mean age was 77.5 (standard deviation: 5.3); 72.0% were Non-Hispanic White, 10.5% Non-Hispanic Black, and 9.8% Hispanic; 69.3% had less than a college degree; 49.6% agreed with the idea of stopping mammography based on age and health. In order of importance, participants preferred (mean [standard error]) the Rethink Resource be reviewed: with their healthcare provider (1.52 [0.08]) or on their own (1.22 [0.07]), include pros\/cons (0.79 [0.05]), and be delivered on paper (0.81 [0.07]) or electronically (0.60 [0.07]) on a yearly basis (0.34 [0.05]). There were no significant preferences for decision-making principles (\u20130.01 [0.05]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the first DCE for de-implementation strategies, we found that women express clear preferences for how and with whom information is relayed, but do not have strong preferences for calculators\/checklists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-025-10158-9","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T15:57:43Z","timestamp":1769529463000},"page":"2507-2517","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of a Discrete Choice Experiment to Inform De-implementation of Mammography Overscreening: A US-Based National Survey"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-5573","authenticated-orcid":false,"given":"Nathalie","family":"Moise","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dallas","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer Mizhquiri","family":"Barbecho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita G.","family":"Karr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savannah P.","family":"Alexander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel C.","family":"Shelton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parisa","family":"Tehranifar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"10158_CR1","doi-asserted-by":"crossref","unstructured":"Force USPST, Nicholson WK, Silverstein M, et al. 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