{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:58:01Z","timestamp":1767650281205,"version":"3.37.3"},"reference-count":65,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100011621","name":"Winship Cancer Institute of Emory University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011621","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The US Preventive Services Task Force does not recommend routine annual mammography screening for women aged 40\u201349 at average risk. Little research has been done to develop theory-based communication interventions to facilitate informed decision-making about reducing potentially low-value mammography screening.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>Evaluate the effects of theory-based persuasive messages on women\u2019s willingness to consider delaying screening mammography until age 50 or have mammograms biennially.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a randomized controlled communication experiment online with a population-based sample of U.S. women aged 40\u201349 (N = 383) who screened to be at average risk for breast cancer. Women were randomly assigned to the following messaging summaries: annual mammography risks in 40s (Arm 1, n = 124), mammography risks plus family history-based genetic risk (Arm 2, n = 120), and mammography risks, genetic risk, and behavioral alternatives (Arm 3, n = 139). Willingness to delay screening or reduce screening frequency was assessed post-experiment by a set of 5-point Likert scale items.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Women in Arm 3 reported significantly greater willingness to delay screening mammography until age 50 (mean = 0.23, SD = 1.26) compared with those in Arm 1 (mean = \u22120.17, SD = 1.20; p = .04). There were no significant arm differences in willingness to reduce screening frequency. Exposure to the communication messages significantly shifted women\u2019s breast cancer-related risk perceptions without increasing unwarranted cancer worry across all three arms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Providing women with screening information and options may help initiate challenging discussions with providers about potentially low-value screening.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/abm\/kaad018","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T18:31:48Z","timestamp":1683570708000},"page":"696-707","source":"Crossref","is-referenced-by-count":4,"title":["Testing Theory-Based Messages to Encourage Women at Average Risk for Breast Cancer to Consider Biennial Mammography Screening"],"prefix":"10.1093","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6377-4626","authenticated-orcid":false,"given":"Yue","family":"Guan","sequence":"first","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University , Atlanta, GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regine","family":"Haard\u00f6rfer","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University , Atlanta, GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University , Atlanta, GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4445-009X","authenticated-orcid":false,"given":"Cam","family":"Escoffery","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University , Atlanta, GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Lipscomb","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, Rollins School of Public Health, Emory University , Atlanta, GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"issue":"1\u20132","key":"2023082117334288000_CIT0001","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1002\/ajcp.12258","article-title":"Letting go: conceptualizing intervention de-implementation in public health and social service 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