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A Multi-Level Strategy for De-implementing Mammography Overuse Among Older Women

Columbia University · with National Cancer Institute (NCI) · NCT07511621

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Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.

Key facts

Compensation
Not posted. Ask the study team before screening.
Who can join
Ages 18+ · All sexes
Healthy volunteers
Accepted
Study type
Interventional · Not applicable
Target enrollment
500
US sites recruiting
1
Study start
March 11, 2026
Record last updated
September 25, 2026

Status re-checked against ClinicalTrials.gov within the last 12 hours.

What the study 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.

Being studied: Enhanced Usual Care (EUC); Multilevel De-Implementation Strategy

Conditions: Mammography; Medical Overuse; Evidence-based Practice; Older Adults

Eligibility criteria

Copied from the official record. The study team makes the final decision at screening.

Show full criteria

Patient level criteria

Inclusion criteria

  • English- or Spanish-speaking women based on preferred language in electronic health record
  • Aged 75 and older at the time of their scheduled primary care visit
  • Women who have a primary care visit scheduled within the next 2-4 weeks
  • Women who have not had a screening mammogram 6 months prior to their scheduled primary care visit but have had a screening mammogram 7-18 months prior to their scheduled primary care visit

Exclusion Criteria

  • Women with a history of atypical ductal hyperplasia (ADH) or non-invasive or invasive breast cancer (assessed via ICD 10 code)
  • Women with dementia (assessed via ICD 10 code)
  • ICD codes to use across exclusion criteria: F01-F03, Z85.3, G30-G31, N60, C50, or D05

Provider level criteria

Inclusion Criteria

  • Primary care clinicians attributed to the 2 intervention clinics that serve adult patients, including those ≥75 years

Exclusion Criteria

  • Specialists
  • Primary care clinicians for patients \< 18 years old
  • Non-clinicians
  • Physician assistants

Recruiting US locations

  • Columbia University Irving Medical Center

    New York, NY 10032

    Site contact: Nathalie Moise, MD, MS · nm2562@cumc.columbia.edu

Study contacts (from the official record)

  • Parisa Tehranifar, DrPH · 212-305-1018 · pt140@cumc.columbia.edu
  • Anita G Karr, MPH · ak5074@cumc.columbia.edu
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A Multi-Level Strategy for De-implementing Mammography Overuse… (NCT07511621) | Bored Studies