Abramson Cancer Center at Penn Medicine
The objective of this project is to assess the implementation of evidence-based, digital tools to improve breast cancer risk assessment and related primary cancer prevention services for those at high risk for developing breast cancer.
The scientific aims of the study are: Aim 1: To evaluate the impact of the addition of patient nudge strategies (SMS reminders v. patient phone support) to improve uptake of breast cancer risk assessment. (adoption). Clinical, social, and demographic factors associated with uptake will be a secondary outcome. Aim 2: To estimate service delivery costs from the health system perspective by collecting data on team-member time (Implementation) Aim 3: To describe critical patient, provider, and systems facilitators and barriers for the implementation process using a multi-stakeholder, mixed-metho…
Inclusion Criteria: Patients will be eligible if they: * are between 18-39 years * have Sex Assigned at Birth of female in EHR. If Sex Assigned at Birth is not available, Legal Sex of female. * received care from Penn Primary care of OB/GYN (Past appointment within 1 year and future appointment within 3 months) Exclusion Criteria: Patients will be excluded if they: * are younger than 18 or older than 39 because breast cancer risk assessment guidelines do not pertain to these groups. Furthermore, women 40 and older also qualify for standard of care breast cancer screening. * have Sex Assigne…
The intervention involves patient nudge via text message
The intervention involves patient nudge via phone call from a study team member. The patient phone call nudge will consist of a study team member calling to inquire about receipt of EVA chatbot and barriers to completion.
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