[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"medical-overuse\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:medical-overuse":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":5},"100632279","a-multi-level-strategy-for-de-implementing-mammography-overuse-among-older-women-100632279",false,"NCT07511621","A Multi-Level Strategy for De-implementing Mammography Overuse Among Older Women","De-implementation of Overuse of Mammography Screening in Older Racially and Ethnically Diverse Women","Patient level criteria\n\nInclusion criteria\n\n* English- or Spanish-speaking women based on preferred language in electronic health record\n* Aged 75 and older at the time of their scheduled primary care visit\n* Women who have a primary care visit scheduled within the next 2-4 weeks\n* 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\n\nExclusion Criteria\n\n* Women with a history of atypical ductal hyperplasia (ADH) or non-invasive or invasive breast cancer (assessed via ICD 10 code)\n* Women with dementia (assessed via ICD 10 code)\n* ICD codes to use across exclusion criteria: F01-F03, Z85.3, G30-G31, N60, C50, or D05\n\nProvider level criteria\n\nInclusion Criteria\n\n• Primary care clinicians attributed to the 2 intervention clinics that serve adult patients, including those ≥75 years\n\nExclusion Criteria\n\n* Specialists\n* Primary care clinicians for patients \\\u003C 18 years old\n* Non-clinicians\n* Physician assistants",true,"ALL","18 Years",{"count":20,"type":21},500,"ESTIMATED","INTERVENTIONAL",[24],"NA","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\u002Forders for screening mammography. The organizational level components of the multilevel strategy will be implemented among all participants, not via random assignment.",[27,28,29,30],"Mammography","Medical Overuse","Evidence-based Practice","Older Adults",[27,32,33,34,35,36,37,38],"Medical overuse","Implementation science","Aging","Women","Randomized controlled trial","Screening cessation","De-implementation","RECRUITING","2026-03-30",{"date":42,"type":43},"2026-04-06","ACTUAL",{"date":45,"type":43},"2026-03-11",{"date":47,"type":21},"2028-03",{"name":49,"class":50},"Columbia University","OTHER"]