Decisions About Cancer Screening in Alzheimer’s Disease

Patient Inclusion Criteria:

Female and 75 years or older
At least one mammogram in the past five years
Primary care visit scheduled in the next 12 months
Diagnosis of Alzheimer's disease or related dementia as determined by ICD-10 code
Ability to provide informed consent or assent
Ability to communicate in English

Patient Exclusion Criteria:

Permanent resident of a nursing facility
Had a mammogram in the past 6 months
Primary care visit scheduled is the first visit with the PCP
Made a decision to stop getting mammograms
History of Atypical Ductal Hyperplasia, lobular carcinoma in situ, ductal carcinoma in situ, or non-invasive breast cancer
Has mild cognitive impairment, serious mental illness such as bipolar or schizophrenia as determined by ICD-10 code

Caregiver Inclusion Criteria:

18 years or older
Primary family caregiver of the patient*
Must have a telephone
Ability to provide informed consent
Ability to communicate in English

Caregiver Exclusion Criteria:

Caregiver is a non-family member who is not a legal Healthcare Power of Attorney
Less than a 7th grade education**
Made a decision that the patient will stop getting mammograms
Has a diagnosis of AD or has a serious mental illness such as bipolar or schizophrenia as determined by ICD-10 code