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 AD 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 9 months

- Primary care visit scheduled is not 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

- Two or more first degree relatives with 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*

- 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