Ontology highlight
ABSTRACT: Background
Risk stratified breast cancer screening is being considered as a means of improving the balance of benefits and harms of mammography. Stratified screening requires the communication of risk estimates. We aimed to co-develop personalised 10-year breast cancer risk communications for women attending routine mammography.Methods
We conducted think-aloud interviews on prototype breast cancer risk letters and accompanying information leaflets with women receiving breast screening through the UK National Breast Screening Programme. Risk information was redesigned following feedback from 55 women in three iterations. A deductive thematic analysis of participants' speech is presented.Results
Overall, participants appreciated receiving their breast cancer risk. Their comments focused on positive framing and presentation of the risk estimate, a desire for detail on the contribution of individual risk factors to overall risk and effective risk management strategies, and clearly signposted support pathways.Conclusion
Provision of breast cancer risk information should strive to be personal, understandable and meaningful. Risk information should be continually refined to reflect developments in risk management. Receipt of risk via letter is welcomed but concerns remain around the acceptability of informing women at higher risk in this way, highlighting a need for co-development of risk dissemination and support pathways.
SUBMITTER: Gorman LS
PROVIDER: S-EPMC9721070 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Gorman Louise S LS Ruane Helen H Woof Victoria G VG Southworth Jake J Ulph Fiona F Evans D Gareth DG French David P DP
BMC cancer 20221205 1
<h4>Background</h4>Risk stratified breast cancer screening is being considered as a means of improving the balance of benefits and harms of mammography. Stratified screening requires the communication of risk estimates. We aimed to co-develop personalised 10-year breast cancer risk communications for women attending routine mammography.<h4>Methods</h4>We conducted think-aloud interviews on prototype breast cancer risk letters and accompanying information leaflets with women receiving breast scre ...[more]