The co-development of personalised 10-year breast cancer risk communications: a ‘think-aloud’ study

BMC Cancer

Research

Fiona Ulph¹  Victoria G. Woof¹  David P. French²  Louise S. Gorman³  Jake Southworth³  Helen Ruane³  D. Gareth Evans⁴ 

[1] Manchester Centre for Health Psychology, Division of Psychology & Mental Health, School of Health Sciences, The University of Manchester, MAHSC, Oxford Road, M13 9PL, Manchester, UK;Manchester Centre for Health Psychology, Division of Psychology & Mental Health, School of Health Sciences, The University of Manchester, MAHSC, Oxford Road, M13 9PL, Manchester, UK;NIHR Manchester Biomedical Research Centre, Manchester Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England, UK;The Nightingale Centre and Prevent Breast Cancer Centre Research Unit, Manchester University NHS Foundation Trust, Southmoor Road, M23 9LT, Manchester, UK;The Nightingale Centre and Prevent Breast Cancer Centre Research Unit, Manchester University NHS Foundation Trust, Southmoor Road, M23 9LT, Manchester, UK;Department of Genomic Medicine, Division of Evolution and Genomic Science, MAHSC, University of Manchester, Manchester University NHS Foundation Trust, Oxford Road, M13 9WL, Manchester, UK;NIHR Manchester Biomedical Research Centre, Manchester Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England, UK;

关键词: Risk communication;    Breast cancer;    Qualitative;    Think aloud;    Interviews;    Breast screening;   

DOI  :  10.1186/s12885-022-10347-3

 received in 2022-06-30, accepted in 2022-11-21,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundRisk 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.MethodsWe 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.ResultsOverall, 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.ConclusionProvision 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.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 2