Impact of a risk based breast screening decision aid on understanding, acceptance and decision making

被引：2
|
作者：
Lippey, Jocelyn [1 ,2 ,3 ]
Keogh, Louise [4 ]
Campbell, Ian [5 ]
Mann, Gregory Bruce [6 ,7 ]
Forrest, Laura Elenor [8 ]
机构：
[1] Sir Peter MacCallum Dept Oncol, Melbourne, Australia
[2] Univ Melbourne, Dept Surg, Melbourne, Australia
[3] St Vincents Hosp, Dept Surg, Fitzroy, Australia
[4] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Australia
[5] Peter MacCallum Canc Ctr, Canc Genet Lab, Melbourne, Australia
[6] Univ Melbourne, Dept Surg, Melbourne, Australia
[7] Royal Melbourne Hosp, Breast Serv, Melbourne, Australia
[8] Peter MacCallum Canc Ctr, Parkville Familial Canc Ctr, Melbourne, Australia
来源：
NPJ BREAST CANCER | 2023年 / 9卷 / 01期
关键词：
RANDOMIZED-TRIAL; INFORMED CHOICE; YOUNG-WOMEN; CANCER; MAMMOGRAPHY; SUSCEPTIBILITY; INFORMATION; PERCEPTIONS; VALIDATION; INTENTIONS;
D O I：
10.1038/s41523-023-00569-4
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Internationally, population breast cancer screening is moving towards a risk-stratified approach and requires engagement and acceptance from current and future screening clients. A decision aid (www.defineau.org) was developed based on women's views, values, and knowledge regarding risk-stratified breast cancer screening. This study aims to evaluate the impact of the decision aid on women's knowledge, risk perception, acceptance of risk assessment and change of screening frequency, and decision-making. Here we report the results of a pre and post-survey in which women who are clients of BreastScreen Victoria were invited to complete an online questionnaire before and after viewing the decision aid. 3200 potential participants were invited, 242 responded with 127 participants completing both surveys. After reviewing the decision aid there was a significant change in knowledge, acceptance of risk-stratified breast cancer screening and of decreased frequency screening for lower risk. High levels of acceptance of risk stratification, genetic testing and broad support for tailored screening persisted pre and post review. The DEFINE decision aid has a positive impact on acceptance of lower frequency screening, a major barrier to the success of a risk-stratified program and may contribute to facilitating change to the population breast screening program in Australia.
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收藏
页数：11
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