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    Women's perceptions of personalized risk-based breast cancer screening and prevention: an international focus group study

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    Authors
    Rainey, L
    Jervaeus, A
    Donnelly, L
    Evans, D Gareth R
    Hammarstrom, M
    Hall, P
    Wengstrom, Y
    Broeders, M
    van der Waal, D
    Affiliation
    Radboud Institute for Health Sciences, Radboud university Medical Center, Nijmegen
    Issue Date
    2019
    
    Metadata
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    Abstract
    OBJECTIVE: Increased knowledge of breast cancer risk factors enables a shift from one-size-fits-all breast cancer screening to a risk-based approach, tailoring screening policy to a woman's individual risk. New opportunities for prevention will arise. However, before this novel screening and prevention program is introduced, its acceptability from a woman's perspective needs to be explored. METHODS: Women eligible for breast cancer screening in the Netherlands, United Kingdom, and Sweden were invited to take part in focus groups. A total of 143 women participated. Data were transcribed verbatim and analyzed using thematic analysis. RESULTS: Analysis identified five themes across the three countries. The first theme "impact of knowledge" describes women's concern of not being able to unlearn their risk, perceiving it as either a motivator for change or a burden which may lead to stigma. The second theme "belief in science" explains women's need to trust the science behind the risk assessment and subsequent care pathways. Theme three "emotional impact" explores, eg, women's perceived anxiety and (false) reassurance, which may result from knowing their risk. Theme four "decision making" highlights cultural differences in shared versus individual decision making. Theme five "attitude to medication" explores the controversial topic of offering preventative medication for breast cancer risk reduction. CONCLUSIONS: Acceptability of risk-based screening and prevention is mixed. Women's perceptions are informed by a lack of knowledge, cultural norms, and common emotional concerns, which highlights the importance of tailored educational materials and risk counselling to aid either shared or individual informed decision making.
    Citation
    Rainey L, Jervaeus A, Donnelly LS, Evans DG, Hammarstrom M, Hall P, et al. Women's perceptions of personalized risk-based breast cancer screening and prevention: an international focus group study. Psychooncology. 2019.
    Journal
    Psychooncology
    URI
    http://hdl.handle.net/10541/621784
    DOI
    10.1002/pon.5051
    PubMed ID
    30848018
    Additional Links
    https://dx.doi.org/10.1002/pon.5051
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1002/pon.5051
    Scopus Count
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    All Christie Publications

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