Women's perceptions of personalized risk-based breast cancer screening and prevention: an international focus group study
Authors
Rainey, LJervaeus, 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, NijmegenIssue Date
2019
Metadata
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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
PsychooncologyDOI
10.1002/pon.5051PubMed ID
30848018Additional Links
https://dx.doi.org/10.1002/pon.5051Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1002/pon.5051
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