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    What are the views of three key stakeholder groups on extending the breast screening interval for low-risk women? A secondary qualitative analysis

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    Authors
    Taylor, G.
    McWilliams, L.
    Woof, V. G.
    Evans, D Gareth R
    French, David P
    Affiliation
    School of Health Sciences, Manchester Centre of Health Psychology, Division of Psychology and Mental Health, University of Manchester, Manchester, UK
    Issue Date
    2022
    
    Metadata
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    Abstract
    Introduction: There is increasing interest in risk-stratified breast screening, whereby the prevention and early detection offers vary by a woman's estimated risk of breast cancer. To date, more focus has been directed towards high-risk screening pathways rather than considering women at lower risk, who may be eligible for extended screening intervals. This secondary data analysis aimed to compare the views of three key stakeholder groups on how extending screening intervals for low-risk women should be implemented and communicated as part of a national breast screening programme. Methods: Secondary data analysis of three qualitative studies exploring the views of distinct stakeholder groups was conducted. Interviews took place with 23 low-risk women (identified from the BC-Predict study) and 17 national screening figures, who were involved in policy-making and implementation. In addition, three focus groups and two interviews were conducted with 26 healthcare professionals. A multiperspective thematic analysis was conducted to identify similarities and differences between stakeholders. Findings: Three themes were produced: Questionable assumptions about negative consequences, highlighting how other stakeholders lack trust in how women are likely to understand extended screening intervals; Preserving the integrity of the programme, centring on decision-making and maintaining a positive reputation of breast screening and Negotiating a communication pathway highlighting communication expectations and public campaign importance. Conclusions: A risk-stratified screening programme should consider how best to engage women assessed as having a low risk of breast cancer to ensure mutual trust, balance the practicality of change whilst ensuring acceptability, and carefully develop multilevel inclusive communication strategies.
    Citation
    Taylor G, McWilliams L, Woof VG, Evans DG, French DP. What are the views of three key stakeholder groups on extending the breast screening interval for low-risk women? A secondary qualitative analysis. Health expectations : an international journal of public participation in health care and health policy. 2022 Oct 28. PubMed PMID: 36305519. Epub 2022/10/29. eng.
    Journal
    Health Expectations
    URI
    http://hdl.handle.net/10541/625747
    DOI
    10.1111/hex.13637
    PubMed ID
    36305519
    Additional Links
    https://dx.doi.org/10.1111/hex.13637
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1111/hex.13637
    Scopus Count
    Collections
    All Paterson Institute for Cancer Research

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