The Nightingale Centre and Prevent Breast Cancer Centre Research Unit, Manchester University NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, UK.
Manchester Centre for Health Psychology, Division of Psychology & Mental Health, School of Health Sciences, The University of Manchester, MAHSC, Oxford Road, Manchester, M13 9PL, UK.
BMC Cancer. 2022 Dec 5;22(1):1264. doi: 10.1186/s12885-022-10347-3.
Risk 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.
We 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.
Overall, 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.
Provision 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.
风险分层乳腺癌筛查正被考虑作为一种提高乳房 X 线摄影术的获益与危害平衡的手段。分层筛查需要沟通风险评估。我们旨在共同制定用于常规乳房 X 线筛查的女性的个性化 10 年乳腺癌风险沟通。
我们对英国国家乳房筛查计划中接受乳房筛查的女性进行了原型乳腺癌风险信函和相关信息传单的出声思考访谈。根据 55 名女性的反馈，我们在三个迭代中对风险信息进行了重新设计。呈现了参与者言语的演绎主题分析。
总体而言，参与者对收到乳腺癌风险表示赞赏。他们的评论集中在对风险估计的积极框架和呈现、对个体风险因素对总体风险的贡献以及有效的风险管理策略的详细信息的渴望，以及明确的支持途径。
乳腺癌风险信息的提供应努力做到个性化、可理解和有意义。风险信息应不断改进，以反映风险管理的发展。通过信函提供风险信息受到欢迎，但仍有人担心以这种方式告知高风险女性的可接受性，这突显了共同制定风险传播和支持途径的必要性。
