Zafar Nadia, Wolf Andrea B, Kepniss Julia L, Teal Ashley C, Brem Rachel F
Breast Imaging and Intervention, Department of Radiology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Maine Medical Center, Portland, ME, USA.
J Breast Imaging. 2024 Apr 1;6(2):166-174. doi: 10.1093/jbi/wbae002.
Screening based on individual risk factors results in detection of earlier, more curable breast cancer. There is expectation that improved public education about the importance of personalized screening will result in earlier diagnoses and reduced breast cancer mortality. The purpose of this study is to evaluate the effectiveness of community education on patient perceptions about risk-based screening.
This study is Health Insurance Portability and Accountability Act-compliant and institutional review board exempt. A standardized curriculum was used by radiologists and experts to conduct nine 1-hour patient education sessions between October 2018 and January 2019 about breast cancer risk factors and screening options. Patient participants completed voluntary, anonymous pre-event and post event surveys to determine if the presented educational program led to attitude changes. Survey results were summarized using statistical analysis including mean, median, range, and percentage of participants responding and comparison of pre- and post event fear and anxiety.
Of 336 education session participants, 59.5% (200/336) completed the pre-event and 44.3% (149/336) completed the post event surveys, Respondents reported decreased anxiety and fear regarding breast cancer screening following educational sessions, with 36.1% (64/178) reporting anxiety pre-event compared to 23.3% (31/133) post event, although the difference was not statistically significant (P = .96). Additionally, 64.7% (55/85) of participants stated they were more likely to schedule breast cancer screening based on individual risk factors, and 98.0% (145/148) of participants reported increased knowledge on post event surveys.
This study demonstrates the importance and effectiveness of community-based educational programs in increasing knowledge of risk-based screening and potentially reducing anxiety related to screening.
基于个体风险因素进行筛查可发现更早、更易治愈的乳腺癌。人们期望，加强关于个性化筛查重要性的公众教育能带来更早的诊断，并降低乳腺癌死亡率。本研究的目的是评估社区教育对患者基于风险的筛查认知的有效性。
本研究符合《健康保险流通与责任法案》要求且无需机构审查委员会批准。放射科医生和专家使用标准化课程，在2018年10月至2019年1月期间开展了9次为时1小时的患者教育课程，内容涉及乳腺癌风险因素和筛查选项。参与患者完成了自愿、匿名的课前和课后调查，以确定所提供的教育项目是否导致态度改变。调查结果采用统计分析进行总结，包括均值、中位数、范围以及参与者的回应百分比，以及课前和课后恐惧与焦虑的比较。
在336名参加教育课程的参与者中，59.5%（200/336）完成了课前调查，44.3%（149/336）完成了课后调查。受访者报告称，教育课程后对乳腺癌筛查的焦虑和恐惧有所降低，课前有36.1%（64/178）报告有焦虑，课后为23.3%（31/133），尽管差异无统计学意义（P = 0.96）。此外，64.7%（55/85）的参与者表示他们更有可能根据个体风险因素安排乳腺癌筛查，98.0%（145/148）的参与者报告称课后调查中知识有所增加。
本研究证明了社区教育项目在增加基于风险的筛查知识以及潜在降低与筛查相关焦虑方面的重要性和有效性。
