European women's perceptions of the implementation and organisation of risk-based breast cancer screening and prevention: a qualitative study
Open Access
- 24 March 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Cancer
- Vol. 20 (1), 1-11
- https://doi.org/10.1186/s12885-020-06745-0
Abstract
Background Increased knowledge of breast cancer risk factors has meant that we are currently exploring risk-based screening, i.e. determining screening strategies based on women's varying levels of risk. This also enables risk management through primary prevention strategies, e.g. a lifestyle programme or risk-reducing medication. However, future implementation of risk-based screening and prevention will warrant significant changes in current practice and policy. The present study explores women's perceptions of the implementation and organisation of risk-based breast cancer screening and prevention to optimise acceptability and uptake. Methods A total of 143 women eligible for breast cancer screening in the Netherlands, the United Kingdom, and Sweden participated in focus group discussions. The focus group discussions were transcribed verbatim and the qualitative data was analysed using thematic analysis. Results Women from all three countries generally agreed on the overall proceedings, e.g. a risk assessment after which the risk estimate is communicated via letter (for below average and average risk) or consultation (for moderate and high risk). However, discrepancies in information needs, preferred risk communication format and risk counselling professional were identified between countries. Additionally, a need to educate healthcare professionals on all aspects of the risk-based screening and prevention programme was established. Conclusion Women's insights identified the need for country-specific standardised protocols regarding the assessment and communication of risk, and the provision of heterogeneous screening and prevention recommendations, monitoring the principle of solidarity in healthcare policy.Funding Information
- ZonMw (200500004)
- KWF Kankerbestrijding (KUN2015-7626)
- Radboud Institute for Health Sciences (n/a)
This publication has 31 references indexed in Scilit:
- Incorporating genomics into breast and prostate cancer screening: assessing the implicationsGenetics in Medicine, 2013
- Public health implications from COGS and potential for risk stratification and screeningNature Genetics, 2013
- Promoting Changes in Diet and Physical Activity in Breast and Colorectal Cancer Screening Settings: An Unexplored Opportunity for Endorsing Healthy BehaviorsCancer Prevention Research, 2013
- Personalised risk communication for informed decision making about taking screening testsEmergencias, 2013
- Stratified Cancer Screening: The Practicalities of ImplementationPublic Health Genomics, 2013
- Knowing, Caring, and Telehealth TechnologyJournal of Holistic Nursing, 2012
- Assessing Individual Breast Cancer Risk within the U.K. National Health Service Breast Screening Program: A New Paradigm for Cancer PreventionCancer Prevention Research, 2012
- Breast cancer risk prediction and individualised screening based on common genetic variation and breast density measurementBreast Cancer Research, 2012
- Generalization in quantitative and qualitative research: Myths and strategiesInternational Journal of Nursing Studies, 2010
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006