The co-development of personalised 10-year breast cancer risk communications: a 'think-aloud' study

Louise S Gorman; Helen Ruane; Victoria G Woof; Jake Southworth; Fiona Ulph; D Gareth Evans; David P French

doi:10.1186/s12885-022-10347-3

The co-development of personalised 10-year breast cancer risk communications: a 'think-aloud' study

Louise S Gorman, Helen Ruane, Victoria G Woof, Jake Southworth, Fiona Ulph, D Gareth Evans, David P French

Manchester University NHS Foundation Trust

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSION: 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.

Original language	English
Article number	1264
Journal	BMC Cancer
Volume	22
Issue number	1
DOIs	https://doi.org/10.1186/s12885-022-10347-3
Publication status	Published - 5 Dec 2022

Keywords

Female
Humans
Breast Neoplasms/diagnosis
Mammography
Early Detection of Cancer
Risk
Mass Screening
Communication
Risk communication
Breast screening
Breast cancer
Qualitative
Think aloud
Interviews

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12885-022-10347-3Licence: CC BY

(MCHP) : Manchester Centre for Health Psychology
Peters, S. (PI), Ulph, F. (PI), Arden Armitage, C. (Researcher), Borrelli, B. (Researcher), Bowen, A. (Researcher), Byrne-Davis, L. (Researcher), Edge, D. (Researcher), French, D. (Researcher), Hart, J. (Researcher), Todd, C. (Researcher), Skevington, S. (Researcher), Wearden, A. (Researcher), Cotterill, S. (Researcher), Brooks, J. (Researcher), Brown, L. (Researcher), Bull, E. (Researcher), Cordingley, L. (Researcher), Epton, T. (Researcher), Smith, D. (Researcher), Speer, S. (Researcher), Powell, R. (Researcher), Bartlett, K. (Researcher), Coupe, N. (Researcher), Shepherd, S. (Researcher), Dienes, K. (Researcher), Ghio, D. (Researcher), Hood, A. (Researcher), Lavallee, J. (Researcher), Rowland, C. (Researcher), Benton, J. (Researcher), Goldthorpe, J. (Researcher), McWilliams, L. (Researcher), Keyworth, C. (Researcher), Goulding, R. (Researcher), Loughran, M. (Researcher), Hawkes, R. (Researcher), Kapadi, A. (Researcher), Hurley, R. (Researcher), Leather, J. (Researcher), Musa, C. (Researcher), Angelakis, I. (Researcher), Reid, C. (Researcher), Reid, H. (PGR student), Hulme, L. (PGR student), Hindmarch, S. (PGR student), Plant, S. (Researcher), Peterson, J. (Researcher), Woof, V. (PGR student), Devereux-Fitzgerald, A. (Researcher), Sawyer, C. (Researcher), Wilkes, J. (Researcher), Birtwell, K. (Researcher), Stringer, G. (Researcher), Tang, M. Y. (Researcher), Coupe, N. (Researcher), Hamnett, C. (Support team), Lyons, S. (Researcher), Hulme, L. (PGR student) & Lee, R. (Researcher)
1/09/10 → …
Project: Research

Cite this

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title = "The co-development of personalised 10-year breast cancer risk communications: a 'think-aloud' study",

abstract = "BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: 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.",

keywords = "Female, Humans, Breast Neoplasms/diagnosis, Mammography, Early Detection of Cancer, Risk, Mass Screening, Communication, Risk communication, Breast screening, Breast cancer, Qualitative, Think aloud, Interviews",

author = "Gorman, {Louise S} and Helen Ruane and Woof, {Victoria G} and Jake Southworth and Fiona Ulph and Evans, {D Gareth} and French, {David P}",

note = "Funding Information: DGE and DPF are supported by the NIHR Manchester Biomedical Research Centre (IS-BRC-1215-20007). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Information: This article presents independent research funded by Prevent Breast Cancer (grant reference: GA14-001) and the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (reference number RP-PG-1214-20016: “Providing breast cancer risk information as part of national breast cancer screening programme: building an evidence base on benefits and harms to inform a decision to implement”). The views expressed are those of the author(s) and not necessarily those of not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = dec,

day = "5",

doi = "10.1186/s12885-022-10347-3",

language = "English",

volume = "22",

journal = "BMC Cancer",

issn = "1471-2407",

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T1 - The co-development of personalised 10-year breast cancer risk communications

T2 - a 'think-aloud' study

AU - Gorman, Louise S

AU - Ruane, Helen

AU - Woof, Victoria G

AU - Southworth, Jake

AU - Ulph, Fiona

AU - Evans, D Gareth

AU - French, David P

N1 - Funding Information: DGE and DPF are supported by the NIHR Manchester Biomedical Research Centre (IS-BRC-1215-20007). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Information: This article presents independent research funded by Prevent Breast Cancer (grant reference: GA14-001) and the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (reference number RP-PG-1214-20016: “Providing breast cancer risk information as part of national breast cancer screening programme: building an evidence base on benefits and harms to inform a decision to implement”). The views expressed are those of the author(s) and not necessarily those of not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2022, The Author(s).

PY - 2022/12/5

Y1 - 2022/12/5

N2 - BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: 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.

AB - BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: 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.

KW - Female

KW - Humans

KW - Breast Neoplasms/diagnosis

KW - Mammography

KW - Early Detection of Cancer

KW - Risk

KW - Mass Screening

KW - Communication

KW - Risk communication

KW - Breast screening

KW - Breast cancer

KW - Qualitative

KW - Think aloud

KW - Interviews

U2 - 10.1186/s12885-022-10347-3

DO - 10.1186/s12885-022-10347-3

M3 - Article

C2 - 36471302

SN - 1471-2407

VL - 22

JO - BMC Cancer

JF - BMC Cancer

IS - 1

M1 - 1264

ER -

The co-development of personalised 10-year breast cancer risk communications: a 'think-aloud' study

Abstract

Keywords

UN SDGs

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(MCHP) : Manchester Centre for Health Psychology

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