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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: Risk communication, Breast cancer, Qualitative, Think aloud, Interviews, Breast screening
|Publication status||Accepted/In press - 21 Nov 2022|
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Peters, S., Ulph, F., Arden Armitage, C., Borrelli, B., Bowen, A., Byrne-Davis, L., Edge, D., French, D., Hart, J., Todd, C., Skevington, S., Wearden, A., Cotterill, S., Brooks, J., Brown, L., Bull, E., Cordingley, L., Epton, T., Smith, D., Speer, S., Powell, R., Bartlett, K., Coupe, N., Shepherd, S., Dienes, K., Ghio, D., Hood, A., Lavallee, J., Rowland, C., Benton, J., Goldthorpe, J., McWilliams, L., Keyworth, C., Goulding, R., Loughran, M., Hawkes, R., Kapadi, A., Hurley, R., Leather, J., Musa, C., Angelakis, I., Reid, C., Alshammari, D., Mountain, D., Hooper, E., Gates, E., Johnson, F., Lomas, F., Kaplan, G., Cross, H., Foote, H., Long, H., Reid, H., Hamer, J., Sibasa, K., Hozhabrafkan, K., Al Abri, K., Lucas, L., Millard, L., Hulme, L., Dhanwani, M., Sonola-Jones, O., Sfakianaki, R., Broadbent, R., Crone, R., Husni, R. R., Mank, S., Booth, S., Hindmarch, S., Plant, S., Mace, S., Sehmbi, T., Macintyre, V., Vidayanti, V., Peterson, J., Woof, V., El-Khani, A., Devereux-Fitzgerald, A., Chisholm, A., Sawyer, C., Hope, H., Wilkes, J., Birtwell, K., Bakur, K., Stringer, G., Mohd Faudzi, F. N. B., Checketts, M., Tang, M. Y., Coupe, N., Crook, R., Hamnett, C., Lyons, S., Longley, V., Hulme, L., Mountain, D., Talbot, H., Lucas, L., Ecob, C., Huggett, C., Hozhabrafkan, K., Hyder, S. & Lee, R.
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