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Abstract
BACKGROUND: Risk-stratified screening is being considered for national breast screening programmes. It is unclear how women experience risk-stratified screening and receipt of breast cancer risk information in real time. This study aimed to explore the psychological impact of undergoing risk-stratified screening within England's NHS Breast Screening Programme.
METHODS: Individual telephone interviews were conducted with 40 women who participated in the BC-Predict study and received a letter indicating their estimated breast cancer risk as one of four risk categories: low (<2% 10-year risk), average (2-4.99%), above average (moderate; 5-7.99%) or high (≥8%). Audio-recorded interview transcriptions were analysed using reflexive thematic analysis.
RESULTS: Two themes were produced: 'From risk expectations to what's my future health story?' highlights that women overall valued the opportunity to receive risk estimates; however, when these were discordant with perceived risk, this causes temporary distress or rejection of the information. 'Being a good (woman) citizen' where women felt positive contributing to society but may feel judged if they then cannot exert agency over the management of their risk or access follow-up support CONCLUSIONS: Risk-stratified breast screening was generally accepted without causing long-lasting distress; however, issues related to risk communication and access to care pathways need to be considered for implementation.
Original language | English |
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Pages (from-to) | 356–365 |
Number of pages | 10 |
Journal | BJC |
Volume | 129 |
Issue number | 2 |
Early online date | 24 May 2023 |
DOIs | |
Publication status | Published - 10 Aug 2023 |
Keywords
- breast cancer
- risk assessment
- risk stratification
- screening
- mammography
- risk communication
- psychological impact
- State Medicine
- Risk Assessment
- Early Detection of Cancer
- Humans
- Middle Aged
- England
- Mass Screening
- Breast Neoplasms/psychology
- Female
- Aged
- Qualitative Research
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(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), Mountain, D. (PGR student), Hooper, E. (PGR student), Gates, E. (PGR student), Lomas, F. (PGR student), Kaplan, G. (PGR student), Cross, H. (PGR student), Foote, H. (PGR student), Long, H. (PGR student), Reid, H. (PGR student), Sibasa, K. (PGR student), Hozhabrafkan, K. (PGR student), Al Abri, K. (PGR student), Lucas, L. (PGR student), Millard, L. (PGR student), Hulme, L. (PGR student), Dhanwani, M. (PGR student), Sonola-Jones, O. (PGR student), Sfakianaki, R. (PGR student), Broadbent, R. (Researcher), Crone, R. (PGR student), Husni, R. R. (PGR student), Mank, S. (PGR student), Booth, S. (PGR student), Hindmarch, S. (PGR student), Plant, S. (Researcher), Mace, S. (PGR student), Sehmbi, T. (PGR student), Macintyre, V. (PGR student), Vidayanti, V. (PGR student), Peterson, J. (Researcher), Woof, V. (PGR student), El-Khani, A. (Researcher), Devereux-Fitzgerald, A. (Researcher), Chisholm, A. (Researcher), Sawyer, C. (Researcher), Hope, H. (Researcher), Wilkes, J. (Researcher), Birtwell, K. (Researcher), Bakur, K. (PGR student), Stringer, G. (Researcher), Mohd Faudzi, F. N. B. (PGR student), Checketts, M. (Researcher), Tang, M. Y. (Researcher), Coupe, N. (Researcher), Crook, R. (Researcher), Hamnett, C. (Support team), Lyons, S. (Researcher), Longley, V. (Researcher), Hulme, L. (PGR student), Mountain, D. (PGR student), Talbot, H. (PGR student), Lucas, L. (PGR student), Ecob, C. (PGR student), Huggett, C. (PGR student), Hozhabrafkan, K. (PGR student), Hyder, S. (PGR student) & Lee, R. (Researcher)
1/09/10 → …
Project: Research
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How Feasible and Acceptable is it to Recommend to Women at Low Risk of Breast Cancer that they Delay Further Screening?
French, D. (PI), Evans, D. (CoI), Howell, T. (CoI), Payne, K. (CoI), Ulph, F. (CoI) & Van Staa, T. (CoI)
1/10/18 → 31/08/21
Project: Research