UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study

Any introduction of risk-stratification within the NHS Breast Screening Programme needs to be considered acceptable by women. We conducted interviews to explore women’s attitudes to personalised risk assessment and risk-stratified breast screening. Twenty-five UK women were purposively sampled by sc...

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Autores principales:	Charlotte Kelley-Jones, Suzanne Scott, Jo Waller
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	breast screening mammography breast cancer risk stratification personal risk risk assessment Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/0314c8d5445943bb97e1405250f6e83c
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spelling	oai:doaj.org-article:0314c8d5445943bb97e1405250f6e83c2021-11-25T17:04:18ZUK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study10.3390/cancers132258132072-6694https://doaj.org/article/0314c8d5445943bb97e1405250f6e83c2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5813https://doaj.org/toc/2072-6694Any introduction of risk-stratification within the NHS Breast Screening Programme needs to be considered acceptable by women. We conducted interviews to explore women’s attitudes to personalised risk assessment and risk-stratified breast screening. Twenty-five UK women were purposively sampled by screening experience and socioeconomic background. Interview transcripts were qualitatively analysed using Framework Analysis. Women expressed positive intentions for personal risk assessment and willingness to receive risk feedback to provide reassurance and certainty. Women responded to risk-stratified screening scenarios in three ways: ‘Overall acceptors’ considered both high- and low-risk options acceptable as a reasonable allocation of resources to clinical need, yet acceptability was subject to specified conditions including accuracy of risk estimates and availability of support throughout the screening pathway. Others who thought ‘more is better’ only supported high-risk scenarios where increased screening was proposed. ‘Screening sceptics’ found low-risk scenarios more aligned to their screening values than high-risk screening options. Consideration of screening recommendations for other risk groups had more influence on women’s responses than screening-related harms. These findings demonstrate high, but not universal, acceptability. Support and guidance, tailored to screening values and preferences, may be required by women at all levels of risk.Charlotte Kelley-JonesSuzanne ScottJo WallerMDPI AGarticlebreast screeningmammographybreast cancerrisk stratificationpersonal riskrisk assessmentNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5813, p 5813 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast screening mammography breast cancer risk stratification personal risk risk assessment Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	breast screening mammography breast cancer risk stratification personal risk risk assessment Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Charlotte Kelley-Jones Suzanne Scott Jo Waller UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
description	Any introduction of risk-stratification within the NHS Breast Screening Programme needs to be considered acceptable by women. We conducted interviews to explore women’s attitudes to personalised risk assessment and risk-stratified breast screening. Twenty-five UK women were purposively sampled by screening experience and socioeconomic background. Interview transcripts were qualitatively analysed using Framework Analysis. Women expressed positive intentions for personal risk assessment and willingness to receive risk feedback to provide reassurance and certainty. Women responded to risk-stratified screening scenarios in three ways: ‘Overall acceptors’ considered both high- and low-risk options acceptable as a reasonable allocation of resources to clinical need, yet acceptability was subject to specified conditions including accuracy of risk estimates and availability of support throughout the screening pathway. Others who thought ‘more is better’ only supported high-risk scenarios where increased screening was proposed. ‘Screening sceptics’ found low-risk scenarios more aligned to their screening values than high-risk screening options. Consideration of screening recommendations for other risk groups had more influence on women’s responses than screening-related harms. These findings demonstrate high, but not universal, acceptability. Support and guidance, tailored to screening values and preferences, may be required by women at all levels of risk.
format	article
author	Charlotte Kelley-Jones Suzanne Scott Jo Waller
author_facet	Charlotte Kelley-Jones Suzanne Scott Jo Waller
author_sort	Charlotte Kelley-Jones
title	UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
title_short	UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
title_full	UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
title_fullStr	UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
title_full_unstemmed	UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study
title_sort	uk women’s views of the concepts of personalised breast cancer risk assessment and risk-stratified breast screening: a qualitative interview study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0314c8d5445943bb97e1405250f6e83c
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UK Women’s Views of the Concepts of Personalised Breast Cancer Risk Assessment and Risk-Stratified Breast Screening: A Qualitative Interview Study

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