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Patient Educ Couns. 2012 Nov;89(2):353-9. doi: 10.1016/j.pec.2012.08.003. Epub 2012 Sep 7.

Do women make an informed choice about participating in breast cancer screening? A survey among women invited for a first mammography screening examination.

Author information

1
Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands. h.vanagt@erasmusmc.nl

Abstract

OBJECTIVE:

To determine the level of informed choice in women invited for breast cancer screening for the first time.

METHODS:

To determine the content of decision-relevant knowledge, 16 experts were asked to judge whether each of 51 topics represented essential information to enable informed choices. To assess the level of informed choices, a questionnaire was then sent to all 460 invited women in the south-western part of the Netherlands who turned 50 in August 2008.

RESULTS:

Of all 229 respondents, 95% were deemed to have sufficient knowledge as they answered at least 8 out of 13 items correctly. In 90% there was consistency between intention (not) to participate and attitude. As a result, 88% made an informed choice. Sixty-eight percent of women responded correctly on the item of over-diagnosis. Even if all non-respondents were assumed to have no knowledge, 50% of the total group invited to participate still had sufficient knowledge.

CONCLUSIONS:

Women were deemed to have sufficient relevant knowledge of the benefits and harms if they answered at least half of the items correctly.

PRACTICE IMPLICATIONS:

To further increase informed choices in breast cancer screening, information on some of the possible harms merits further attention.

PMID:
22963769
DOI:
10.1016/j.pec.2012.08.003
[Indexed for MEDLINE]

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