Send to

Choose Destination
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

Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.



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


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.


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.


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


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

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center