Articles producció científica> Medicina i Cirurgia

Informed choice in breast cancer screening: the role of education

  • Identification data

    Identifier: imarina:6185879
    Authors:
    Pons-Rodríguez A., Martínez-Alonso M., Rué M., Perestelo-Pérez L., Sala M., Garcia M., Cardona À., ÀreaQ , Toledo A., Feijoo-Cid M., García M., Vidal C., Buil S., Viñals C., Viñals L., Ortega M., Pla S., Soler J., Carles-Lavila M., Pérez-Lacasta M.J., Pla R., Burón A., Castells X., Romero A., Codern N.
    Abstract:
    © 2020 SESPAS Objective: To evaluate the effect of receiving information about the benefits and harms of breast cancer screening in informed choice, according to educational level. Method: Secondary analysis of a randomized, controlled study, in four screening programs, in Catalonia and the Canary Islands (Spain). We analyzed 400 women who were going to be invited to participate for the first time. The intervention group received a decision aid that showed the benefits and harms of screening. The control group received a standard brochure that recommended participating in the screening program. Educational level was grouped into two categories, low and high. The primary outcome was informed choice defined as adequate knowledge and consistency between attitudes and intentions. Results: The intervention produced a greater increase in knowledge in women with a high educational level compared to those with a lower educational level. Among women who received the intervention, informed choice was almost three times higher in those with a high educational level (27% versus 11%). No differences were observed between educational levels in decisional conflict, confidence in the decision, anxiety and worry about breast cancer, in the intervention and control groups. Conclusions: A decision aid for breast cancer screening had much more impact on informed choice among women with a high educational level. In women with low educational level, the attitude towards screening improved and there was an increase in the intention to be screened.
  • Others:

    Author, as appears in the article.: Pons-Rodríguez A., Martínez-Alonso M., Rué M., Perestelo-Pérez L., Sala M., Garcia M., Cardona À., ÀreaQ , Toledo A., Feijoo-Cid M., García M., Vidal C., Buil S., Viñals C., Viñals L., Ortega M., Pla S., Soler J., Carles-Lavila M., Pérez-Lacasta M.J., Pla R., Burón A., Castells X., Romero A., Codern N.
    Department: Medicina i Cirurgia Economia
    URV's Author/s: Carles Lavila, Misericòrdia / Pérez Lacasta, Maria José / Pla Farnòs, Roger Jesús
    Keywords: Sobrediagnóstico Screening Overdiagnosis Informed choice Harms Educational level Early detection Breast cancer screening overdiagnosis nivel educativo informed choice harms elección informada efectos adversos educational level early detection detección precoz cribado cáncer de mama breast cancer
    Abstract: © 2020 SESPAS Objective: To evaluate the effect of receiving information about the benefits and harms of breast cancer screening in informed choice, according to educational level. Method: Secondary analysis of a randomized, controlled study, in four screening programs, in Catalonia and the Canary Islands (Spain). We analyzed 400 women who were going to be invited to participate for the first time. The intervention group received a decision aid that showed the benefits and harms of screening. The control group received a standard brochure that recommended participating in the screening program. Educational level was grouped into two categories, low and high. The primary outcome was informed choice defined as adequate knowledge and consistency between attitudes and intentions. Results: The intervention produced a greater increase in knowledge in women with a high educational level compared to those with a lower educational level. Among women who received the intervention, informed choice was almost three times higher in those with a high educational level (27% versus 11%). No differences were observed between educational levels in decisional conflict, confidence in the decision, anxiety and worry about breast cancer, in the intervention and control groups. Conclusions: A decision aid for breast cancer screening had much more impact on informed choice among women with a high educational level. In women with low educational level, the attitude towards screening improved and there was an increase in the intention to be screened.
    Thematic Areas: Sociologia i política Saúde coletiva Public, environmental & occupational health Public health, environmental and occupational health Psicología Odontología Nutrição Interdisciplinar Health policy & services Health care sciences & services General medicine Farmacia Engenharias iv Enfermagem Educação física Economia Ciencias sociales Ciências biológicas i Astronomia / física
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 02139111
    Author's mail: rogerjesus.pla@urv.cat mariajose.perez@urv.cat misericordia.carles@urv.cat
    Author identifier: 0000-0002-3727-8933 0000-0001-5906-5632 0000-0003-3796-3014
    Record's date: 2024-07-27
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.sciencedirect.com/science/article/pii/S0213911120300418?via%3Dihub
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Gaceta Sanitaria. 35 (3): 243-249
    APA: Pons-Rodríguez A., Martínez-Alonso M., Rué M., Perestelo-Pérez L., Sala M., Garcia M., Cardona À., ÀreaQ , Toledo A., Feijoo-Cid M., García M., Vidal (2021). Informed choice in breast cancer screening: the role of education. Gaceta Sanitaria, 35(3), 243-249. DOI: 10.1016/j.gaceta.2020.01.002
    Article's DOI: 10.1016/j.gaceta.2020.01.002
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Health Care Sciences & Services,Health Policy & Services,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Sobrediagnóstico
    Screening
    Overdiagnosis
    Informed choice
    Harms
    Educational level
    Early detection
    Breast cancer
    screening
    overdiagnosis
    nivel educativo
    informed choice
    harms
    elección informada
    efectos adversos
    educational level
    early detection
    detección precoz
    cribado
    cáncer de mama
    breast cancer
    Sociologia i política
    Saúde coletiva
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Odontología
    Nutrição
    Interdisciplinar
    Health policy & services
    Health care sciences & services
    General medicine
    Farmacia
    Engenharias iv
    Enfermagem
    Educação física
    Economia
    Ciencias sociales
    Ciências biológicas i
    Astronomia / física
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