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