Autor según el artículo: 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.

Departamento: Medicina i Cirurgia Economia

Autor/es de la URV: Pérez Lacasta, Maria José / Pla Farnòs, Roger Jesús

Palabras clave: 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

Resumen: © 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.

Áreas temáticas: 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

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 02139111

Direcció de correo del autor: rogerjesus.pla@urv.cat mariajose.perez@urv.cat

Identificador del autor: 0000-0002-3727-8933 0000-0001-5906-5632

Fecha de alta del registro: 2023-02-19

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

Enlace a la fuente original: https://www.sciencedirect.com/science/article/pii/S0213911120300418?via%3Dihub

URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Gaceta Sanitaria. 35 (3): 243-249

Referencia de l'ítem segons les normes 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

DOI del artículo: 10.1016/j.gaceta.2020.01.002

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2021

Tipo de publicación: Journal Publications