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TITLE:
Informed choice in breast cancer screening: the role of education - imarina:6185879

URV's Author/s:Carles Lavila, Misericòrdia / Pérez Lacasta, Maria José / Pla Farnòs, Roger Jesús
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.
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
Journal publication year:2021
Publication Type:Journal Publications
ISSN:02139111
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
Papper original source:Gaceta Sanitaria. 35 (3): 243-249
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.
Article's DOI:10.1016/j.gaceta.2020.01.002
Link to the original source:https://www.sciencedirect.com/science/article/pii/S0213911120300418?via%3Dihub
Papper version:info:eu-repo/semantics/publishedVersion
licence for use:https://creativecommons.org/licenses/by/3.0/es/
Department:Medicina i Cirurgia
Economia
Licence document URL:https://repositori.urv.cat/ca/proteccio-de-dades/
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
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
Entity:Universitat Rovira i Virgili
Record's date:2024-07-27
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