OBJECTIVE: To determine the level of informed choice in women invited for breast cancer screening for the first time. METHODS: 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. RESULTS: 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. CONCLUSIONS: Women were deemed to have sufficient relevant knowledge of the benefits and harms if they answered at least half of the items correctly. PRACTICE IMPLICATIONS: To further increase informed choices in breast cancer screening, information on some of the possible harms merits further attention.
OBJECTIVE: To determine the level of informed choice in women invited for breast cancer screening for the first time. METHODS: 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. RESULTS: 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. CONCLUSIONS:Women were deemed to have sufficient relevant knowledge of the benefits and harms if they answered at least half of the items correctly. PRACTICE IMPLICATIONS: To further increase informed choices in breast cancer screening, information on some of the possible harms merits further attention.
Authors: Lori L DuBenske; Sarina Schrager; Helene McDowell; Lee G Wilke; Amy Trentham-Dietz; Elizabeth S Burnside Journal: Breast J Date: 2017-03-02 Impact factor: 2.431
Authors: Mara A Schonberg; Christine E Kistler; Larissa Nekhlyudov; Angela Fagerlin; Roger B Davis; Christina C Wee; Edward R Marcantonio; Carmen L Lewis; Whitney A Stanley; Trisha M Crutchfield; Mary Beth Hamel Journal: J Clin Trials Date: 2014
Authors: Mara A Schonberg; Mary Beth Hamel; Roger B Davis; M Cecilia Griggs; Christina C Wee; Angela Fagerlin; Edward R Marcantonio Journal: JAMA Intern Med Date: 2014-03 Impact factor: 21.873
Authors: Tamara Cadet; Gianna Aliberti; Maria Karamourtopoulos; Alicia Jacobson; Elizabeth A Gilliam; Sara Primeau; Roger Davis; Mara A Schonberg Journal: Patient Educ Couns Date: 2021-02-15