Print information to inform decisions about mammography screening participation in 16 countries with population-based programs

Détails

ID Serval
serval:BIB_E22823813C1C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Print information to inform decisions about mammography screening participation in 16 countries with population-based programs
Périodique
Patient Education and Counseling
Auteur(s)
Zapka Jane G., Geller Berta M., Bulliard Jean-Luc, Fracheboud Jacques, Sancho-Garnier Hélène, Ballard-Barbash Rachel
Collaborateur(s)
IBSN Communications Working Group
ISSN
0738-3991
Statut éditorial
Publié
Date de publication
2006
Volume
63
Numéro
1-2
Pages
126-137
Notes
SAPHIRID:59177
Résumé
OBJECTIVE: To profile and compare the content and presentation of written communications related to informed decision-making about mammography. METHODS: Materials from 16 screening programs organized at the national or regional level were analyzed according to five major information domains suggested by the international literature. RESULTS: A majority of countries provided information on the program (interval, cost and quality). There was considerable variability in comprehensiveness of elements in the domains, e.g., test characteristics (false positive/negative) and pros and cons of screening. The majority noted the likelihood of recall for further tests, few commented on the risks of additional tests or finding unimportant tumors. The audit also found variation in presentation (words and pictures). CONCLUSIONS: Presentation of comprehensive, but balanced information on screening benefits and risks is complex and daunting. Issues such as framing effects, coupled with debate about screening efficacy are challenging to the design of effective information tools. The objective of increasing screening prevalence at the population level must be balanced with objectively presenting complete and clear information. Additional research is needed on how information (and mode of presentation) impact screening decisions. PRACTICE IMPLICATIONS: Public health officials need to articulate their objectives and review written communication according to important decision-making domains. [Authors]
Mots-clé
Decision Making , Informed Consent , Mammography , Mass Screening , Patient Acceptance of Health Care , Patient Education as Topic
Pubmed
Web of science
Création de la notice
04/03/2008 14:58
Dernière modification de la notice
20/08/2019 16:06
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