What do women and healthcare professionals expect of decision aids for breast cancer screening? A qualitative study in France
| Autor: | Aïm-Eusébi Amélie, Yannick Ruelle, Bernard Frèche, Mélanie Houllemare, Aurélie Bonillo, Laurie Bouaziz, Cédric Rat, Xavier Gocko, Catherine Cerisey, Isabelle Aubin-Auger, Emilie Ferrat |
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| Přispěvatelé: | Ruelle, Yannick, Université Paris Cité (UPCité), Laboratoire éducations et promotion de la santé (LEPS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Sorbonne Paris Nord, Collège National des Généralistes Enseignants (CNGE), Département universitaire de médecine générale, Université Sorbonne Paris Nord (DUMG USPN), Centres municipaux de santé universitaires de Pantin (CMSU Pantin), Université de Poitiers, Université Sorbonne Paris Nord, Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE), Nantes Université - pôle Santé, Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ), Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes-Angers (CRCI2NA ), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE), Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé, Système Nerveux Autonome - Epidémiologie, Physiologie, Ingénierie, Santé (SNA-EPIS), Université Jean Monnet - Saint-Étienne (UJM)-Centre Hospitalier Universitaire de Saint-Etienne, Health Service and Performance Research (HESPER), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, IMRB - CEPIA/'Clinical Epidemiology And Ageing : Geriatrics, Primary Care and Public Health' [Créteil] (U955 Inserm - UPEC), Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12) |
| Rok vydání: | 2022 |
| Předmět: |
Decision Making
[SDV.CAN]Life Sciences [q-bio]/Cancer Breast Neoplasms breast tumours General Medicine [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics preventive medicine Decision Support Techniques primary care [SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics [SDV.CAN] Life Sciences [q-bio]/Cancer [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Humans [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Female France Delivery of Health Care Early Detection of Cancer Qualitative Research |
| Zdroj: | BMJ Open BMJ Open, 2022, 12 (3), pp.e058879. ⟨10.1136/bmjopen-2021-058879⟩ |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveBreast cancer screening decision aids (DAs) are designed to help women decide whether or not to participate in mammography-based programmes. We aimed to explore women’s and healthcare professionals’ expectations of a breast cancer screening DA, as part of the French DEDICACES study.MethodsThis French qualitative study was based on semistructured, individual interviews with women from the general population, general practitioners (GPs), midwives, gynaecologists, radiologists and screening centre managers. Sampling was purposive and used diversification criteria. The inductive analysis was based on grounded theory.ResultsBetween April 2018 and May 2019, we interviewed 40 people: 13 women, 14 GPs, 4 gynaecologists, 3 midwives, 3 radiologists and 3 screening centre managers. The women and the healthcare professionals considered that a DA could help to improve levels of knowledge, harmonise medical practice and provide reliable, comprehensive information. Overall, the interviewees wanted an easy-to-use, intuitive, graphic-rich, interactive, computer-based, patient-centred DA. Use of the DA might be limited by a lack of familiarity with shared decision-making (SDM), the risk of misuse and a preference for asymmetric positive information.ConclusionThe present results are likely to facilitate the development of the first validated tool for SDM support in French breast cancer screening programmes. |
| Databáze: | OpenAIRE |
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