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Using an informed consent in mammography screening: a randomized trial
Spanish women do not make an informed choice regarding breast cancer screening (BCS). Our aim was to evaluate the impact of receiving information regarding real BCS benefits and risks on knowledge, attitude, decision, feelings, and worries about cancer. Randomized controlled clinical trial of 355 wo...
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Published in: | Cancer medicine (Malden, MA) MA), 2015-12, Vol.4 (12), p.1923-1932 |
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creator | Baena‐Cañada, José M. Rosado‐Varela, Petra Expósito‐Álvarez, Inmaculada González‐Guerrero, Macarena Nieto‐Vera, Juan Benítez‐Rodríguez, Encarnación |
description | Spanish women do not make an informed choice regarding breast cancer screening (BCS). Our aim was to evaluate the impact of receiving information regarding real BCS benefits and risks on knowledge, attitude, decision, feelings, and worries about cancer. Randomized controlled clinical trial of 355 women aged between 45 and 67 years, 177 and 178 assigned to the intervention group (IG) and control group (CG), respectively. After breast screening, women received either Nordic Cochrane Centre information on BCS or standard information. The primary outcome (knowledge) was determined from questionnaire administered at baseline and after a month. Answers were scored from 0 to 10 and scores of 5 or more indicated that women were well informed (had “good knowledge”). Questionnaires regarding attitudes, future screening intentions, and psychosocial impact were also administered. The Chi‐squared and Student's t‐tests were used to compare qualitative and quantitative variables, respectively. Good knowledge was acquired by 32 (18.10%) IG women and 15 (8.40%) CG women (P = 0.008). Mean scores from first to second interview increased from 2.97 (SD 1.16) to 3.43 (SD 1.39) in the CG and from and from 2.96 (SD 1.23) to 3.95 (SD 1.78) (P = 0.002) in the IG. No differences were found in the secondary endpoints. Women receiving information based on the Nordic Cochrane Centre document were better informed. This means of providing information is not very efficacious, nor does it modify attitude, decision, feelings, or worries about cancer.
In this randomized controlled trial the level of knowledge of the women was significantly improved by including a healthcare professional giving the information contained in the document created by the Nordic Cochrane Centre. This was not sufficient for us to be able to state that they will generally take informed decisions. |
doi_str_mv | 10.1002/cam4.525 |
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In this randomized controlled trial the level of knowledge of the women was significantly improved by including a healthcare professional giving the information contained in the document created by the Nordic Cochrane Centre. This was not sufficient for us to be able to state that they will generally take informed decisions.</description><identifier>ISSN: 2045-7634</identifier><identifier>EISSN: 2045-7634</identifier><identifier>DOI: 10.1002/cam4.525</identifier><identifier>PMID: 26377150</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Aged ; Anxiety ; Attitudes ; Breast cancer ; Breast imaging ; Breast Neoplasms - diagnosis ; Breast Neoplasms - epidemiology ; Breast Neoplasms - psychology ; breast tumors ; Cancer Prevention ; Cancer screening ; Case-Control Studies ; Choice Behavior ; Decision Making ; Depression ; diagnostic radiology ; Early Detection of Cancer ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Immunoglobulins ; Informed Consent ; Intervention ; Mammography ; medical ethics ; Medical screening ; Middle Aged ; Original Research ; Participation ; preventive medicine ; Professionals ; Risk Factors ; screening mammography ; Sentinel Lymph Node Biopsy ; Spain - epidemiology ; Studies ; Surveys and Questionnaires ; Womens health</subject><ispartof>Cancer medicine (Malden, MA), 2015-12, Vol.4 (12), p.1923-1932</ispartof><rights>2015 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2015 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.</rights><rights>2015. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4385-310f3043134c94e09029e0fed423c5395f0dd6ecbe5146de9c92875d5a815d3</citedby><cites>FETCH-LOGICAL-c4385-310f3043134c94e09029e0fed423c5395f0dd6ecbe5146de9c92875d5a815d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2289730659/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2289730659?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26377150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baena‐Cañada, José M.</creatorcontrib><creatorcontrib>Rosado‐Varela, Petra</creatorcontrib><creatorcontrib>Expósito‐Álvarez, Inmaculada</creatorcontrib><creatorcontrib>González‐Guerrero, Macarena</creatorcontrib><creatorcontrib>Nieto‐Vera, Juan</creatorcontrib><creatorcontrib>Benítez‐Rodríguez, Encarnación</creatorcontrib><title>Using an informed consent in mammography screening: a randomized trial</title><title>Cancer medicine (Malden, MA)</title><addtitle>Cancer Med</addtitle><description>Spanish women do not make an informed choice regarding breast cancer screening (BCS). Our aim was to evaluate the impact of receiving information regarding real BCS benefits and risks on knowledge, attitude, decision, feelings, and worries about cancer. Randomized controlled clinical trial of 355 women aged between 45 and 67 years, 177 and 178 assigned to the intervention group (IG) and control group (CG), respectively. After breast screening, women received either Nordic Cochrane Centre information on BCS or standard information. The primary outcome (knowledge) was determined from questionnaire administered at baseline and after a month. Answers were scored from 0 to 10 and scores of 5 or more indicated that women were well informed (had “good knowledge”). Questionnaires regarding attitudes, future screening intentions, and psychosocial impact were also administered. The Chi‐squared and Student's t‐tests were used to compare qualitative and quantitative variables, respectively. Good knowledge was acquired by 32 (18.10%) IG women and 15 (8.40%) CG women (P = 0.008). Mean scores from first to second interview increased from 2.97 (SD 1.16) to 3.43 (SD 1.39) in the CG and from and from 2.96 (SD 1.23) to 3.95 (SD 1.78) (P = 0.002) in the IG. No differences were found in the secondary endpoints. Women receiving information based on the Nordic Cochrane Centre document were better informed. This means of providing information is not very efficacious, nor does it modify attitude, decision, feelings, or worries about cancer.
In this randomized controlled trial the level of knowledge of the women was significantly improved by including a healthcare professional giving the information contained in the document created by the Nordic Cochrane Centre. This was not sufficient for us to be able to state that they will generally take informed decisions.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Attitudes</subject><subject>Breast cancer</subject><subject>Breast imaging</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - psychology</subject><subject>breast tumors</subject><subject>Cancer Prevention</subject><subject>Cancer screening</subject><subject>Case-Control Studies</subject><subject>Choice Behavior</subject><subject>Decision Making</subject><subject>Depression</subject><subject>diagnostic radiology</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Informed Consent</subject><subject>Intervention</subject><subject>Mammography</subject><subject>medical ethics</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>Participation</subject><subject>preventive medicine</subject><subject>Professionals</subject><subject>Risk Factors</subject><subject>screening mammography</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Spain - 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diagnosis</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - psychology</topic><topic>breast tumors</topic><topic>Cancer Prevention</topic><topic>Cancer screening</topic><topic>Case-Control Studies</topic><topic>Choice Behavior</topic><topic>Decision Making</topic><topic>Depression</topic><topic>diagnostic radiology</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Informed Consent</topic><topic>Intervention</topic><topic>Mammography</topic><topic>medical ethics</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Original Research</topic><topic>Participation</topic><topic>preventive medicine</topic><topic>Professionals</topic><topic>Risk Factors</topic><topic>screening mammography</topic><topic>Sentinel Lymph Node Biopsy</topic><topic>Spain - epidemiology</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baena‐Cañada, José M.</creatorcontrib><creatorcontrib>Rosado‐Varela, Petra</creatorcontrib><creatorcontrib>Expósito‐Álvarez, Inmaculada</creatorcontrib><creatorcontrib>González‐Guerrero, Macarena</creatorcontrib><creatorcontrib>Nieto‐Vera, Juan</creatorcontrib><creatorcontrib>Benítez‐Rodríguez, Encarnación</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Wiley Online Library Free Backfiles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer medicine (Malden, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baena‐Cañada, José M.</au><au>Rosado‐Varela, Petra</au><au>Expósito‐Álvarez, Inmaculada</au><au>González‐Guerrero, Macarena</au><au>Nieto‐Vera, Juan</au><au>Benítez‐Rodríguez, Encarnación</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using an informed consent in mammography screening: a randomized trial</atitle><jtitle>Cancer medicine (Malden, MA)</jtitle><addtitle>Cancer Med</addtitle><date>2015-12</date><risdate>2015</risdate><volume>4</volume><issue>12</issue><spage>1923</spage><epage>1932</epage><pages>1923-1932</pages><issn>2045-7634</issn><eissn>2045-7634</eissn><abstract>Spanish women do not make an informed choice regarding breast cancer screening (BCS). Our aim was to evaluate the impact of receiving information regarding real BCS benefits and risks on knowledge, attitude, decision, feelings, and worries about cancer. Randomized controlled clinical trial of 355 women aged between 45 and 67 years, 177 and 178 assigned to the intervention group (IG) and control group (CG), respectively. After breast screening, women received either Nordic Cochrane Centre information on BCS or standard information. The primary outcome (knowledge) was determined from questionnaire administered at baseline and after a month. Answers were scored from 0 to 10 and scores of 5 or more indicated that women were well informed (had “good knowledge”). Questionnaires regarding attitudes, future screening intentions, and psychosocial impact were also administered. The Chi‐squared and Student's t‐tests were used to compare qualitative and quantitative variables, respectively. Good knowledge was acquired by 32 (18.10%) IG women and 15 (8.40%) CG women (P = 0.008). Mean scores from first to second interview increased from 2.97 (SD 1.16) to 3.43 (SD 1.39) in the CG and from and from 2.96 (SD 1.23) to 3.95 (SD 1.78) (P = 0.002) in the IG. No differences were found in the secondary endpoints. Women receiving information based on the Nordic Cochrane Centre document were better informed. This means of providing information is not very efficacious, nor does it modify attitude, decision, feelings, or worries about cancer.
In this randomized controlled trial the level of knowledge of the women was significantly improved by including a healthcare professional giving the information contained in the document created by the Nordic Cochrane Centre. This was not sufficient for us to be able to state that they will generally take informed decisions.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>26377150</pmid><doi>10.1002/cam4.525</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Anxiety Attitudes Breast cancer Breast imaging Breast Neoplasms - diagnosis Breast Neoplasms - epidemiology Breast Neoplasms - psychology breast tumors Cancer Prevention Cancer screening Case-Control Studies Choice Behavior Decision Making Depression diagnostic radiology Early Detection of Cancer Female Health Knowledge, Attitudes, Practice Humans Immunoglobulins Informed Consent Intervention Mammography medical ethics Medical screening Middle Aged Original Research Participation preventive medicine Professionals Risk Factors screening mammography Sentinel Lymph Node Biopsy Spain - epidemiology Studies Surveys and Questionnaires Womens health |
title | Using an informed consent in mammography screening: a randomized trial |
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