scholarly journals Supplemental Cancer Screening for Women With Dense Breasts: Guidance for Health Care Professionals

Author(s):  
Suneela Vegunta ◽  
Juliana M. Kling ◽  
Bhavika K. Patel
2017 ◽  
Author(s):  
Pernille Gabel ◽  
Pia Kirkegaard ◽  
Mette Bach Larsen ◽  
Adrian Edwards ◽  
Berit Andersen

BACKGROUND Citizens with lower educational attainments (EA) take up colorectal cancer screening to a lesser degree, and more seldom read and understand conventional screening information than citizens with average EAs. The information needs of citizens with lower EA are diverse, however, with preferences ranging from wanting clear recommendations to seeking detailed information about screening. Decision aids have been developed to support citizens with lower EA in making informed decisions about colorectal cancer screening participation, but none embrace diverse information needs. OBJECTIVE The aim of this study was to develop a self-administered decision aid for participation in fecal immunochemical test–based colorectal cancer screening. The decision aid should be tailored to citizens with lower EA and should embrace diverse information needs. METHODS The Web-based decision aid was developed according to an international development framework, with specific steps for designing, alpha testing, peer reviewing, and beta testing the decision aid. In the design phase, a prototype of the decision aid was developed based on previous studies about the information needs of lower EA citizens and the International Patient Decision Aid Standards guidelines. Alpha testing was conducted using focus group interviews and email correspondence. Peer review was conducted using email correspondence. Both tests included both lower EA citizens and health care professionals. The beta testing was conducted using telephone interviews with citizens with lower EA. Data were analyzed using thematic analysis. RESULTS The developed decision aid presented information in steps, allowing citizens to read as much or as little as wanted. Values clarification questions were included after each section of information, and answers were summarized in a “choice-indicator” on the last page, guiding the citizens toward a decision about screening participation. Statistics were presented in both natural frequencies, absolute risk formats and graphically. The citizens easily and intuitively navigated around the final version of the decision aid and stated that they felt encouraged to think about the benefits and harms of colorectal cancer screening without being overloaded with information. They found the decision aid easy to understand and the text of suitable length. The health care professionals agreed with the citizens on most parts; however, concerns were raised about the length and readability of the text. CONCLUSIONS We have developed a self-administered decision aid presenting information in steps. We involved both citizens and health care professionals to target the decision aid for citizens with lower EA. This decision aid represents a new way of communicating detailed information and may be able to enhance informed choices about colorectal cancer screening participation among citizens with lower EA.


Author(s):  
Lina Choridah ◽  
Ajeng Viska Icanervilia ◽  
Marloes Josephia Maria de Wit ◽  
Antoinette D.I. van Asselt ◽  
Wahyu Tri Kurniawan ◽  
...  

AbstractAnnual mammography remains the gold standard of asymptomatic breast cancer screening for women starting at the age of 40. However, Indonesia has not designated mammography as its national screening program. To help policymakers decide whether mammography should be introduced into a national program, it is important to comprehensively understand the knowledge and acceptance of both consumers and providers. A total of 25 subjects including a range of women and health care professionals (HCPs) in Yogyakarta Province were recruited using purposive, maximum variation sampling and then interviewed in-depth. The interviews were recorded and all data were taken and transcribed from the audio recording, which were subsequently translated to English and analyzed thematically. Almost all of Yogyakarta women had heard about the term of mammography. However, only few of them have let themselves be screened, mainly because of their perceived lack of urgency to screen for asymptomatic breast cancer. Another important reason was the high cost of mammography. Meanwhile, several HCPs believed that breast cancer has not been a priority for the government and hence the government limited mammography screening’s access and excluded it from the national insurance coverage. Most women in Yogyakarta have a good understanding about breast cancer screening, but their acceptance of mammography as a breast cancer screening tool is significantly influenced by high cost, limited access, and lack of urgency.


2020 ◽  
Author(s):  
Zahra Sheikhalipour ◽  
Akram Ghahramanian ◽  
Zohreh Sanaat ◽  
Leila Vahedi

Abstract Background: Given the importance of health care personnel’s awareness of cancer symptoms, this study aimed to investigate their knowledge regarding cancer warning symptoms, attitudes toward cancer risk factors, and performance on undertaking cancer screening tests.Methods: This was a cross-sectional study which 145 health care staff working in the medical centers affiliated with Tabriz University of Medical Sciences prticipated in it. The study population included nurses, midwives, operating room technicians, laboratory staff, anesthesiologists and radiologists. Items assessing awareness of cancer warning signs, risk factors, incidence, screening programmes were extracted from the literature.Results: The mean knowledge score of health care staffs was 7.97±2.01. Regarding the staff’s attitude toward the role of risk factors in increasing the likelihood of cancer, the results showed an average attitude score of 35.41±4.69. Concerning the performance of the participants in cancer screening tests, the results showed that out of 125 women aged 25-57 years, only 44% performed monthly self-examinations, 22.1% referred to a specialist physician for breast cancer screening every three years and only 20.51% of the female participants aged over 40 years old performed mammography. In terms of cervical cancer screening in female participants, 27.2% had performed annual Pap smear tests, and 17.6% referred to a specialist for annual pelvic examinations. Regarding colorectal cancer screening in staff older than 45 years, our findings showed that from 24 participants (16.6% of the samples), only one had undertaken occult blood test and performed colonoscopy.Conclusions: Because the public health depends on the wellness of health care professionals and their awareness of cancer warning signs, as well as their knowledge of cancer risk factors and adherence to cancer screening tests, they should be encouraged to perform these examinations.


Author(s):  
Khushboo Singh ◽  
Alka Goel ◽  
Manisha Attri

Background: In spite of effective screening methods, cervical cancer continues to be a major public health problem in India. Therefore, the present study was carried out to assess the knowledge of cervical cancer and its screening among women, it also focuses on the reasons for not undergoing regular screening and the effect of counseling for the same.Method: 400 women were randomly enrolled from the women attending/visiting/working at a tertiary hospital. They were asked questions related to cervical cancer. All answers were obtained verbally and recorded in the questionnaire by the same investigator.Results: Out of 400 women, only 103 were aware of cervical cancer as well as its screening, and only 10 of them were undergoing regular screening. Among those who were aware of cervical cancer, majority (95.14%) were health care workers and most of them got this knowledge form their textbooks. After counseling, all except 6 women were willing for regular screening. The reason for refusal for the same was either they believed they were not at risk or they found pelvic examination uncomfortable.Conclusions: The study found that women had poor knowledge about cervical cancer and its screening. Awareness was higher among the women who had received higher education or were healthcare workers. However, cervical cancer screening rate was low even in these women. Government and health care professionals need to actively promote awareness of the risk factors of cervical cancer and encourage women to undergo regular Pap smear as a cervical cancer screening method.


Aquichan ◽  
2015 ◽  
Vol 15 (4) ◽  
pp. 499-507 ◽  
Author(s):  
María Teresa Urrutia ◽  
Lauren Poupin

Objective: Examine perceptions about the Papanicolaou (Pap) test from the perspectives of Chilean women with cervical cancer. Design: A descriptive, cross-sectional study conducted in Santiago, Chile. Participants: 127 Chilean women. Results: The principal reasons for not having had a PAP test were procrastination and barriers related to fear, embarrassment, discomfort, not caring, lack of time, and lack of knowledge. Conclusion: All the reasons given by the Chilean women who took part in the study must be considered by health care professionals who are in a position to advocate for education and cervical cancer screening for women, especially in countries where the disease is still prevalent. These results can serve as a guide for education programs and can be applied in intervention research.


Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.


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