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Evaluating information for women referred for breast screening abnormalities
Kathleen M Decker1, Marion Harrison
1Manitoba Breast Screening Program, Winnipeg, Canada. kathleen.decker@cancercare.mb.ca
Summary
A plain-language guideline improved understanding for women with abnormal breast screening results but did not change satisfaction levels. Some women experienced increased anxiety, indicating a need for additional support.
Area of Science:
- Health Communication
- Patient Education
- Breast Cancer Screening
Background:
- The Manitoba Breast Screening Program (MBSP) provides screening services.
- Effective communication is crucial for women receiving abnormal screening results.
Purpose of the Study:
- To assess the utility of a plain-language guideline for women with abnormal mammogram or clinical breast examination results.
- To evaluate the impact of the guideline on patient satisfaction and anxiety levels.
Main Methods:
- A plain-language guideline was mailed to 258 women with abnormal screening results (cases).
- A satisfaction questionnaire was sent to cases and 254 controls (no guideline).
- Cases were interviewed by telephone regarding their experience.
Main Results:
- No significant difference in satisfaction was found between cases and controls.
- 99% of recipients found the guideline easy to read, and 89% felt it clarified next steps.
- Approximately 25% of women reported increased anxiety due to the guideline.
Conclusions:
- The plain-language guideline was beneficial for understanding but did not enhance overall satisfaction with the MBSP.
- The guideline's potential to increase anxiety in some women necessitates further support strategies.
- Tailored interventions may be needed for women experiencing heightened anxiety after receiving abnormal screening results.