Barriers and Facilitators to Delivering Multifactorial Risk Assessment and Communication for Personalized Breast...

Area of Science:

• Oncology
• Public Health
• Health Services Research

Background:

• Population-level breast cancer screening is shifting towards risk-stratified approaches.
• Evidence on the large-scale implementation feasibility of risk-stratified screening is limited.

Purpose of the Study:

• To explore study personnel perspectives on barriers and facilitators to implementing multifactorial risk assessment and risk communication for breast cancer screening.
• To identify necessary optimizations for large-scale, person-centered risk-stratified breast screening programs.

Main Methods:

• Prospective cohort study (PERSPECTIVE I&I project) with 3753 participants (2019-2021).
• Qualitative study involving one focus group and three one-on-one interviews with study personnel.
• Thematic analysis of qualitative data to identify barriers and facilitators.

Main Results:

• Overall success in risk assessment and communication, but significant barriers identified.
• Challenges in collecting comprehensive breast cancer risk factor data.
• Limited resources for large-scale data collection and risk communication.
• Identified themes: recruitment, questionnaire completion, resource needs, person-centered approach, and risk literacy.

Conclusions:

• Successful implementation of risk-stratified breast cancer screening requires overcoming data collection and resource limitations.
• Optimizing risk assessment and communication processes is crucial for efficient, robust, and person-centered large-scale programs.