COMPASS collaborative research Strand 3: Research into practice: implementing a complex psychoeducational intervention to promote early presentation in older women with breast cancer (original) (raw)

British Medical Journal, 2011

Abstract

Women over 70 have poorer breast cancer survival than younger women, largely due to later stage at diagnosis. Promoting early presentation (PEP) in women attending for final round of breast screening may reduce stage cost-effectively, and is unlikely to lead to overdiagnosis. We tested the radiographer-delivered PEP Intervention to promote early presentation by increasing breast cancer awareness in a randomised controlled trial. Delivered in a positive, motivational way, the intervention aims to equip older women with the knowledge, motivation and skills to present promptly to primary care with breast symptoms.In the trial, research radiographers delivered the intervention in a separate room after the mammogram, requiring considerable service reconfiguration. Training was intensive, and ongoing quality assurance involved performance feedback on videorecordings of interventions.At 2 years, the PEP Intervention increased the proportion of women breast cancer aware compared with usual ...

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