Development and evaluation of a decision aid for women eligible for organized breast cancer screening according to international standards: A multi-method study
Sandrine Hild,
Delphine Teigné,
Damien Fairier,
Yannick Ruelle,
Isabelle Aubin-Auger,
Stéphanie Sidorkiewicz,
Marie Citrini,
Xavier Gocko,
Catherine Cerisey,
Emilie Ferrat,
Cédric Rat
Affiliations
Sandrine Hild
Department of General Practice, Faculty of Medicine, Nantes University, 1, rue Gaston Veil, 44035, Nantes, France; Corresponding author. General Practice Department, Faculty of Medecine, 1 Rue Gaston Veil, 44035, Nantes, France
Delphine Teigné
Department of General Practice, Faculty of Medicine, Nantes University, 1, rue Gaston Veil, 44035, Nantes, France; University Research Department, Nantes University Hospital, Nantes, France
Damien Fairier
Department of General Practice, Faculty of Medicine, Nantes University, 1, rue Gaston Veil, 44035, Nantes, France; University Research Department, Nantes University Hospital, Nantes, France
Yannick Ruelle
Department of General Practice, Sorbonne University Paris Nord, UR 3412, DUMG, F-93430, Villetaneuse, France
Isabelle Aubin-Auger
University of Paris, Department of General Practice, Bichat, Paris, France
Stéphanie Sidorkiewicz
University of Paris, Cité, Department of General Practice, F-75014, Paris, France
Marie Citrini
Patient Perspective, Sorbonne University, Paris, Nord, France
Xavier Gocko
University Jean Monnet of Saint Etienne, Department of Medicine, Saint Etienne, France
Catherine Cerisey
Patient Perspective, Sorbonne University, Paris, Nord, France
Emilie Ferrat
University Paris-Est Creteil, INSERM, IMRB, Equipe CEpiA, F-94010, Creteil, Paris, France
Cédric Rat
Department of General Practice, Faculty of Medicine, Nantes University, 1, rue Gaston Veil, 44035, Nantes, France; National Institute for Health and Medical Research/INSERM U1302 Team 2, CRCINA, Nantes, France
Background: and purpose:In France, women lack information to make a shared decision to start breast cancer screening. Decision aids are useful to facilitate this discussion, yet few meet international standards. The objective of this project was to build, validate and measure the quality of a decision aid for organized breast screening in France, in line with international standards, intended for both women and healthcare professionals. Materials and methods: This mixed-methods study was conducted between January 2017 and June 2022. The prototype was developed from a qualitative study, systematic review and targeted literature review and alpha tested during two Delphi rounds. Readability was evaluated with the Flesch score and content with International Patient Decision Aid Standards Instrument (IPSASi). Results: An online decision aid, accessible at www.Discutons-mammo.fr, written in French was developed. The content included eligibility, information about breast screening the advantages and disadvantages of screening, patient preferences and a patient-based discussion guide using text, infographics, and videos. The Flesch readability test score was 65.4 and the IPDASi construct quality score was 176 out of 188. Conclusions: This decision aid complies with IPDASi standards and could help women eligible for breast screening in France make a shared decision with a specialized healthcare professional about whether or not to participate in organized breast screening.
