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Cancer Screening, Diagnosis and Care

European guidelines on breast cancer screening and diagnosis


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7. Inviting women to screening programmes



Overview


Inviting socially disadvantaged women to screening: Tailored vs. general communication strategy

Issued on: May 2017

Healthcare question

Healthcare question

Should a tailored communication strategy vs. a general communication strategy be used for socially disadvantaged women?

Recommendation

Recommendation

The ECIBC's Guidelines Development Group (GDG) suggests not using a tailored communication strategy to improve participation in organised population-based breast cancer screening programmes of socially disadvantaged women between the ages of 50 and 69.

Recommendation strength

Conditional recommendation
Moderate certainty of the evidence

Justification

Justification

On the basis of the specific tailored communication strategy providing individualised cancer risk considered, the GDG suggests against tailoring interventions for socially disadvantaged women, as some tailored interventions appear to do more harm than good. However, the impact of other types of tailored interventions is unknown.

Monitoring and evaluation

Monitoring and evaluation

Monitoring and evaluation of tailored communication strategies that differ from that considered in the randomised controlled trial reviewed for this recommendation is suggested to assess the impact of alternative tailored communication interventions.

Research priorities

Research priorities
  • Due to the scarcity of evidence in the different approaches to tailoring communication, the GDG suggests research exploring other tailored interventions for this population. There is the need to have a narrower definition of what tailored interventions are.
  • The GDG noted that there is incongruity with the research evidence that was found for tailored interventions for communication strategies for socially disadvantaged women. On the basis of the specific tailored communication strategy in the randomised controlled trial reviewed, the GDG suggests against tailoring interventions for socially disadvantaged women, however, the impact of other types of tailored interventions is unknown. Further research examining all interventions targeting or tailoring socially disadvantaged women is suggested.

Supporting material

yes