Promoting early presentation of breast cancer in women over 70 years old in general practice

Abstract

Delivery of the PEP intervention in general practice was very effective at raising the awareness of breast cancer among older women. Primary care settings are well placed to enhance the reach of this kind of intervention to at-risk women.

Typical and atypical presenting symptoms of breast cancer and their associations with diagnostic intervals: Evidence from a national audit of cancer diagnosis

“…Existing examples of population- or person-level breast awareness interventions that encompass both lump and non-lump symptoms of the breast include the English breast “Be Clear on Cancer” campaign and the “Promoting Early Presentation” intervention [33], [34], [35]. Our findings support a continued shift in emphasis of awareness interventions to encompass the likely importance of ‘non-lump’ breast symptoms.…”

Promoting early presentation of breast cancer in older women: sustained effect of an intervention to promote breast cancer awareness in routine clinical practice

“…Implemented into general practice by practice nurses, breast cancer awareness increased between baseline and 1 year by a similar magnitude found in the present study [15]. Cost effective alternatives of the PEP Intervention which have been shown to increase breast cancer awareness, but not to the same magnitude, include a written version of the intervention [16] and also the booklet which supported the PEP Intervention [7].…”

Interventions developed with the Intervention Mapping protocol in the field of cancer: A systematic review

“…Forty additional publications were retrieved reporting their needs assessment (n = 18), their step 4 (n = 3), their implementation planning (n = 1), their evaluation (n = 17), and their implementation (n = 1).…”

“…Forty additional publications were retrieved reporting their needs assessment [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] (n = 18), their step 4 [52][53][54] (n = 3), their implementation planning 55 (n = 1), their evaluation [56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72] (n = 17), and their implementation 73 (n = 1).…”

“…11 Although most of the included studies conducted a qualitative inquiry for the needs assessment, the use of the stakeholders as a source of information cannot be considered as participatory in itself. 13 Some authors reported that mobilizing a truly participative approach was particularly enlightening Campbell et al 59 CBA study without group control…”