Evidence map›Paper›PMID 26555569›Full record

ArticleBMC research notes2015

Family physicians' intention to support women in making informed decisions about breast cancer screening with mammography: a cross-sectional survey.

Lawrence-Ndoh Kiyang, Michel Labrecque, Florence Doualla-Bell, Stéphane Turcotte, Céline Farley, Myrtha Cionti Bas, Johanne Blais, France Légaré

Abstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lawrence-Ndoh KiyangHôpital Saint-Francois d'Assise, Centre Hospitalier Universitaire de Québec Research Centre, 10 Rue de l'Espinay, Québec, QC, G1L 3L2, Canada. lawrence.kiyang@albertahealthservices.ca.
Michel LabrecqueHôpital Saint-Francois d'Assise, Centre Hospitalier Universitaire de Québec Research Centre, 10 Rue de l'Espinay, Québec, QC, G1L 3L2, Canada. michel.labrecque@fmed.ulaval.ca.
Florence Doualla-BellInstitut National de Santé Publique du Québec, 190, boulevard Crémazie Est, Montréal, QC, H2P 1E2, Canada. Doualla-Bell@inspq.qc.ca.
Stéphane TurcotteHôpital Saint-Francois d'Assise, Centre Hospitalier Universitaire de Québec Research Centre, 10 Rue de l'Espinay, Québec, QC, G1L 3L2, Canada. Turcotte@crchudequebec.ulaval.ca.
Céline FarleyDepartment of Social and Preventive Medicine, École de santé publique, Université de Montréal, C.P. 6128, Succursale Centre-ville, Montréal, QC, H3C 3J7, Canada. celine.farley@umontreal.ca.
Myrtha Cionti BasInstitut National de Santé Publique du Québec, 190, boulevard Crémazie Est, Montréal, QC, H2P 1E2, Canada. myrthaciontibas@gmail.com.
Johanne BlaisDepartment of Family and Emergency Medicine, Université Laval, 1050, avenue de la Médecine, Pavillon Ferdinand-Vandry, Bureau 4617, Québec, QC, G1V 0A6, Canada. Blaisj2@videotron.ca.
France LégaréHôpital Saint-Francois d'Assise, Centre Hospitalier Universitaire de Québec Research Centre, 10 Rue de l'Espinay, Québec, QC, G1L 3L2, Canada. france.legare@mfa.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe net benefits of routine breast cancer screening with mammography have been questioned, and there is evidence to indicate that supporting women to make an informed decision about breast cancer screening with mammography is preferable. The aims of this study were to assess the intention of family physicians to provide women with this support and the determinants of this intention, and to identify factors that might influence family physicians adopting this behavior.

methodsFamily physicians from the province of Quebec, Canada, attending a 45-min lecture on informed decision making and cancer screening were asked to complete a questionnaire after the lecture regarding their intention to adopt the behavior. The questions, based on the Theory of Planned Behavior, measured physicians' intention and its determinants (attitude, perceived behavioral control, and socio-professional norm) regarding supporting women to make informed decisions about breast cancer screening with mammography. Open-ended questions were also used to explore complementary factors influencing their intention.

resultsOut of 800 questionnaires distributed, 301 (38 %) were returned and 288 were included in data analysis. The mean ± standard deviation and median score for intention were respectively 1.9 ± 1.2 and 2.0 on a 6-point Likert scale (-3 to +3). Perceived behavioral control was the variable most strongly associated with intention (high versus low score, odds ratio = 15.7, 95 % CI 6.7-36.6), followed by attitude (high versus low score, odds ratio = 7.5, 95 % CI 3.3-16.8), then social norm (high versus low score, odds ratio = 5.8, 95 % CI 2.6-12.9). The most-reported barrier to adopting the behavior was time constraints (41 %) while the most-reported facilitator was availability of relevant decision support tools (29 %).

conclusionsRespondents showed strong intention to support women in informed decision-making about breast cancer screening, the strongest predictor being perceived behavioral control. These results could contribute to training physicians to integrate this behavior into their practices and to designing relevant decision support tools.

Indexed as

Decision MakingIntentionBreast NeoplasmsCross-Sectional StudiesEarly Detection of CancerFemaleHumansLogistic ModelsMaleMammographyMultivariate AnalysisPhysicians, FamilyQuebecSurveys and Questionnaires

Identifiers

PMID26555569
PMCPMC4640384

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.