Evidence map›Paper›PMID 30684421›Full record

ArticleJMIR formative research2018

The iPrevent Online Breast Cancer Risk Assessment and Risk Management Tool: Usability and Acceptability Testing.

Louisa L Lo, Ian M Collins, Mathias Bressel, Phyllis Butow, Jon Emery, Louise Keogh, Prue Weideman, Emma Steel, John L Hopper, Alison H Trainer and 5 more

Abstract read
In one paragraph

Article in JMIR formative research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

15 authors.

Louisa L LoDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Victoria, Australia.ORCID http://orcid.org/0000-0001-7426-7953
Ian M CollinsSchool of Medicine, Deakin University, Geelong, Australia.ORCID http://orcid.org/0000-0001-6936-0942
Mathias BresselCentre for Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Australia.ORCID http://orcid.org/0000-0002-9718-9596
Phyllis ButowCentre for Medical Psychology & Evidence-Based Decision-Making, University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0003-3562-6954
Jon EmeryDepartment of General Practice and the Centre for Cancer Research, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-5274-6336
Louise KeoghCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0003-2963-6451
Prue WeidemanDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Victoria, Australia.ORCID http://orcid.org/0000-0002-3672-5201
Emma SteelCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0001-7466-4326
John L HopperCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-8567-173X
Alison H TrainerParkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, Australia.ORCID http://orcid.org/0000-0002-9847-3265
Gregory B MannDepartment of Surgery, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-2508-9203
Adrian BickerstaffeCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0003-2167-7291
Antonis C AntoniouCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.ORCID http://orcid.org/0000-0001-9223-3116
Jack CuzickCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom.ORCID http://orcid.org/0000-0001-7420-7512
Kelly-Anne PhillipsDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Victoria, Australia.ORCID http://orcid.org/0000-0002-0475-1771

Funding

Cancer Research UK 16891
6 · The paper itself

Abstract

backgroundiPrevent estimates breast cancer (BC) risk and provides tailored risk management information.

objectiveThe objective of this study was to assess the usability and acceptability of the iPrevent prototype.

methodsClinicians were eligible for participation in the study if they worked in primary care, breast surgery, or genetics clinics. Female patients aged 18-70 years with no personal cancer history were eligible. Clinicians were first familiarized with iPrevent using hypothetical paper-based cases and then actor scenarios; subsequently, they used iPrevent with their patients. Clinicians and patients completed the System Usability Scale (SUS) and an Acceptability questionnaire 2 weeks after using iPrevent; patients also completed measures of BC worry, anxiety, risk perception, and knowledge pre- and 2 weeks post-iPrevent. Data were summarized using descriptive statistics.

resultsThe SUS and Acceptability questionnaires were completed by 19 of 20 clinicians and 37 of 43 patients. Usability was above average (SUS score >68) for 68% (13/19) clinicians and 76% (28/37) patients. The amount of information provided by iPrevent was reported as "about right" by 89% (17/19) clinicians and 89% (33/37) patients and 95% (18/19) and 97% (36/37), respectively, would recommend iPrevent to others, although 53% (10/19) clinicians and 27% (10/37) patients found it too long. Exploratory analyses suggested that iPrevent could improve risk perception, decrease frequency of BC worry, and enhance BC prevention knowledge without changing state anxiety.

conclusionsThe iPrevent prototype demonstrated good usability and acceptability. Because concerns about length could be an implementation barrier, data entry has been abbreviated in the publicly available version of iPrevent.

Indexed as

BRCA1 geneBRCA2 genebreast cancerclinical decision supportpreventive healthriskscreening

Identifiers

PMID30684421
PMCPMC6334700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.