Evaluating clinician acceptability of the prototype CanRisk tool for predicting risk of breast and ovarian cancer: A multi-methods study
| العنوان: | Evaluating clinician acceptability of the prototype CanRisk tool for predicting risk of breast and ovarian cancer: A multi-methods study |
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| المؤلفون: | Alex P Cunningham, Fiona Scheibl, Douglas F. Easton, Stephanie Archer, Fiona M Walter, Andrew Lee, Simon Hartley, Antonis C. Antoniou, Marc Tischkowitz, Jennifer McIntosh, Chantal Babb de Villiers, Tim Carver, Jon Emery |
| المساهمون: | Archer, Stephanie [0000-0003-1349-7178], Babb de Villiers, Chantal [0000-0003-1334-1819], Hartley, Simon [0000-0001-7991-0581], Lee, Andrew [0000-0003-0677-0252], Apollo - University of Cambridge Repository |
| المصدر: | PLOS ONE PLoS ONE, Vol 15, Iss 3, p e0229999 (2020) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, GENETIC SUSCEPTIBILITY, Epidemiology, Engineering and technology, Geographical locations, User-Computer Interface, 0302 clinical medicine, Germany, SUPPORT, Breast Tumors, 030212 general & internal medicine, BOADICEA MODEL, Ovarian Neoplasms, Multidisciplinary, Cancer Risk Factors, Genomics, Middle Aged, Self Efficacy, 3. Good health, Multidisciplinary Sciences, Europe, England, Oncology, 030220 oncology & carcinogenesis, Science & Technology - Other Topics, Medicine, Female, Thematic analysis, Psychology, Research Article, Adult, Risk, General Science & Technology, Health Personnel, Science, MEDLINE, Breast Neoplasms, Genetic Counseling, Context (language use), Qualitative property, Simulated patient, 03 medical and health sciences, Breast cancer, Genomic Medicine, GENERAL-PRACTICE, Breast Cancer, Genetics, medicine, Humans, Prototypes, European Union, Primary Care, Clinical Genetics, Medicine and health sciences, Self-efficacy, Medical education, Science & Technology, Primary Health Care, Biology and life sciences, Cancers and Neoplasms, Human Genetics, medicine.disease, United Kingdom, Health Care, Technology Development, Vignette, Medical Risk Factors, People and places |
| الوصف: | BACKGROUND: There is a growing focus on the development of multi-factorial cancer risk prediction algorithms alongside tools that operationalise them for clinical use. BOADICEA is a breast and ovarian cancer risk prediction model incorporating genetic and other risk factors. A new user-friendly Web-based tool (CanRisk.org) has been developed to apply BOADICEA. This study aimed to explore the acceptability of the prototype CanRisk tool among two healthcare professional groups to inform further development, evaluation and implementation. METHOD: A multi-methods approach was used. Clinicians from primary care and specialist genetics clinics in England, France and Germany were invited to use the CanRisk prototype with two test cases (either face-to-face with a simulated patient or via a written vignette). Their views about the tool were examined via a semi-structured interview or equivalent open-ended questionnaire. Qualitative data were subjected to thematic analysis and organised around Sekhon's Theoretical Framework of Acceptability. RESULTS: Seventy-five clinicians participated, 21 from primary care and 54 from specialist genetics clinics. Participants were from England (n = 37), France (n = 23) and Germany (n = 15). The prototype CanRisk tool was generally acceptable to most participants due to its intuitive design. Primary care clinicians were concerned about the amount of time needed to complete, interpret and communicate risk information. Clinicians from both settings were apprehensive about the impact of the CanRisk tool on their consultations and lack of opportunities to interpret risk scores before sharing them with their patients. CONCLUSIONS: The findings highlight the challenges associated with developing a complex tool for use in different clinical settings; they also helped refine the tool. This prototype may not have been versatile enough for clinical use in both primary care and specialist genetics clinics where the needs of clinicians are different, emphasising the importance of understanding the clinical context when developing cancer risk assessment tools. |
| وصف الملف: | text/xml; application/zip; application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ff92bcf98c9e467b6862b3b006d9ddc2 https://doi.org/10.1371/journal.pone.0229999 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ff92bcf98c9e467b6862b3b006d9ddc2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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