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Objective In a randomized controlled trial, the Promoting Early Presentation intervention increased older women's breast cancer awareness after two years. We investigated whether this increase was sustained at three years, and the effect on breast screening self-referral. Methods We randomly allocated 867 women attending their final invited breast screening appointment to the Promoting Early Presentation intervention or usual care. We examined breast cancer awareness after three years and breast screening self-referrals after four years. Results Women in the Promoting Early Presentation intervention arm had higher breast cancer awareness at three years than the usual care arm (odds ratio: 10.4; 95% confidence interval: 3.1 to 34.8). There were no differences in proportions self-referring for breast screening between arms, but statistical power was limited. Conclusion The Promoting Early Presentation intervention has a sustained effect on breast cancer awareness in older women. The effect on self-referral for breast screening is unclear.

Original publication

DOI

10.1177/0969141316667408

Type

Journal article

Journal

J Med Screen

Publication Date

09/2017

Volume

24

Pages

163 - 165

Keywords

Cancer early diagnosis, attitudes, breast cancer awareness, cancer screening, health knowledge, practice, Adult, Aged, Breast Neoplasms, Early Intervention (Education), Female, Health Knowledge, Attitudes, Practice, Health Services for the Aged, Humans, Mammography, Middle Aged, Odds Ratio, Surveys and Questionnaires, Treatment Outcome, United Kingdom, Women's Health Services