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Responses to provision of personalised cancer risk information: a qualitative interview study with members of the public.


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Authors

Usher-Smith, Juliet A  ORCID logo  https://orcid.org/0000-0002-8501-2531
Silarova, Barbora 
Lophatananon, Artitaya 
Duschinsky, Robbie 
Campbell, Jackie 

Abstract

BACKGROUND: It is estimated that nearly 600,000 cancer cases in the UK could have been avoided in the past five years if people had healthier lifestyles. A number of theories of behaviour change suggest that before people will change health behaviours, they must accept that a risk applies to them. This study aimed to explore the views of the public on receiving personalised cancer risk information and the potential for that information to motivate behaviour change. METHODS: We conducted 27 interviews with members of the public (mean age 49 ± 23 years). Each participant completed a questionnaire to allow calculation of their risk of developing the most common cancers (10 for women, 8 for men). During the interviews we presented their risk using a web-based tool developed for the study and discussions covered their views on receiving that information. Each interview was audio-recorded and then analysed using thematic analysis. RESULTS: Participants generally viewed the concept of personalised cancer risk positively. The first reaction of almost all when presented with their 10-year risk of an individual cancer without any further context was that it was low and not concerning. Views on what constituted a high risk ranged widely, from 0.5 to 60%. All felt seeing the impact of changes in lifestyle was helpful. For some this led to intentions to change behaviour, but reductions in risk were not always motivating as the risks were considered low and differences small. CONCLUSIONS: Provision of personalised cancer risk was well received and may be a useful addition to other cancer prevention initiatives. Further work is needed in particular to develop ways to present cancer risk that reflect the general perception of what constitutes a risk high enough to motivate behaviour change and help patients contextualise a less well known health risk by providing a frame of reference.

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Keywords

Cancer, Communication, Prevention, Qualitative research, Risk, Adult, Attitude to Health, Female, Health Behavior, Health Communication, Humans, Intention, Life Style, Male, Middle Aged, Motivation, Neoplasms, Precision Medicine, Qualitative Research, Risk, Risk Reduction Behavior, Surveys and Questionnaires, United Kingdom, Young Adult

Is Part Of

Publisher

Springer Science and Business Media LLC
Sponsorship
Cancer Research UK (20818)
Medical Research Council (MC_UU_12015/4)