The development and evaluation of educational resources for young women with neurofibromatosis type 1 undergoing breast cancer surveillance.

Publisher:
SAGE PUBLICATIONS LTD
Publication Type:
Journal Article
Citation:
Womens Health (Lond), 2025, 21, pp. 17455057251337118
Issue Date:
2025
Full metadata record
BACKGROUND: Women with neurofibromatosis type 1 (NF1) have an increased risk of breast cancer and poorer 5-year survival. Current breast surveillance patient information resources may be inappropriate for this cohort due to increased cognitive deficits and cancer worry. OBJECTIVES: This study aimed to develop and evaluate NF1-specific patient-centric educational resources about breast cancer surveillance. DESIGN: A pilot, prospective longitudinal cohort study was conducted through a Sydney tertiary hospital (Royal North Shore Hospital) adult NF1 clinic and an established breast cancer risk management clinic. METHODS: A brochure was developed with input from stakeholders and women with NF1 participating in breast surveillance. The content was adapted to create a webpage and animation evaluated through clinician and patient surveys. Final iterations of the resources were based on stakeholder feedback. RESULTS: Nine semi-structured interviews were conducted with women with NF1 after breast surveillance. All considered the brochure acceptable and valuable and supported sharing the resource. Fifty-seven patient and clinician surveys were also completed, with the webpage and animation highly rated regarding acceptability, usefulness, and relevance. CONCLUSIONS: Information in three media has been developed specifically for women with NF1, considering breast surveillance to increase understanding, provide reassurance, and as a memory aid to support clinician consultation.
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