Development of the Breast Cancer Education and Risk Assessment Program

Laurel A. Snyder

Dawn B. Wallerstedt

Lynda L. Lahl

Michele E. Nehrebecky

Peter W. Soballe

Pamela M. Klein

ONF 2003, 30(5), 803-808. DOI: 10.1188/03.ONF.803-808

Purpose/Objectives: To provide a description of the inception and evolution of the Breast Cancer Education and Risk Assessment Program.

Data Sources: Computerized database (e.g., Personal Family History Risk Assessment Model, Knowledge Assessment Tool, risk perception, evaluation form) and author experience.

Data Synthesis: A total of 749 women participated in the group education and risk-assessment program from March 1999 through March 2002. Advanced practice nurses provided information about calculated risks, corrected misperceptions among participants, and highlighted options available to decrease breast cancer risk. Knowledge scores improved, and, in general, participants were very satisfied with the content and comprehensibility of the educational session.

Conclusions: Results from the evaluation of the Breast Cancer Education and Risk Assessment Program suggest that group education is a viable and acceptable way to bring new advances in breast cancer prevention to large groups of women. The data sources support the conclusion that women can be effectively taught general breast cancer risk information in a group setting and be placed into specific risk categories to streamline discussion of risk-management options and relevant research studies.

Implications for Nursing: Advanced practice nurses are a vital link in the assessment of women at high risk for breast cancer, education, and appropriate referrals for management options and relevant clinical trials.

Jump to a section

    References

    Alexander, N.E., Ross, J., Sumner, W., Nease, R.F., Jr., & Littenberg, B. (1996). The effect of an educational intervention on the perceived risk of breast cancer. Journal of General Internal Medicine, 11, 92-97.

    American Cancer Society. (2003). Cancer facts and figures 2003. Atlanta, GA: Author.

    Armstrong, K., Eisen, A., & Weber, B. (2000). Assessing the risk of breast cancer. New England Journal of Medicine, 342, 564-571.

    Bodenheimer, T. (1999). The American health care system—Physicians and the changing medical marketplace. New England Journal of Medicine, 340, 584-588.

    Claus, E.B., Risch, N., & Thompson, W.D. (1994). Autosomal dominant inheritance of early-onset breast cancer. Implications for risk prediction. Cancer, 73, 643-651.

    Euhus, D.M. (2001). Understanding mathematical models for breast cancer risk assessment and counseling. Breast Journal, 7, 224-232.

    Fisher, B., Costantino, J.P., Wickerham, D.L., Redmond, C.K., Kavanah, M., Cronin, W.M., et al. (1998). Tamoxifen for prevention of breast cancer: Report of the National Surgical Adjuvant Breast and Bowel Project P-1 Study. Journal of the National Cancer Institute, 90, 1371-1388.

    Gail, M.H., Brinton, L.A., Byar, D.P., Corle, D.K., Green, S.B., & Schairer, C, et al. (1989). Projecting individualized probabilities of developing breast cancer for white females who are being examined annually. Journal of the National Cancer Institute, 81, 1879-86.

    MacDonald, D.J. (1997). The oncology nurse's role in cancer risk assessment and counseling. Seminars in Oncology Nursing, 13, 123-128.

    Mahon, S. (1998). Cancer risk assessment: Conceptual considerations for clinical practice. Oncology Nursing Forum, 25, 1535-1547.

    Spilker, B., & Cramer, J.A. (1992). Patient recruitment in clinical trials. New York: Raven Press.