Relevance rating: High
- This study is directly relevant for women at high-risk of breast cancer.
- This is a retrospective interview-based study of women asking about their information use and interactions with health care providers.
- The results are actionable for patients in communicating with their providers.
- While the focus of this study was a comparison between African American and white women, the findings about how women process information about preventive options to reduce breast cancer risk is useful for all currently.
Scientific Strength Rating: Medium-High
- This study is a retrospective study based on interviews with a small number of participants (N=50).
- It builds on the literature in this field and describes ways in which African American participants had different provider and information access as compared to white participants. It is novel in describing a multi-layered framework of decision-making about breast cancer prevention.
- Because it is a retrospective study individual may remember interactions inaccurately which limits the conclusions.
- While this size is appropriate for an interview-based study, it limits the conclusions that can be made. There was no statistical analysis of the difference between responses of African American and white women, thus the reliability of the results are unclear. Additional analysis would strengthen this study.
- Despite its limitations, this study has direct implications about patient-provider interactions around preventive choices and suggests avenues for further research.