title: Effect on attendance at breast cancer screening of adding a self administered questionnaire to the usual invitation to breast screening in southern England.
abstract: OBJECTIVE
  The primary aim of the research described in this paper was to ascertain whether inclusion of a self administered questionnaire with the usual invitation to routine breast screening affected screening uptake. Secondary aims included establishing appropriate questionnaire distribution and collection methods within the framework of the National Health Service Breast Screening Programme and optimisation of questionnaire design.
  
  
  METHODS
  Randomised study.
  
  
  METHODS
  Oxfordshire and West of London Breast Screening Units.
  
  
  METHODS
  6400 women invited for routine screening mammography were individually randomised to receive either the usual breast screening invitation alone, or to receive the usual invitation accompanied by a self administered questionnaire, to be returned at the time of screening. Participants were then followed up and attendance rates at screening were compared between groups.
  
  
  RESULTS
  Screening attendance rates were similar in women who did and did not receive a questionnaire (71% in each group). Of those who were sent a questionnaire and attended for screening, 77% returned a completed questionnaire. Screening uptake was not affected by the way in which the questionnaire was returned or by whether or not personal details and signed permission for follow up were requested.
  
  
  CONCLUSIONS
  The inclusion of a self administered questionnaire accompanying the invitation to breast screening did not adversely affect screening uptake. A high proportion of women completed the questionnaire.
authors.affiliation: Imperial Cancer Research Fund, Cancer Epidemiology Unit, Radcliffe Infirmary, Oxford.
authors.forename: E
authors.initials: E
authors.lastname: Banks
authors.forename: A
authors.initials: A
authors.lastname: Richardson
authors.forename: V
authors.initials: V
authors.lastname: Beral
authors.forename: B
authors.initials: B
authors.lastname: Crossley
authors.forename: M
authors.initials: M
authors.lastname: Simmonds
authors.forename: E
authors.initials: E
authors.lastname: Hilton
authors.forename: R
authors.initials: R
authors.lastname: English
authors.forename: J
authors.initials: J
authors.lastname: Davis
authors.forename: J
authors.initials: J
authors.lastname: Austoker
mesh_terms: D001943:Breast Neoplasms / Q000517:prevention & control*; D004739:England; D005260:Female; D006306:Health Surveys; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D013222:State Medicine; D011795:Surveys and Questionnaires