title: Access to breast cancer screening programs for women with disabilities.
abstract: BACKGROUND
  The goal of this study was to identify measures to facilitate access to the Quebec Breast Cancer Screening Program for women with activity limitations, considering the barriers to screening uptake in that population.
  
  
  METHODS
  The study was carried out in three stages. First, 124 semi-structured interviews were conducted in five regions of Quebec with five groups of key informants. The content analysis lead to the identification of 64 proposals, which were submitted to 31 experts through a two-round Delphi survey process. Finally, consultations were held with 11 resource people to determine which decision-making levels (local, regional, provincial) could play a key role in implementing the proposals.
  
  
  RESULTS
  A strong consensus (≥80%) was achieved for 25 proposals seen as highly relevant and feasible.
  
  
  CONCLUSIONS
  The implementation of such proposals could substantially improve access to screening, given the prevalence of activity limitations in the age group targeted by the program.
authors.affiliation: CRDITED de Montréal, 75, rue de Port-Royal Est, bureau 110, Montréal, Québec, Canada H3L 3T1. renee.proulx@crditedmtl.ca
authors.forename: Renée
authors.initials: R
authors.lastname: Proulx
authors.forename: Céline
authors.initials: C
authors.lastname: Mercier
authors.forename: Fanny
authors.initials: F
authors.lastname: Lemétayer
authors.forename: Sylvie
authors.initials: S
authors.lastname: Jutras
authors.forename: Diane
authors.initials: D
authors.lastname: Major
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D003697:Delphi Technique; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D011792:Quebec