TableĀ 4

Key issues identified during the piloting process, with corresponding revisions made

Key issuesRevisions to address issues
Lack of familiarity with cancer screening being framed as a choiceEmphasise there is a personal decision to be made, with no right or wrong answer
Overdetection not understood as a harm of screeningIncrease salience of consequences of overdetection by adding information on treatments and side effects
Confusion about distinction between overdetection and false positivesEmphasise distinction through modifications to wording, ordering and formatting; add a question and answer addressing this point
Relationship between risk of overdetection and chance of benefit not being well understoodAdd box explicitly saying more women experience overdetection than avoid dying from breast cancer
New and complex materialIncrease text size and make more use of white space