Key issues identified during the piloting process, with corresponding revisions made
| Key issues | Revisions to address issues |
|---|---|
| Lack of familiarity with cancer screening being framed as a choice | Emphasise there is a personal decision to be made, with no right or wrong answer |
| Overdetection not understood as a harm of screening | Increase salience of consequences of overdetection by adding information on treatments and side effects |
| Confusion about distinction between overdetection and false positives | Emphasise 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 understood | Add box explicitly saying more women experience overdetection than avoid dying from breast cancer |
| New and complex material | Increase text size and make more use of white space |