{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:50:18Z","timestamp":1761745818686,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009794","name":"Breast Cancer Now","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study assessed the utility of Cameron's Illness Risk Representation (IRR) framework in understanding how women interpret their breast cancer risk after receiving a clinically derived estimate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Secondary qualitative analysis of two studies within the BC\u2010Predict trial, using semi\u2010structured telephone interviews with women aged 47\u201374 who received breast cancer risk estimates via population screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010eight women were informed of their 10\u2010year breast cancer risk (low (&lt;1.5% risk), average (1.5\u20134.99%), above\u2010average (moderate; 5\u20137.99%) and high (\u22658%)). Moderate\u2010 and high\u2010risk women were eligible for enhanced preventive management. Women were interviewed about their risk, with data analysed using a thematic framework approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Causal representations of breast cancer were often incomplete, with women primarily relying on family history and health\u2010related behaviours to understand their risk. This reliance shaped pre\u2010existing expectations and led to uncertainty about unfamiliar risk factors. As women aged, concerns about breast cancer susceptibility became more prominent. Emotional reactions to risk communication, along with the physical implications of risk management strategies, were also considered. Women were knowledgeable about early detection and prevention strategies, showing agency in reducing risk and preventing aggressive cancers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>\n                      framework largely explained women's breast cancer risk appraisals but adaptations could enhance its applicability. The identity construct could be redefined and combined with the causal construct. The framework should also consider the extent to which pre\u2010existing appraisals change after receiving a clinical\u2010derived risk estimate. Healthcare professionals should assess women's knowledge before communicating personal risk estimates to reduce doubt and the impact of unfamiliar information.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12792","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T03:03:18Z","timestamp":1741834998000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Illness risk representations underlying women's breast cancer risk appraisals: A theory\u2010informed qualitative analysis"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4069-5188","authenticated-orcid":false,"given":"Victoria G.","family":"Woof","sequence":"first","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6414-2732","authenticated-orcid":false,"given":"Lorna","family":"McWilliams","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8482-5784","authenticated-orcid":false,"given":"D. Gareth","family":"Evans","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"},{"name":"The Nightingale Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-719X","authenticated-orcid":false,"given":"Anthony","family":"Howell","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"},{"name":"The Nightingale Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7663-7804","authenticated-orcid":false,"given":"David P.","family":"French","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.010"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1057\/978-1-137-35913-1_2"},{"key":"e_1_2_12_4_1","first-page":"13","volume-title":"National Cancer Institute workshop on conceptualizing and measuring risk perception","author":"Cameron L. 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