Abstract
Background. To evaluate a plain‐language guideline sent to women with abnormal screening results who attended the Manitoba Breast Screening Program (MBSP). Methods. A plain‐language guideline was mailed with a result letter to 258 randomly chosen women who had abnormal mammograms and/or abnormal clinical breast examinations. Four weeks later, a satisfaction questionnaire was mailed to these women (cases) as well as to 254 randomly chosen women with abnormal results who were not sent a guideline (controls). All cases were interviewed by telephone three weeks after the questionnaire was mailed. Results. A total of 345 patient satisfaction questionnaires (67%) were returned, and 47% of the cases completed the telephone interview. There was no difference in satisfaction between the women who received the guideline and those who did not. Most found the guideline easy to read (99%), and the majority (89%) felt that it clearly explained what happens if further tests are needed. However, a fourth thought the guideline made them anxious. Conclusion. A plain‐language guideline was useful for most women who had abnormal screening results, although it did not alter the women's satisfaction with the MBSP. The guideline did increase anxiety for some women. These women may require other help to decrease their anxiety.