Radiography最新文献

{"title":"Becoming the radiation therapist: Exploring the transition to practice experiences of Australian radiation therapist graduates","authors":"K. Matthews ,&nbsp;J. Krstic ,&nbsp;N. Anderson ,&nbsp;C. Wright","doi":"10.1016/j.radi.2024.11.012","DOIUrl":"10.1016/j.radi.2024.11.012","url":null,"abstract":"<div><h3>Introduction</h3><div>The transition to qualified practice for health practitioner graduates can be a challenging experience. Supportive transition to practice programs for graduates are typical in nursing, however they are less common in allied health. Investigations into the transition to practice experience of radiation therapist (RT) graduates specifically have been limited. This study aimed to examine the transition to practice experiences of RT graduates in Australia during their first ten months of qualified practice, with the intention to inform the development of fit for purpose transition to practice programs.</div></div><div><h3>Methods</h3><div>A longitudinal qualitative study was undertaken employing a constructivist grounded theory methodology. Data collection included an online focus group with RT graduates within their first three months of practice; recording of longitudinal audio diaries for six months; and an individual online interview at ten months of qualified practice.</div></div><div><h3>Results</h3><div>Seven RT graduates participated in the study during 2022–2023. Central to the transitional process was <em>‘Becoming the Radiation Therapist’</em> where graduates worked towards assimilating their emerging professional identity. This process was influenced by <em>‘Fitting in’</em> to the team; <em>‘Navigating expectations’</em> of work and the workplace; <em>‘Being supported by experienced others’</em>; and <em>‘Building confidence’</em> through validating experiences.</div></div><div><h3>Conclusion</h3><div>The transitional experience of the RT graduate was influenced by their internal identity work, and by the social and structural mechanisms within their workplace. A transition to practice program should include supportive mentoring, intentional exposure to a breadth of experiences, and clear expectations to assist the RT graduate in navigating this challenging period.</div></div><div><h3>Implications for practice</h3><div>The transitional experience can be difficult, and supportive mechanisms throughout the first year of graduate practice would aid the emerging professional identity of the RT graduate and their role within the workplace.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 187-193"},"PeriodicalIF":2.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The scope of practice for diagnostic radiographers in Singapore: A preliminary survey","authors":"A. Mohamed Afif ,&nbsp;Y.X. Ng ,&nbsp;R.N.Q.J. Boh ,&nbsp;A.W.D. Choong ,&nbsp;C.B.J. Lee ,&nbsp;C.M. Chong ,&nbsp;J. Sim","doi":"10.1016/j.radi.2024.11.010","DOIUrl":"10.1016/j.radi.2024.11.010","url":null,"abstract":"<div><h3>Introduction</h3><div>There has been an increased demand for medical imaging procedures through the years. This demand requires the diagnostic radiographers in the workforce to be equipped with adequate training and understanding of their roles. The aims of this research are to distill and further describe the current scope of practice as established by the Allied Health Professional Council and map the diffusion of tasks, roles and responsibilities within Singapore’s radiography imaging modalities.</div></div><div><h3>Methods</h3><div>A structured questionnaire was distributed to all diagnostic radiographers in Singapore through emails sent out by the Singapore Society of Radiographers. Information collected included respondents' duties in their respective imaging modalities, the professional tracks they specialised in, and their demographical information. Quantitative data analysis was conducted using SPSS and Fisher’s Exact test of independence was used to determine correlations between variables.</div></div><div><h3>Results</h3><div>A total of 120 questionnaire responses were obtained and after exclusion, 99 responses were analysed. It was observed that there was a significant positive correlation in radiography experience and performing specialised Computed Tomography examinations (<em>p</em> = 0.005). Additionally, higher radiographer designation was shown to be correlated with the ability to perform more specialised Ultrasound examinations (<em>p</em> &lt; 0.001). The study demonstrated a diverse range of tasks by radiographers which was determined by education, disparity in experience, institutional practice and training provided.</div></div><div><h3>Conclusion</h3><div>This preliminary study on Singapore diagnostic radiographers provided valuable insight and mapping of their activities in several imaging modalities, allowing for future development of a scope of practice document for Singapore.</div></div><div><h3>Implication for practice</h3><div>The tasks undertaken by the diagnostic radiographers were integral to imaging service delivery and play a significant role in the advancement of radiography to further enhance the quality of patient care.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 174-186"},"PeriodicalIF":2.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with workplace violence against diagnostic radiographers in Ghana: A nationwide cross-sectional study","authors":"A. Donkor ,&nbsp;K. Owusu Nti ,&nbsp;A. Appiah-Frempong ,&nbsp;R.A. Gyekye ,&nbsp;A.N.A. Adjei ,&nbsp;E. Ohemeng ,&nbsp;Y.A. Wiafe","doi":"10.1016/j.radi.2024.11.008","DOIUrl":"10.1016/j.radi.2024.11.008","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence is associated with anxiety, depression, job dissatisfaction, burnout, absenteeism, staff replacement costs and productivity loss. However, no study has investigated the issue of workplace violence against diagnostic radiographers in Ghana. The aim of this study was to determine the prevalence and factors associated with workplace violence against diagnostic radiographers in Ghana.</div></div><div><h3>Methods</h3><div>An anonymous, online, nationwide cross-sectional study was conducted from 31st January to 22nd July 2024. The survey contained questions on socio-demographic characteristics, physical violence, verbal abuse, bullying/mobbing, sexual harassment and cultural/ethnic harassment. Binomial and multivariate logistic regression analysis was performed to predict the factors associated with workplace violence. A <em>p</em>-value of less than 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>A total of 209 diagnostic radiographers responded to the online survey. In total, 26.3 % (n = 55/209) of the respondents were within the age group 25–29 years, and 53.6 % (n = 112/209) were males. The 12-month prevalence of workplace violence among the respondents was 93.8 % ([95 % CI: 89.6–96.6]; <em>p</em> &lt; 0.001). The most prevalent forms of workplace violence were verbal abuse (n = 175/209, 83.7 %), physical violence (n = 110/209, 52.6 %) and cultural/ethnic threat (n = 93/209, 44.5 %). Factors significantly linked to experiencing any form of workplace violence in both unadjusted and adjusted models were level of education and being worried about violence.</div></div><div><h3>Conclusion</h3><div>Workplace violence is common among diagnostic radiographers in Ghana and victims hardly report the incident to the relevant authorities. It is recommended that future research use a qualitative approach to gain a comprehensive understanding of the factors that facilitate or hinder the reporting of workplace violence among diagnostic radiographers.</div></div><div><h3>Implications for practice</h3><div>Investigating workplace violence could help design and implement multifaceted interventions to ensure safe and healthy working environments for healthcare professionals, including diagnostic and therapeutic radiographers in Ghana.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 166-173"},"PeriodicalIF":2.5,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MR dacryocystography – Optimising a dynamic imaging protocol for patients with epiphora","authors":"L.-V. Tran ,&nbsp;J. Bush ,&nbsp;M. Baig ,&nbsp;C. Schulz ,&nbsp;S. Kaur ,&nbsp;M. Ben Ishai ,&nbsp;S. Rajak","doi":"10.1016/j.radi.2024.10.028","DOIUrl":"10.1016/j.radi.2024.10.028","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiological investigations for epiphora often use techniques involving ionising radiation and may require invasive canalicular cannulation.</div><div>Magnetic resonance dacryocystography (MRDCG) has been explored but is currently not widely utilised in clinical imaging departments.</div><div>The aim of this technical report is to describe the optimisation of a non-invasive MRDCG technique using a continuous gadolinium drip to assess the anatomy and real-time functionality of the nasolacrimal drainage system (NLDS).</div></div><div><h3>Methods</h3><div>A protocol was developed on a 1.5 Tesla (1.5 T) magnetic resonance imaging (MRI) scanner using a 32-channel head coil.</div><div>Coronal and axial T2-weighted sequences demonstrated the anatomy of the NLDS region. An automated slow drip infusion of gadolinium contrast media, diluted with saline (1:100), was delivered simultaneously to both eyes during a two-dimensional (2D) dynamic acquisition. Post-instillation, a three-dimensional (3D) T1-weighted sequence confirmed the presence or absence of contrast media in the NLDS.</div></div><div><h3>Results</h3><div>Clear visualisation of the anatomy and real-time contrast flow through the NLDS were achieved in 85 % of cases.</div></div><div><h3>Conclusion</h3><div>This non-invasive MRDCG technique can provide both anatomical and functional evaluation of the NLDS in under 30 minutes. Further work is needed to compare MRDCG findings to more established methods such as DCG and DSG.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 159-165"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I used their criticisms as my weapon to succeed” Experiences in the dual learning environment of Black, Asian, and ethnically diverse therapeutic radiographer undergraduate students – results of a UK survey","authors":"L. Codd ,&nbsp;A. Ramlaul ,&nbsp;D. Trivedi","doi":"10.1016/j.radi.2024.10.026","DOIUrl":"10.1016/j.radi.2024.10.026","url":null,"abstract":"<div><h3>Introduction</h3><div>Student experience impacts outcomes in Higher Education (HE) and has become a focus of interest in ethnicity awarding gap research. The awarding gap is attributed to a range of factors, many of which occur as a result of institutionalised racism. Limited data is available on the experiences of ethnically diverse allied health professionals’ students and none in therapeutic radiography (TR).</div></div><div><h3>Methods</h3><div>An online survey featuring quantitative and open-ended questions was sent to fourteen universities as phase 1 of a sequential explanatory mixed methods study. The survey was developed from student collaboration and the evidence base, exploring the experiences of university and clinical placement in radiotherapy undergraduate programmes. Themes of “university and clinical placement learning,” “drivers of success and pressure” “racism and microaggressions” and “perceptions of the profession” were examined.</div></div><div><h3>Results</h3><div>Forty-three responses were received from students recruited via purposive sampling and self-identifying as belonging to an ethnically diverse background. Positive experiences of university and clinical placements were seen but a lower sense of belonging was reported within clinical placement. Sources of support were identified in lecturers, peers, and family. In contrast, family was also identified as a source of pressure. Incidents of racism and microaggressions were reported in clinical and university learning environments, but more frequently seen in the placement setting, and attributed to come from both radiographers and patients.</div></div><div><h3>Conclusion</h3><div>This study indicates that whilst there were frequent positive aspects of university and clinical placement, racialised incidents occurred, impacting the student experience. Clinical placement providers should focus on enhancing belonging, with academic staff supporting radiographers in inclusive teaching practices.</div></div><div><h3>Implications for practice</h3><div>All involved in radiography education must act as allies in calling out incivility, racism, and microaggressions, to support and enhance student experience.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 131-137"},"PeriodicalIF":2.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographers’ perspective of patient safety at ultrasound units in radiology departments","authors":"M. Byenfeldt ,&nbsp;S. Both ,&nbsp;M. Bazzi ,&nbsp;A. Wallin","doi":"10.1016/j.radi.2024.11.006","DOIUrl":"10.1016/j.radi.2024.11.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The radiology department plays an important role in healthcare settings, facilitating diagnoses using different imaging modalities, including ultrasound. However, this high-tech environment can pose various risks to patients. In this study, we aimed to describe the risk of patient safety incidents, and factors associated with the prevention of risks related to ultrasound examinations and the diagnostic work, from the perspective of Swedish radiographers.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study, based on the written answers to three open-ended questions addressed to Swedish radiographers in ultrasound units of radiology departments, between March 2022 and May 2023. Data from the responses were analyzed using content analysis.</div></div><div><h3>Results</h3><div>A total of 22 radiographers participated in this study. The described risks were categorized into two groups: risk of tissue damage; and risk of missed, delayed, or incorrect diagnoses. Participants stated that patient safety relied on good organizational conditions—such as having enough time for ultrasound examinations and the diagnostic work, together with adequate technical equipment and new ultrasound devices not older than 5 years. As risk-prevention factors, the radiographers recommended ensuring adequate individual competence—for example, through recurrent mandatory education in ultrasound physics and safety performed by the hospital physicist, and by implementing a certificate with an identified level of expertise at every level of the ultrasound examination.</div></div><div><h3>Conclusions</h3><div>Within ultrasound units in Sweden, collaborative individual, organizational, and technical factors are important for reducing the risks of tissue damage and of missed, delayed, or incorrect diagnoses.</div></div><div><h3>Implications for practice</h3><div>In ultrasound diagnostics, risk-preventing factors include the use of adequate technical equipment and ultrasound devices not older than 5 years, sufficient time for ultrasound examinations and diagnostic work, thoroughly education in all ultrasound methods and recurrent mandatory education in ultrasound physics performed by hospital physicists.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 152-158"},"PeriodicalIF":2.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uniformity test in three-dimensional rotational angiography: Novel tools and methods for advanced performance evaluation","authors":"H.M.G. Saraswati ,&nbsp;L.E. Lubis","doi":"10.1016/j.radi.2024.10.030","DOIUrl":"10.1016/j.radi.2024.10.030","url":null,"abstract":"<div><h3>Introduction</h3><div>American Association of Physicists in Medicine (AAPM) Task Group (TG) 238 provides guidance on quality control procedures to ensuring optimal three-dimensional rotational angiography (3DRA) image quality. The uniformity test outlined in this guideline utilizes a sampling method, which provide limited information on image uniformity and has been found to be a sub-optimum predictor of image quality issues. Despite this limitation, numerous automated quality control software solutions for uniformity testing have been developed using the available method. Therefore, this study was aimed to propose new methods as well as to develop an in-house software to generate more comprehensive uniformity testing of 3DRA images.</div></div><div><h3>Methods</h3><div>The uniformity evaluation techniques are adopted from both AAPM TG-238 guidelines and the European Reference Organisation for Quality Assured Breast Screening and Diagnostic Services (EUREF) guidelines. The parameters assessed included mean pixel value (MPV) and signal to noise ratio (SNR) following EUREF recommendations with limiting values adapted from AAPM TG-238. An in-house software was constructed to visually display non-uniformities and numerically by providing information on ROIs detected by each metric.</div></div><div><h3>Results</h3><div>With the introduction of new evaluation methods, the previously established limiting values could not be employed as a reference for determining image uniformity. Therefore, the selection of the optimal uniformity testing method will be based on its sensitivity in detecting and visually displaying non-uniformities.</div></div><div><h3>Conclusion</h3><div>The new evaluation techniques provide a more comprehensive assessment of 3DRA image uniformity. However, further investigation is reserved to refine the limitation values used in determining the pass/fail criteria for the uniformity test.</div></div><div><h3>Implications for practice</h3><div>This in-house software enables visualization of uniformity within an image, aiding in the selection of the appropriate imaging mode based on clinical requirements.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 146-151"},"PeriodicalIF":2.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimisation in CT! Dead or alive?","authors":"A. Bellizzi,&nbsp;F. Zarb","doi":"10.1016/j.radi.2024.11.007","DOIUrl":"10.1016/j.radi.2024.11.007","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 137-138"},"PeriodicalIF":2.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communicating the risk of recall in mammography screening - Enskilment in breast radiography","authors":"E.G. Gram ,&nbsp;A.B.R. Jønsson ,&nbsp;L.B. Larsen ,&nbsp;M. Adlouni ,&nbsp;B. Mussmann","doi":"10.1016/j.radi.2024.10.025","DOIUrl":"10.1016/j.radi.2024.10.025","url":null,"abstract":"<div><h3>Introduction</h3><div>In Denmark, there are no official guidelines on how to inform women about the risk of recall during mammography screening, leading to varied local practices. This study explored the experiences of radiographers at a Danish mammography screening unit and breast cancer assessment clinic communicating the risk of recall and false-positive results.</div></div><div><h3>Methods</h3><div>This study involved 12 weeks of ethnographic fieldwork over the course of one year, along with eleven semi-structured interviews with radiographers.</div></div><div><h3>Results</h3><div>Radiographers worked at the screening unit and the breast cancer assessment clinic. This provided them an opportunity to learn from their colleagues, improve communication skills, and the ability to recognise and respond to emotional reactions. The radiographers were aware that recalls might cause psychosocial consequences and had thus established a local practice sensitive to this. The radiographers informed women at their first screening about the risk of recall and false positives, aiming to mitigate these consequences.</div></div><div><h3>Conclusion</h3><div>These findings highlight the advantages of radiographers working in both screening and clinical settings.</div></div><div><h3>Implications for practice</h3><div>Insights from this study may inspire future guidelines or local screening practices and improve patient care. Furthermore, results may inform department managers’ workload organisation.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 139-145"},"PeriodicalIF":2.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-production of a novel intervention targeting obesity-related barriers to mammographic screening participation","authors":"E. Dzidzornu ,&nbsp;A. O'Fee ,&nbsp;S. Hogan ,&nbsp;N.S. McCarthy ,&nbsp;E. Stewart ,&nbsp;C. Madeley ,&nbsp;J. Wilkes ,&nbsp;A. White ,&nbsp;M. Hickey ,&nbsp;E. Wylie ,&nbsp;K. McBride ,&nbsp;J. Stone","doi":"10.1016/j.radi.2024.11.005","DOIUrl":"10.1016/j.radi.2024.11.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Women with obesity are less likely to participate in mammographic screening and more likely to develop post-menopausal breast cancer. We describe the co-production of a novel training intervention for breast screening staff, targeting obesity-related barriers to participating in a population-based mammographic screening.</div></div><div><h3>Methods</h3><div>A Stakeholder Consultant Group (SCG) was established to guide the co-production process. A narrative review of the literature was conducted, as well as first person interviews of women with lived experience of obesity, to identify/inform themes for service delivery staff training.</div></div><div><h3>Results</h3><div>Three themes from the narrative review emerged: (i) enhanced staff-client communication, (ii) promoting compassionate connections during client interactions (iii) tailored mammography positioning for women with obesity. Iterative co-design and consultation with the SCG resulted in six key sessions delivered within an in-service training day: determinants of obesity, weight stigma and healthcare, screening challenges for women living with obesity, empathy ‘mapping’, front-line training for reception staff, and screening challenges for radiographers when screening women with obesity. Subsequent practical workshops for radiographers provided hands-on positioning training using a real-life model and a ‘mammo vest’. Feedback showed that 74 % of staff rated the training as “very good” or “excellent”.</div></div><div><h3>Conclusion</h3><div>Training to improve staff interactions with women with obesity appears to be acceptable.</div></div><div><h3>Implications for practice</h3><div>The intervention has been successfully implemented in a population-based breast screening program to improve the mammography experience for both clients and staff. Improving the mammogram experience will improve the likelihood of clients returning to screening when next due. Given the prevalence of obesity and body image issues, targeted interventions that optimize client interactions could significantly reduce breast cancer mortality through early detection.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 120-130"},"PeriodicalIF":2.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}