Views on the offer of dietary weight loss advice and services when women attend breast screening

Breast screening appointments could become a moment when women are offered dietary weight loss advice and services to reduce their cancer risk. The problem is that while weight control lowers breast cancer risk, screening clinics rarely capitalise on this "teachable moment" to engage women with weight management programmes. Researchers do not yet know whether women attending screening would accept such an offer, what form it should take, or how to integrate it into existing services without disrupting clinical workflows. This qualitative study will interview both screening attendees and staff in New South Wales, Australia, and Manchester, UK. The goal is to assess whether a weight control programme originally developed for breast cancer prevention in Manchester can be adapted for delivery within routine screening services in both countries. If the research succeeds, it could reshape how public health systems deliver preventive care. Rather than treating screening and lifestyle advice as separate activities, clinics could offer risk-reducing support at the same visit—potentially making weight management services more accessible to women who might not otherwise seek them out.