Motivations, perceptions and interpersonal differences associated with interest in genetic testing for breast cancer susceptibility among women at high and average risk

A community based study on intentions regarding predictive testing for hereditary breast cancer

“…This lack of interest is not only much larger than in previous studies among high risk women,13-15 20 but also more pronounced than in other studies among women with breast cancer in the family who have no increased risk for the disease 1928 33 The discrepancy in our findings might be explained by cultural differences in dealing with risks and preventive options in the context of breast cancer38 or by specific characteristics of our sample. Being students at the Institute for Family Sciences, they might have been more interested in the relational and/or psychological issues in this context, rather than in technical information.…”

“…With regard to the benefits and the costs components, the Health Belief Model argues that people who perceive more benefits are more motivated to perform the health behaviour, while the reverse is true for people who perceive more costs. The perceived risk component has been studied frequently,13 15 19 20 23-25 28 32 33 as well as the perceived benefits and costs of having a predictive test for HBOC or reasons for and against having such a test 1418 20 25-28 32 33 However, the perceived seriousness of hereditary breast cancer has (almost) never been included as a possible determinant of interest in a predictive test for HBOC.…”

Postoperative patient-controlled analgesia (PCA): How much control and How much analgesia?

“…A 5-point Hebrew version of the questionnaire was developed in a previous study (Shiloh et al, 1998b), asking subjects to indicate the extent to which they agree (1 ¼ not at all; 5 ¼ very much) with each of the items, like ''It is better to rely less on physicians and more on your own common sense when it comes to caring for your body.'' An exploratory factor analysis of the new version yielded a behavioral selftreatment factor (eigenvalue 3.82) including 10 items (Shiloh et al, 1998b). Therefore, we used these items in the present study, and their average yielded a reliable scale (score range 1-5) of preference for behavioral involvement in medical care (Cronbach's ¼ 0.78).…”

“…These scores were validated in various health care settings (Krantz et al, 1980;Auerbach et al, 1983). A 5-point Hebrew version of the questionnaire was developed in a previous study (Shiloh et al, 1998b), asking subjects to indicate the extent to which they agree (1 ¼ not at all; 5 ¼ very much) with each of the items, like ''It is better to rely less on physicians and more on your own common sense when it comes to caring for your body.'' An exploratory factor analysis of the new version yielded a behavioral selftreatment factor (eigenvalue 3.82) including 10 items (Shiloh et al, 1998b).…”

Concerns about inherited risk of breast cancer prior to diagnosis in Japanese patients with breast complaints

“…Studies have suggested that between 63.5 and 95% of women with a family history of breast or ovarian cancer want genetic testing [5][6][7][8][9][10], and Sagi et al [11] reported that 92% of clients would like to undergo genetic testing before genetic counseling. Even in the general population, 96% of women awaiting medical services at a mammography clinic and 93% of women awaiting medical services at a general obstetrics/gynecology group practice reported wanting genetic testing if it were offered free of charge [12].…”