Treatment decision making in breast cancer: A longitudinal exploration of women's experiences

Swainston, Katherine; Campbell, Carol; Wersch, Anna van; Durning, P

doi:10.1111/j.2044-8287.2011.02028.x

Cited by 34 publications

(56 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Both should increase the likelihood of engaging in decision-making behaviors such as information-seeking, deliberating over benefits and drawbacks of options, clarifying personal values, and ultimately enacting the decision (Gall, 2004;Jenkins & Pargament, 1995). Positive appraisals may also reduce anxiety, an additional barrier to engaging in decision-making behaviors (Swainston et al, 2011;Sweeny et al, 2010). Spirituality as a meaning-making resource has been described as a system of motivational, affective, and cognitive components for making meaning in life (Park, 2007) and may be the ultimate outcome of spiritual coping (Gall et al, 2005).…”

Section: Discussionmentioning

confidence: 97%

Spirituality is associated with better prostate cancer treatment decision making experiences

et al. 2015

View full text Add to dashboard Cite

This study examined whether spiritual beliefs are associated with greater decision-making satisfaction, lower decisional conflict and decision-making difficulty with the decision-making process in newly diagnosed men with prostate cancer. Participants were 1114 men diagnosed with localized prostate cancer who had recently made their treatment decision, but had not yet been treated. We used multivariable linear regression to analyze relationships between spirituality and decision-making satisfaction, decisional conflict, and decision-making difficulty, controlling for optimism and resilience, and clinical and sociodemographic factors. Results indicated that greater spirituality was associated with greater decision-making satisfaction (B = 0.02; p < 0.001), less decisional conflict (B = -0.42; p < 0.001), and less decision-making difficulty (B = -0.08; p < 0.001). These results confirm that spiritual beliefs may be a coping resource during the treatment decision-making process. Providing opportunities for patients to integrate their spiritual beliefs and their perceptions of their cancer diagnosis and trajectory could help reduce patient uncertainty and stress during this important phase of cancer care continuum.

show abstract

Section: Discussionmentioning

confidence: 97%

Spirituality is associated with better prostate cancer treatment decision making experiences

et al. 2015

View full text Add to dashboard Cite

show abstract

“…We found that the vast majority of women reported that the doctor and the patient should make treatment decisions together on an equal basis or that the patient should make the decisions, but strongly consider the doctor's opinion. Some research has suggested that although many women may report a preference for active participation in treatment decisions, they may not perceive they have a choice of treatment options in the context of non-surgical decisions (e.g., with adjuvant therapy decisions) [52, 56], which could explain some of the variation in findings.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal influences and attitudes about adjuvant therapy treatment decisions among non-metastatic breast cancer patients: an examination of differences by age and race/ethnicity in the BQUAL study

Shelton

Hillyer

Hershman

et al. 2012

Breast Cancer Res Treat

View full text Add to dashboard Cite

Patients are increasingly involved in cancer treatment decisions and yet little research has explored factors that may affect patient attitudes and beliefs about their therapeutic choices. This paper examines psychosocial factors (e.g., attitudes, social support), provider-related factors (e.g., communication, trust), and treatment considerations in a prospective study of a sample of early stage breast cancer patients eligible for chemotherapy and/or hormonal therapy (BQUAL cohort). The data comes from a multi-site cohort study of white, black, Hispanic, and Asian non-metastatic breast cancer patients recruited in New York City, Northern California, and Detroit Michigan. Baseline surveys were conducted over the telephone between 2006 and 2010 among a total of 1145 women. Most participants were white (68%), had more than a high school education (76%), and were diagnosed with stage I disease (51%). The majority of women reported discussing chemotherapy and hormonal therapy with their doctor (90% and 83% respectively); these discussions primarily took place with medical oncologists. Nearly a quarter of women reported that the treatment decision was difficult and the majority were accompanied to the doctor (76%) and involved a friend or family member in the decision (54%). Positive considerations (e.g., beliefs about treatment reducing risk of recurrence) were important in making treatment decisions. Participants preferred a shared decision-making style, but results suggested that there is room for improvement in terms of actual patient involvement in the decision and provider communication, particularly among black patients. Patients 65 years and older reported fewer provider discussions of chemotherapy, poorer patient-provider communication, higher rates of being assisted by family members in making the decision, and more negative attitudes and beliefs towards treatment.

show abstract

“…For example, a patient facing a choice of surgeries for early stage breast cancer may come to her physician with a strong preference for a mastectomy because she wants to control her health. 36 Shared decision making provides a framework to discuss her preferences in the context of the available evidence, ensuring that the decision is both in the patient's best interest and consistent with her informed values. Similarly, in the increasingly common situation in which a patient requests treatment that in the clinician's view is not evidence based, shared decision making can uncover the beliefs and values underlying this request and support both the patient and the clinician in conveying their viewpoints.…”

Section: Importance Of Preparing Patientsmentioning

confidence: 99%

Importance of clarifying patients' desired role in shared decision making to match their level of engagement with their preferences

Politi

Dizon

Frosch

et al. 2013

BMJ

101

View full text Add to dashboard Cite

show abstract

Treatment decision making in breast cancer: A longitudinal exploration of women's experiences

Abstract: The findings from this study suggest a need for eliciting more specific psycho-social interactions in the treatment decision-making process in order to identify ways in which women can be supported throughout their experience.

Cited by 34 publications

References 56 publications

Spirituality is associated with better prostate cancer treatment decision making experiences

Spirituality is associated with better prostate cancer treatment decision making experiences

Interpersonal influences and attitudes about adjuvant therapy treatment decisions among non-metastatic breast cancer patients: an examination of differences by age and race/ethnicity in the BQUAL study

Importance of clarifying patients' desired role in shared decision making to match their level of engagement with their preferences

Contact Info

Product

Resources

About