What do women with breast cancer expect from their treatment? Correlates of negative treatment expectations about endocrine therapy

Heisig, Sarah R.; Shedden-Mora, Meike C.; Blanckenburg, Pia von; Rief, Winfried; Witzel, Isabell; Albert, Ute‐Susann; Nestoriuc, Yvonne

doi:10.1002/pon.4089

Cited by 32 publications

(27 citation statements)

References 32 publications

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“…In sum, although some standardized measurements have been developed to assess different aspects of expectations, very few studies have examined the extent to which these different measures conceptually overlap (e.g., Haanstra et al, 2015b ; Laferton et al, 2015a ; Auer et al, 2016b ; Heisig et al, 2016 ). Despite this variety of assessment instruments, the current practice of assessing patients’ expectations in the medical treatment context can be further improved.…”

Section: Operationalization Of Expectationsmentioning

confidence: 99%

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

et al. 2017

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Patients’ expectations in the context of medical treatment represent a growing area of research, with accumulating evidence suggesting their influence on health outcomes across a variety of medical conditions. However, the aggregation of evidence is complicated due to an inconsistent and disintegrated application of expectation constructs and the heterogeneity of assessment strategies. Therefore, based on current expectation concepts, this critical review provides an integrated model of patients’ expectations in medical treatment. Moreover, we review existing assessment tools in the context of the integrative model of expectations and provide recommendations for improving future assessment. The integrative model includes expectations regarding treatment and patients’ treatment-related behavior. Treatment and behavior outcome expectations can relate to aspects regarding benefits and side effects and can refer to internal (e.g., symptoms) and external outcomes (e.g., reactions of others). Furthermore, timeline, structural and process expectations are important aspects with respect to medical treatment. Additionally, generalized expectations such as generalized self-efficacy or optimism have to be considered. Several instruments assessing different aspects of expectations in medical treatment can be found in the literature. However, many were developed without conceptual standardization and psychometric evaluation. Moreover, they merely assess single aspects of expectations, thus impeding the integration of evidence regarding the differential aspects of expectations. As many instruments assess treatment-specific expectations, they are not comparable between different conditions. To generate a more comprehensive understanding of expectation effects in medical treatments, we recommend that future research should apply standardized, psychometrically evaluated measures, assessing multidimensional aspects of patients’ expectations that are applicable across various medical treatments. In the future, more research is needed on the interrelation of different expectation concepts as well as on factors influencing patients’ expectations of illness and treatment. Considering the importance of patients’ expectations for health outcomes across many medical conditions, an integrated understanding and assessment of such expectations might facilitate interventions aiming to optimize patients’ expectations in order to improve health outcomes.

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Section: Operationalization Of Expectationsmentioning

confidence: 99%

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

et al. 2017

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“…System‐related factors such as low satisfaction with care have also been implicated. More recently, research has focused on modifiable personal factors . For example, lower perceived need for treatment is associated with lower adherence, as is lower perceived risk of breast cancer recurrence .…”

Section: Introductionmentioning

confidence: 99%

“…More recently, research has focused on modifiable personal factors. 16 For example, lower perceived need for treatment is associated with lower adherence, 17 as is lower perceived risk of breast cancer recurrence. 18 Many of the modifiable factors are related to patient ideation (beliefs, thoughts, and perceptions of illness-related factors).…”

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confidence: 99%

Predicting nonadherence to adjuvant endocrine therapy in women with early stage breast cancer

et al. 2018

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“…However, if cancer‐related symptoms are relieved by the OA medication or patients do not experience symptoms that they associate with the OA medication, the strength of the negative medication beliefs would likely weaken. The positive component of medication beliefs has not been reported to be influenced by cancer treatment‐related assaults (Heisig et al, ; Salgado et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Positive medication beliefs represent the beliefs that the patient will benefit from medication. Positive medication beliefs are less likely to be associated with treatment‐related assaults (Heisig et al, ; Salgado et al, ) and thus are hypothesised to be more stable over time. However, positive medication beliefs can change and strengthen as patients confirm medication efficacy or weaken if a patient experiences a permanent physician‐directed OA stoppage.…”

Section: Discussionmentioning

confidence: 99%

Conceptualisation of medication beliefs among patients with advanced cancer receiving oral oncolytic agents using a theory derivation approach

et al. 2019

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Objective This paper describes a derived model that provides a conceptual framework for understanding medication beliefs among patients with advanced cancer receiving oral oncolytic agents. Methods Theory derivation was used to (a) examine the phenomenon of medication beliefs in cross‐disciplinary research; (b) select a parent theory for derivation; (c) identify parent theory concepts and/or structure to use in derivation; and (d) redefine parent theory concepts and structure to create a derived model. Results Medication beliefs are shaped by previous experiences, including cognitive and emotional factors, past health and illness encounters, and medication‐taking behaviours. Medication beliefs are defined within a larger mental model of illness representation for which medication was prescribed. Individuals independently hold both positive and negative medication beliefs at the same time. This distinction is critical to understanding how dichotomous components of medication beliefs change over time as they are influenced by varying treatment‐related factors. Conclusion This paper contributes to conceptual knowledge regarding the phenomenon of medication beliefs and their impact on health behaviour. Findings can support oncology interventions to improve patient outcomes including medication adherence.

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What do women with breast cancer expect from their treatment? Correlates of negative treatment expectations about endocrine therapy

Cited by 32 publications

References 32 publications

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

Predicting nonadherence to adjuvant endocrine therapy in women with early stage breast cancer

Conceptualisation of medication beliefs among patients with advanced cancer receiving oral oncolytic agents using a theory derivation approach

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