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Understanding surgery choices for breast cancer

How might the Theory of Planned Behaviour and the Common Sense Model contribute to decision support interventions

Bibliographic Data

ID19508441
AuthorsStephanie Sivell (0000-0003-0253-1860, Cardiff University), Adrian Edwards (0000-0001-7432-2828, IS practice), Glyn Elwyn (0000-0002-0917-6286, Cardiff University), Antony Manstead (0000-0001-7540-2096, Cardiff University), Antony S R Manstead
Year2011
Volume14
Issues1
Pages6-19
Publication date2011-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1369-7625.2009.00558.x
PMID20579123
OpenAlexW2101239203
LanguageEN
Citations received3
References cited80

Objective To describe the evidence about factors influencing breast cancer patients’ surgery choices and the implications for designing decision support in reference to an extended Theory of Planned Behaviour (TPB) and the Common Sense Model of Illness Representations (CSM). Background A wide range of factors are known to influence the surgery choices of women diagnosed with early breast cancer facing the choice of mastectomy or breast conservation surgery with radiotherapy. However, research does not always reflect the complexities of decision making and is often atheoretical. A theoretical approach, as provided by the CSM and the TPB, could help to identify and tailor support by focusing on patients’ representations of their breast cancer and predicting surgery choices. Design Literature search and narrative synthesis of data. Synthesis Twenty‐six studies reported women’s surgery choices to be influenced by perceived clinical outcomes of surgery, appearance and body image, treatment concerns, involvement in decision making and preferences of clinicians. These factors can be mapped onto the key constructs of both the TPB and CSM and used to inform the design and development of decision support interventions to ensure accurate information is provided in areas most important to patients. Conclusions The TPB and CSM have the potential to inform the design of decision support for breast cancer patients, with accurate and clear information that avoids leading patients to make decisions they may come to regret. Further research is needed examining how the components of the extended TPB and CSM account for patients’ surgery choices

Breast cancer · Cancer · Mastectomy · Psychological intervention · Regret · Theory of planned behavior · BRCA gene mutations in cancer · Cancer survivorship and care · Computer Science · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology

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Unique citing works3
Citations per year0,2
Citation span2011 - 2019 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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