当前位置： SCI文献检索 > PATIENT EDUCATION AND COUNSELING期刊下所有文献 > Deciding on breast cancer risk reduction: The role of counseling in individual decision-making - A qualitative study.

Deciding on breast cancer risk reduction: The role of counseling in individual decision-making - A qualitative study.

Abstract：

OBJECTIVES:The presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care provider (HCP) counseling on women's decision-making. METHODS:Thirty breast cancer risk counseling sessions were recorded from April 2012-August 2013 at a comprehensive cancer center and at a safety-net, community hospital in the US. Participating women and HCPs were interviewed. A cross-case synthesis was used for analysis. RESULTS:Of 30 participants 21 received a SERM-recommendation, 11 decided to take SERMs. Counseling impacted decision-making, but did not determine it. Three categories emerged: 1.) ability to change the decision anytime, 2.) perceptions on medications, and 3.) proximity of cancer. CONCLUSION:Decision-making under conditions of a risk diagnosis such as increased breast cancer risk is a continuous process in which risk information is transformed into practical and experiential considerations. PRACTICE IMPLICATIONS:Individuals' health care decision-making is only marginally dependent on the interactions in the clinic. Accepting patients' experiences and beliefs in their own right and letting them guide the discussion may be important for a satisfying decision-making process.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Blakeslee SB,McCaskill-Stevens W,Parker PA,Gunn CM,Bandos H,Bevers TB,Battaglia TA,Fagerlin A,Müller-Nordhorn J,Holmberg C

doi

10.1016/j.pec.2017.06.033

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

2346-2354

issue

12

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(17)30381-6

journal_volume

100

pub_type

杂志文章

相关文献

PATIENT EDUCATION AND COUNSELING文献大全
  • Motivational interviewing versus prescriptive advice for smokers who are not ready to quit.

    abstract：OBJECTIVE:Smokers who are not ready to quit are a very difficult group to treat. Physicians, nurses, and nurse practitioners are in a unique position to encourage patients to quit smoking. However, the best approach to do so is not clear. METHODS:A two-group randomized controlled trial with 218 pack-a-day precontempla...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2010.04.024

    authors： Davis MF,Shapiro D,Windsor R,Whalen P,Rhode R,Miller HS,Sechrest L

    更新日期：2011-04-01 00:00:00

  • An evaluation of the suitability, readability, quality, and usefulness of online resources for family caregivers of patients with cancer.

    abstract：OBJECTIVE:Evaluate the suitability, readability, quality, and usefulness of publicly available online resources for cancer caregivers. METHODS:Resources identified through a Google search and environmental scan were evaluated using the Suitability Assessment of Materials (SAM), an online readability text analysis tool...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2019.05.010

    authors： Monton O,Lambert S,Belzile E,Mohr-Elzeki D

    更新日期：2019-10-01 00:00:00

  • Rehabilitation outcomes following percutaneous coronary interventions (PCI).

    abstract：:This prospective study evaluated the effect of an individualized, comprehensive, home-based cardiac rehabilitation program combining exercise training with risk factor modification and psychosocial counseling on risk factors, psychological well-being, functional capacity, and work resumption in 99 post-percutaneous co...

    journal_title：Patient education and counseling

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0738-3991(00)00164-6

    authors： Higgins HC,Hayes RL,McKenna KT

    更新日期：2001-06-01 00:00:00

  • Tailored interactive multimedia computer programs to reduce health disparities: opportunities and challenges.

    abstract：OBJECTIVE:To review the theory and research evidence suggesting that tailored interactive multimedia computer programs (IMCPs) aimed at optimizing patient health behaviors could lessen socio-demographic health disparities. METHODS:Selective critical review of research regarding IMCPs tailored to psychological mediator...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2010.11.012

    authors： Jerant A,Sohler N,Fiscella K,Franks B,Franks P

    更新日期：2011-11-01 00:00:00

  • The use of problem-based learning in dealing with cultural minority groups.

    abstract：:Minority peoples like the Romanies have divergent cultures. Typical cultural aspects for medical personnel to consider would include greetings and other communication, family and social support, dressing and habits of cleanliness, marriage and sexuality, honor, and other issues of importance to any human being. Some m...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/s0738-3991(97)00993-2

    authors： Ojanlatva A,Vandenbussche C,Heldt H,Horte A,Häggblom TM,Kero J,Kähkönen J,Möttönen M,Saraste A,Turunen T

    更新日期：1997-06-01 00:00:00

  • Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews.

    abstract：OBJECTIVE:Physicians need good communication skills to communicate effectively with patients. The objective of this review was to identify effective training strategies for teaching communication skills to qualified physicians. METHODS:PubMED, PsycINFO, CINAHL, and COCHRANE were searched in October 2008 and in March 2...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2010.06.010

    authors： Berkhof M,van Rijssen HJ,Schellart AJ,Anema JR,van der Beek AJ

    更新日期：2011-08-01 00:00:00

  • Problem-solving treatment in general practice residency: a focus group study of registrars' views.

    abstract：OBJECTIVE:General practitioner (GP) registrars often express the need for more expertise of non-pharmacological treatments for patients with mental health problems. Problem-solving treatment (PST) could be an attractive option. We aimed to explore GP registrars' views on PST-training during residency and on the actual ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.07.045

    authors： Hassink-Franke LJ,olde Hartman TC,Beek MM,van Weel C,Lucassen PL,van Weel-Baumgarten EM

    更新日期：2011-10-01 00:00:00

  • Evaluating existing measures of health numeracy using item response theory.

    abstract：OBJECTIVE:To evaluate existing measures of health numeracy using item response theory (IRT). METHODS:A cross-sectional study was conducted. Participants completed assessments of health numeracy measures including the Lipkus expanded health numeracy scale (Lipkus), and the Medical Data Interpretation Test (MDIT). The L...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2009.03.035

    authors： Schapira MM,Walker CM,Sedivy SK

    更新日期：2009-06-01 00:00:00

  • Do pain management websites foster self-management support for people with persistent pain? A scoping review.

    abstract：OBJECTIVES:To evaluate if the contents of pain management websites include the current best practice self-management support strategies for people with persistent pain, are cultural tailored and to determine the website quality. METHODS:Websites were searched from three major search engines (Google, Bing, and Yahoo). ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2019.04.009

    authors： Devan H,Perry MA,van Hattem A,Thurlow G,Shepherd S,Muchemwa C,Grainger R

    更新日期：2019-09-01 00:00:00

  • Development and evaluation of an instrument for assessing brief behavioral change interventions.

    abstract：OBJECTIVE:To develop an observational coding instrument for evaluating the fidelity and quality of brief behavioral change interventions based on the behavioral theories of the 5 A's, Stages of Change and Motivational Interviewing. METHODS:Content and face validity were assessed prior to an intervention where psychome...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.04.012

    authors： Strayer SM,Martindale JR,Pelletier SL,Rais S,Powell J,Schorling JB

    更新日期：2011-04-01 00:00:00

  • Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure.

    abstract：OBJECTIVE:To examine which counseling behavior among GPs can be achieved after counseling training when organizational support is provided. METHODS:A random sample of 39 general practices was drawn, 34 took part. GPs received a pre-study assessment followed by a training session for smoking counseling. All patients sh...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2005.11.005

    authors： Ulbricht S,Meyer C,Schumann A,Rumpf HJ,Hapke U,John U

    更新日期：2006-10-01 00:00:00

  • Patient validation of cues and concerns identified according to Verona coding definitions of emotional sequences (VR-CoDES): a video- and interview-based approach.

    abstract：OBJECTIVE:A challenging but main task for clinicians is to identify patients' concerns related to their medical conditions. The study aim was to validate a new coding scheme for identifying patients' cues and concerns. METHODS:12 videotaped consultations between nurses and pain patients were coded according to the Ver...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2010.04.036

    authors： Eide H,Eide T,Rustøen T,Finset A

    更新日期：2011-02-01 00:00:00

  • Analysis of German nutrition brochures for pregnant women with evidence-based patient information criteria.

    abstract：OBJECTIVE:To evaluate nutrition brochures for pregnant women in Germany based on evidence-based patient information (EBPI) criteria. METHODS:Nutrition brochures for pregnant women in Germany were collected. Brochures addressing the risk of salmonellosis, toxoplasmosis or listeriosis were analyzed by two researchers in...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2014.10.015

    authors： Küllenberg de Gaudry D,Grede N,Motschall E,Lins S

    更新日期：2015-02-01 00:00:00

  • Adapting the coping in deliberation (CODE) framework: a multi-method approach in the context of familial ovarian cancer risk management.

    abstract：OBJECTIVE:To test whether the coping in deliberation (CODE) framework can be adapted to a specific preference-sensitive medical decision: risk-reducing bilateral salpingo-oophorectomy (RRSO) in women at increased risk of ovarian cancer. METHODS:We performed a systematic literature search to identify issues important t...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2014.07.004

    authors： Witt J,Elwyn G,Wood F,Rogers MT,Menon U,Brain K

    更新日期：2014-11-01 00:00:00

  • The same but different: clinician-patient communication with gay and lesbian patients.

    abstract：:Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/s0738-3991(02)00189-1

    authors： Bonvicini KA,Perlin MJ

    更新日期：2003-10-01 00:00:00

  • Predicting adherence to prophylactic medication in adolescents with asthma: an application of the ASE-model.

    abstract：:An explanatory framework, referred to as the attitude/social influence/self-efficacy-model (ASE-model), was utilised to explain future self-reported adherence of adolescents to daily inhaled prophylactic asthma medication. The objective was to investigate the long-term influence of these earlier reported cognitive var...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/s0738-3991(01)00195-1

    authors： van Es SM,Kaptein AA,Bezemer PD,Nagelkerke AF,Colland VT,Bouter LM

    更新日期：2002-06-01 00:00:00

  • Pictures and text in instructions for medical devices: effects on recall and actual performance.

    abstract：OBJECTIVE:The present study aimed to contribute to the design of effective health education information. Based on cognitive-psychological theory, pictures were expected to improve understanding of two existing textual instructions for using asthma devices (inhaler chamber and peak flow meter). From an analysis of the a...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pec.2005.12.003

    authors： Kools M,van de Wiel MW,Ruiter RA,Kok G

    更新日期：2006-12-01 00:00:00

  • Long-waiting outpatients: target audience for health education.

    abstract：:The study examines the meaning of waiting time in an outpatient department. Attention is payed to the activities of the patients and companions during the waiting time, the potential for health education programmes during the waiting time and the form such a health education programme should take. The setting was the ...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/s0738-3991(05)80021-7

    authors： Bamgboye EA,Jarallah JS

    更新日期：1994-04-01 00:00:00

  • Diabetes self-management: perspectives of Latino patients and their health care providers.

    abstract：UNLABELLED:Lifestyle modification programs tailored to experience, culture, psychosocial characteristics, and world-view can improve knowledge, self-care behaviors, and glucose control among Latinos with diabetes. Few data exist, however, on improving diabetes self-management among Latinos. In addition, views and pract...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2006.12.003

    authors： Carbone ET,Rosal MC,Torres MI,Goins KV,Bermudez OI

    更新日期：2007-05-01 00:00:00

  • Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.

    abstract：OBJECTIVE:The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. METHODS:Ninety-nine HCPs from community-based centers, cancer centers, and hospit...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.04.032

    authors： Shen MJ,Manna R,Banerjee SC,Nelson CJ,Alexander K,Alici Y,Gangai N,Parker PA,Korc-Grodzicki B

    更新日期：2020-11-01 00:00:00

  • Developing a dyadic OPTION scale to measure perceptions of shared decision making.

    abstract：OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2009.07.009

    authors： Melbourne E,Sinclair K,Durand MA,Légaré F,Elwyn G

    更新日期：2010-02-01 00:00:00

  • Beyond content analysis and non-verbal behaviour - what about atmosphere? A phenomenological approach.

    abstract：OBJECTIVE:Basic research and careful observation of clinical practice have yielded a vast amount of empirical data on communication in health care. This research has been guided by the assumption that good communication will be better understood and easier to teach when its single constituents are identified. This pape...

    journal_title：Patient education and counseling

    pub_type： 杂志文章,评审

    doi：10.1016/j.pec.2007.04.009

    authors： Langewitz W

    更新日期：2007-08-01 00:00:00

  • What is clinical empathy? Perspectives of community members, university students, cancer patients, and physicians.

    abstract：OBJECTIVES:To explore what undergraduates, community members, oncology patients, and physicians consider empathic behavior in a physician. METHODS:150 undergraduates, 152 community members, 95 physicians, and 89 oncology patients rated 49 hypothetical physician behaviors for how well they fit their personal definition...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.11.001

    authors： Hall JA,Schwartz R,Duong F,Niu Y,Dubey M,DeSteno D,Sanders JJ

    更新日期：2020-11-09 00:00:00

  • Effect of nurse-led program on the exercise behavior of coronary artery patients: Pender's Health Promotion Model.

    abstract：OBJECTIVE:To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients. METHODS:The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Int...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2020.10.003

    authors： Karataş T,Polat Ü

    更新日期：2020-10-10 00:00:00

  • Should culture affect practice? A comparison of prognostic discussions in consultations with immigrant versus native-born cancer patients.

    abstract：OBJECTIVE:Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. METHODS:Ten oncologists, 78 patients (31 Australian-born, 47 immigrants...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2013.03.006

    authors： Butow PN,Sze M,Eisenbruch M,Bell ML,Aldridge LJ,Abdo S,Tanious M,Dong S,Iedema R,Vardy J,Hui R,Boyle F,Liauw W,Goldstein D

    更新日期：2013-08-01 00:00:00

  • Promoting physical activity in Australian general practices: a randomised trial of health promotion advice versus hypertension management.

    abstract：:A randomised controlled trial was conducted to determine if physicians' advice to promote physical activity to patients was more effective if the advice was tailored to the management of hypertension, compared with more general health promotion advice. Participants included inactive 40- to 70-year-old patients visitin...

    journal_title：Patient education and counseling

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.pec.2004.03.002

    authors： Marshall AL,Booth ML,Bauman AE

    更新日期：2005-03-01 00:00:00

  • Uncertainty in the information provided during genetic counseling.

    abstract：:Clients seek genetic counseling in order to become informed, to make better decisions, and, if possible, to be reassured. Genetic knowledge, however, is fragmentary and incomplete and therefore it may involve more uncertainty than is desirable. In a cohort of 30 counseling sessions we studied the genetic information t...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/s0738-3991(97)00052-9

    authors： van Zuuren FJ,van Schie EC,van Baaren NK

    更新日期：1997-09-01 00:00:00

  • The domestic violence survivor assessment: a tool for counseling women in intimate partner violence relationships.

    abstract：:Seeking to end violence and distress in their relationship is the goal of women abused by intimate partners. The theoretical framework guiding development of the domestic violence survivor assessment (DVSA) was Landenburger's theory of entrapment and recovery. Social context and need to balance care for others and her...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/s0738-3991(01)00216-6

    authors： Dienemann J,Campbell J,Landenburger K,Curry MA

    更新日期：2002-03-01 00:00:00

  • Information needs about palliative care and euthanasia: A survey of patients in different phases of their cancer trajectory.

    abstract：OBJECTIVE:We assessed information provision and information needs about illness course, treatments, palliative care and euthanasia in cancer patients. METHODS:Cancer patients consulting a university hospital (N=620) filled out a questionnaire. Their cancer related data were collected through the treating oncologist. T...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2017.06.034

    authors： Beernaert K,Haverbeke C,Van Belle S,Deliens L,Cohen J

    更新日期：2018-01-01 00:00:00

  • Functional health literacy in Switzerland--validation of a German, Italian, and French health literacy test.

    abstract：OBJECTIVE:This study aimed to translate and validate German, Italian, and French versions of the Short-Test of Functional Health Literacy (S-TOFHLA), to be used in Switzerland and its neighboring countries. METHODS:The original English version of the S-TOFHLA was translated by applying standardized translation methods...

    journal_title：Patient education and counseling

    pub_type： 杂志文章

    doi：10.1016/j.pec.2012.08.018

    authors： Connor M,Mantwill S,Schulz PJ

    更新日期：2013-01-01 00:00:00