An Intervention to Improve Communication Between Breast Cancer Survivors and Their Physicians

Shields, Cleveland G.; Ziner, Kim Wagler; Bourff, Sara A.; Schilling, K; Zhao, Qianqian; Monahan, Patrick O.; Sledge, George W.; Champion, Victoria L.

doi:10.1080/07347332.2010.516811

Cited by 36 publications

(29 citation statements)

References 36 publications

(39 reference statements)

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“…62 Five of the studies in this review also reported findings related to body image and the negative impact it may have on the partnered relationship for younger breast cancer survivors. 7,26,34,50,53 Premenopausal women were found to have significant concerns related to changes in their relationships (p<0.001), 34 and women 50 and younger experiencing greater body image concerns were associated with partner difficulty in understanding the feelings of the survivor (p<0.05).…”

Section: Resultsmentioning

confidence: 93%

“…62 As a result, younger women are at particular risk for psychological symptoms during and after treatment, including body image issues. In this synthesis of the literature, eleven of the studies evaluated only younger women (Table 1), 2,7,19,31,32,34,42,43,46,48,53 one of which compared younger women (ages 50 and younger) to healthy controls, finding that there were significantly worse total body image scores among the younger breast cancer survivors ( p <0.01).…”

Section: Resultsmentioning

confidence: 99%

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Body Image in Younger Breast Cancer Survivors

et al. 2016

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Background Body image is a complex issue with the potential to impact many aspects of cancer survivorship, particularly for the younger breast cancer survivor. Objective The purpose of this review is to synthesize the current state of the science for body image in younger women with breast cancer. Intervention/Methods Combinations of the terms “body image,” “sexuality intervention,” “women,” “younger women,” and “breast cancer” were searched in the PubMed, PsycInfo, CINAHL, Web of Knowledge and Science Direct databases through January 2014. Inclusion criteria for this review were: 1) original research; 2) published in English from the year 2000 forward; 3) measuring body image as an outcome variable; and 4) results included reporting of age-related outcomes. Results Thirty-six articles met the inclusion criteria. The majority of studies were cross-sectional, with extensive variation in body image assessment tools. Age and treatment type had a significant impact on body image, and poorer body image was related to physical and psychological distress, sex and intimacy, and the partnered relationship among younger women. Only one intervention study found a significant improvement in body image post-intervention. Conclusions Findings suggest body image is a complex post-treatment concern for breast cancer survivors, particularly younger women. The findings of this review are limited by the high level of variation in the methods for assessing body image. Implications for Practice Further research of interventions to address body image concerns following treatment for breast cancer is warranted. Improvement of body image may improve the quality of life of younger breast cancer survivors.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Body Image in Younger Breast Cancer Survivors

et al. 2016

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“…By contrast, asking specific questions about QoL was expected to lead to more informative answers, providing clinicians with systematic overview of patients' well-being and care needs. It was also thought that asking a wide variety of questions could broaden the agenda of the consultation, facilitating the discussion of concerns relevant to the individual patient (Shields et al, 2010). However, in the field test patients often thought the QoL information they had provided was not discussed, reducing the perceived usefulness of the monitor.…”

Section: Discussionmentioning

confidence: 96%

Routine Monitoring of Quality of Life for Patients with Breast Cancer: An Acceptability and Field Test

Fischer

Krol-Warmerdam

Ranke

et al. 2012

Journal of Psychosocial Oncology

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As part of the development of a quality of life monitor for women with breast cancer, a qualitative acceptability test was conducted among 10 patients, to assess their suggestions for improvement. Next, a field test was conducted among 50 women with breast cancer receiving radiotherapy, chemotherapy, or both treatments to examine the use of the monitor in daily practice and to assess physicians' and patients' experiences with the monitor. Although patients in general held a positive attitude toward the monitor and compliance was high, patients regularly were unsure about how the quality of life information was used by physicians.

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“…Third, psychosocial interventions show promise in reducing anxiety, depressive symptoms, overall distress, and improving quality of life [38], which may promote appropriate follow-up care use among survivors. Studies have indicated peer counseling [39], communication coaching [40], use of imagery [41], and mindfulness-based stress reduction [42] show promise in improving psychosocial outcomes, particularly anxiety and distress, among breast cancer survivors. And lastly, individualized survivorship care plans are a promising approach to addressing low compliance with following-up care and surveillance recommendations among African American breast cancer survivors [43].…”

Section: Discussionmentioning

confidence: 99%

Disparities in barriers to follow-up care between African American and White breast cancer survivors

Palmer

Weaver

Hauser

et al. 2015

Support Care Cancer

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Purpose Despite recommendations for breast cancer survivorship care, African American women are less likely to receive appropriate follow-up care, which is concerning due to their higher mortality rates. This study describes differences in barriers to follow-up care between African American and White breast cancer survivors. Methods We conducted a mailed survey of women treated for non-metastatic breast cancer in 2009–2011, 6–24 months post-treatment (N=203). Survivors were asked about 14 potential barriers to follow-up care. We used logistic regression to explore associations between barriers and race, adjusting for covariates. Results Our participants included 31 African American and 160 White survivors. At least one barrier to follow-up care was reported by 62%. Compared to White survivors, African Americans were more likely to identify barriers related to out-of-pocket costs (28% vs. 51.6%, p=0.01), other healthcare costs (21.3% vs. 45.2%, p=0.01), anxiety/worry (29.4% vs. 51.6%, p=0.02), and transportation (4.4% vs. 16.1%, p=0.03). After adjustment for covariates, African Americans were three times as likely to report at least one barrier to care (OR=3.3, 95%CI=1.1–10.1). Conclusions Barriers to care are common among breast cancer survivors, especially African American women. Financial barriers to care may prevent minority and underserved survivors from accessing follow-up care. Enhancing insurance coverage or addressing out-of-pocket costs may help address financial barriers to follow-up care among breast cancer survivors. Psychosocial care aimed at reducing fear of recurrence may also be important to improve access among African American breast cancer survivors.

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An Intervention to Improve Communication Between Breast Cancer Survivors and Their Physicians

Cited by 36 publications

References 36 publications

Body Image in Younger Breast Cancer Survivors

Body Image in Younger Breast Cancer Survivors

Routine Monitoring of Quality of Life for Patients with Breast Cancer: An Acceptability and Field Test

Disparities in barriers to follow-up care between African American and White breast cancer survivors

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