Women's preferences for selective estrogen reuptake modulators: An investigation using protection motivation theory

Ralph, Angelique F.; Ager, Brittany; Bell, Melanie L.; Collins, Ian M.; Andrews, Lesley; Tucker, Kathy; Phillips, Kelly‐Anne; Butow, Phyllis

doi:10.1016/j.pec.2014.04.011

Cited by 21 publications

(9 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only 15% of BRCA mutation carriers approached for a chemoprevention trial enrolled [2], and only 8.5% of BRCA mutation carriers offered chemoprevention started such a regimen within 4 years of receiving genetic test results [77]. These usage rates fall far short of the proportion of women interested in chemoprevention, which one study found to be upwards of 40% [93] of those with familial risk. Chemoprevention also poses the challenge of long-term adherence: a large study of women at familial risk found that almost half of those who started tamoxifen chemoprevention did not complete the 5-year regimen [59, 94].…”

Section: Women’s Prevention Choicesmentioning

confidence: 99%

“…Chemoprevention also poses the challenge of long-term adherence: a large study of women at familial risk found that almost half of those who started tamoxifen chemoprevention did not complete the 5-year regimen [59, 94]. Additional studies are needed to fully understand the barriers to chemoprevention use, but they include: research gaps (limited risk prediction at the individual level and questions about risk-benefit profiles for specific subgroups); physician challenges (insufficient knowledge, difficulty identifying chemoprevention candidates, lack of training and confidence in risk assessment and counseling, and lack of time); and patient challenges (fear of side effects, predicted stress associated with chemoprevention, inaccurate or incomplete information, weighing witnessed experiences more heavily than statistical probabilities, and concerns about insurance coverage or cost) [3, 93–101]. It is important to understand low uptake better and to address the associated challenges, particularly in light of the recent review panel estimate that up to 50% of breast cancers among women at elevated risk could be prevented using currently available chemoprevention [56].…”

Section: Women’s Prevention Choicesmentioning

confidence: 99%

See 1 more Smart Citation

Decision making for breast cancer prevention among women at elevated risk

et al. 2017

View full text Add to dashboard Cite

Several medical management approaches have been shown to be effective in preventing breast cancer and detecting it early among women at elevated risk: 1) prophylactic mastectomy; 2) prophylactic oophorectomy; 3) chemoprevention; and 4) enhanced screening routines. To varying extents, however, these approaches are substantially underused relative to clinical practice recommendations. This article reviews the existing research on the uptake of these prevention approaches, the characteristics of women who are likely to use various methods, and the decision-making processes that underlie the differing choices of women. It also highlights important areas for future research, detailing the types of studies that are particularly needed in four key areas: documenting women’s perspectives on their own perceptions of risk and prevention decisions; explicit comparisons of available prevention pathways and their likely health effects; the psychological, interpersonal, and social processes of prevention decision making; and the dynamics of subgroup variation. Ultimately, this research could support the development of interventions that more fully empower women to make informed and values-consistent decisions, and to move towards favorable health outcomes.

show abstract

Section: Women’s Prevention Choicesmentioning

confidence: 99%

Section: Women’s Prevention Choicesmentioning

confidence: 99%

Decision making for breast cancer prevention among women at elevated risk

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In order to aid the development of future interventions, future studies ought to include a theoretical framework to understand health decisions in addition to validated measures to assess psychological constructs that may influence decisions. One study [48] has considered Protection Motivation Theory to predict intentions to have CPM using a hypothetical scenario after previous research has demonstrated its utility in predicting intentions for genetic testing [49] and chemoprevention [49] for breast cancer.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Contralateral prophylactic mastectomy (CPM): A systematic review of patient reported factors and psychological predictors influencing choice and satisfaction

et al. 2016

Self Cite

View full text Add to dashboard Cite

“…The protection motivation theory (PMT) was originally developed in 1975 by Ronald Rogers to describe the process behind the attitudinal and behavioral changes that people undertake when faced with a real or perceived threat to their health ( 26 ). To the best of our knowledge, there has been previously no study to sufficiently probe into the effects of MI on overweight and obesity based on the PMT in Iran.…”

Section: Introductionmentioning

confidence: 99%

Effect of Motivational Interviewing on a Weight Loss Program Based on the Protection Motivation Theory

Mostafavi¹,

Eshghinia²,

Vakili³

et al. 2015

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background:The prevalence of overweight and obesity is on the increase the world over, which imposes an ever-increasing burden on societies and health care systems.Objectives:This study sought to investigate the effect of motivational interviewing (MI) on a weight-loss program based on the protection motivation theory (PMT).Patients and Methods:This randomized clinical trial study, comprising pretest-posttest with a control group, was conducted on 150 overweight and obese women attending a private nutrition clinic for the first time. Samples were randomly selected using the clinic’s records and then allocated to three groups (50 women in each group) receiving: 1) a standard weight-control program; 2) motivational interviewing; and 3) MI plus intention intervention. Data were collected using a researcher-made questionnaire through in-person interviews and were analyzed using SPSS (version 11) and statistical tests, including the Kruskal-Wallis test, one-way analysis of variance, paired t-test, and linear regression model.Results:In the two intervention groups, the PMT construct scores, namely susceptibility (P = 0.001), severity (P = 0.001), rewards (P =0.004), self-efficacy (P = 0.001), response efficacy (P = 0.001), and costs (P = 0.014), were significantly increased compared to those in the control group. The anthropometric status was statistically significant in the MI group (P = 0.001) and the MI plus intention-intervention group (P = 0.001) at 2 months’ follow-up, while in the control group, weight was meaningfully different after the intervention (P = 0.027). Weight was different between the groups after the intervention, with the Tukey test demonstrating that the differences were statistically significant between the control group and the MI group.Conclusions:Our results demonstrated that MI, combined with the implementation of intention intervention, increased weight loss and PMT construct scores in our study population.

show abstract

Women's preferences for selective estrogen reuptake modulators: An investigation using protection motivation theory

Abstract: Health professionals need to explore women's perceptions of their risk and its consequences, as well as providing clear evidence-based information about the efficacy of SERMs. Exploring the source and strength of beliefs about SERMs may allow more effective, tailored counseling.

Cited by 21 publications

References 45 publications

Decision making for breast cancer prevention among women at elevated risk

Decision making for breast cancer prevention among women at elevated risk

Contralateral prophylactic mastectomy (CPM): A systematic review of patient reported factors and psychological predictors influencing choice and satisfaction

Effect of Motivational Interviewing on a Weight Loss Program Based on the Protection Motivation Theory

Contact Info

Product

Resources

About