“I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners
Objective: Many women with breast cancer refuse adjuvant treatments. How they arrive at their respective decisions and whether they are passively or actively involved in making decisions is less known. We explored the different decision-making behaviors of women who received treatments (receivers) a...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2021-01-01
|
Series: | Asia-Pacific Journal of Oncology Nursing |
Subjects: | |
Online Access: | http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=3;spage=322;epage=329;aulast= |
_version_ | 1797763580868689920 |
---|---|
author | Eunjung Kim Sou Hyun Jang M Robyn Andersen Leanna J Standish |
author_facet | Eunjung Kim Sou Hyun Jang M Robyn Andersen Leanna J Standish |
author_sort | Eunjung Kim |
collection | DOAJ |
description | Objective: Many women with breast cancer refuse adjuvant treatments. How they arrive at their respective decisions and whether they are passively or actively involved in making decisions is less known. We explored the different decision-making behaviors of women who received treatments (receivers) after being diagnosed with breast cancer and those who refused (decliners). Methods: Seven women (four receivers and three decliners) were recruited from the Breast Cancer Integrative Oncology Study. We conducted an inductive content analysis based on in-depth semi-structured interviews with open-ended questions. Results: Receivers reported that doctors and family members influenced their decision-making. Decliners perceived their doctors as supportive of their decisions and reported that the experience of adjuvant therapy of family and friends, the results of Oncotest, and concerns about side effects influenced their decision-making. Receivers expressed discomfort about their decisions, relied on books, whereas decliners used various sources to find information. Both receivers and decliners believed that they had made the decisions themselves. However, receivers were somewhat negative about doctors' advice. Receivers also reported that, sometimes, the decision-making process was lacking and reported discomfort with the treatment process. Conclusions: Women with breast cancer need support in understanding the care they are prescribed and getting essential care. |
first_indexed | 2024-03-12T19:44:29Z |
format | Article |
id | doaj.art-a187fe12173745c4b4104cb5ab5127b0 |
institution | Directory Open Access Journal |
issn | 2347-5625 2349-6673 |
language | English |
last_indexed | 2024-03-12T19:44:29Z |
publishDate | 2021-01-01 |
publisher | Elsevier |
record_format | Article |
series | Asia-Pacific Journal of Oncology Nursing |
spelling | doaj.art-a187fe12173745c4b4104cb5ab5127b02023-08-02T03:39:47ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732021-01-018332232910.4103/2347-5625.311952“I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and DeclinersEunjung KimSou Hyun JangM Robyn AndersenLeanna J StandishObjective: Many women with breast cancer refuse adjuvant treatments. How they arrive at their respective decisions and whether they are passively or actively involved in making decisions is less known. We explored the different decision-making behaviors of women who received treatments (receivers) after being diagnosed with breast cancer and those who refused (decliners). Methods: Seven women (four receivers and three decliners) were recruited from the Breast Cancer Integrative Oncology Study. We conducted an inductive content analysis based on in-depth semi-structured interviews with open-ended questions. Results: Receivers reported that doctors and family members influenced their decision-making. Decliners perceived their doctors as supportive of their decisions and reported that the experience of adjuvant therapy of family and friends, the results of Oncotest, and concerns about side effects influenced their decision-making. Receivers expressed discomfort about their decisions, relied on books, whereas decliners used various sources to find information. Both receivers and decliners believed that they had made the decisions themselves. However, receivers were somewhat negative about doctors' advice. Receivers also reported that, sometimes, the decision-making process was lacking and reported discomfort with the treatment process. Conclusions: Women with breast cancer need support in understanding the care they are prescribed and getting essential care.http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=3;spage=322;epage=329;aulast=adjuvant chemoradiotherapybreast cancerdecision-makingtherapytreatment |
spellingShingle | Eunjung Kim Sou Hyun Jang M Robyn Andersen Leanna J Standish “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners Asia-Pacific Journal of Oncology Nursing adjuvant chemoradiotherapy breast cancer decision-making therapy treatment |
title | “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners |
title_full | “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners |
title_fullStr | “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners |
title_full_unstemmed | “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners |
title_short | “I Made All Decisions Myself”: Breast Cancer Treatment Decision-Making by Receivers and Decliners |
title_sort | i made all decisions myself breast cancer treatment decision making by receivers and decliners |
topic | adjuvant chemoradiotherapy breast cancer decision-making therapy treatment |
url | http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=3;spage=322;epage=329;aulast= |
work_keys_str_mv | AT eunjungkim imadealldecisionsmyselfbreastcancertreatmentdecisionmakingbyreceiversanddecliners AT souhyunjang imadealldecisionsmyselfbreastcancertreatmentdecisionmakingbyreceiversanddecliners AT mrobynandersen imadealldecisionsmyselfbreastcancertreatmentdecisionmakingbyreceiversanddecliners AT leannajstandish imadealldecisionsmyselfbreastcancertreatmentdecisionmakingbyreceiversanddecliners |