What are the experiences and motivating factors of women who choose contralateral prophylactic mastectomy at initial breast cancer diagnosis in the absence of a strong family history?
Association of Breast Surgery ePoster Library. Buck R. 05/15/17; 166182; P054
Rosemary Buck
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Abstract
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Introduction
To explore the experience, motivational factors and decision making strategies of women who choose contralateral prophylactic mastectomy (CPM) in the absence of a strong family history of breast cancer at the initial breast cancer diagnosis.
Method
The study used a qualitative phenomenological approach to elicit these experiences, from five women diagnosed with breast cancer who choose to have CPM at their initial breast cancer diagnosis. Data was collected using audio-recorded, semi structures interviews and analysed using Colaizzi'S (1978) framework for data analysis.
Findings
Three overarching themes emerged;
Theme 1: Factors contributing to constructing the decision
Theme 2:The process of the decision
Theme 3: No regret
Conclusion
There needs to be a balance between speed of treatment and making sure women have sufficient time to think about their decision. Service provision for these women needs to be considered as well as the quality and the way information is delivered and the nature of communication with health care professionals. A decision making support tool generated from this study could be used to facilitate with the decision making process to assist specialist nurses when counselling, this tool could be trialled in clinical practice.
References:
King et al (2011) Occult malignancy in patients undergoing contralateral prophylactic mastectomy. Annals of Surgery 254 (1):2-7
King et al (2011) Clinical management factors contributing to the decision for contralateral mastectomy. Journal of Clinical Oncology 29(16):2158-2164
Colaizzi (1978) Psychological research as the phenomenologist views it. In Valle R and King M (Eds) Existential phenomenological alternatives for psychology. New York: Oxford University Press
To explore the experience, motivational factors and decision making strategies of women who choose contralateral prophylactic mastectomy (CPM) in the absence of a strong family history of breast cancer at the initial breast cancer diagnosis.
Method
The study used a qualitative phenomenological approach to elicit these experiences, from five women diagnosed with breast cancer who choose to have CPM at their initial breast cancer diagnosis. Data was collected using audio-recorded, semi structures interviews and analysed using Colaizzi'S (1978) framework for data analysis.
Findings
Three overarching themes emerged;
Theme 1: Factors contributing to constructing the decision
Theme 2:The process of the decision
Theme 3: No regret
Conclusion
There needs to be a balance between speed of treatment and making sure women have sufficient time to think about their decision. Service provision for these women needs to be considered as well as the quality and the way information is delivered and the nature of communication with health care professionals. A decision making support tool generated from this study could be used to facilitate with the decision making process to assist specialist nurses when counselling, this tool could be trialled in clinical practice.
References:
King et al (2011) Occult malignancy in patients undergoing contralateral prophylactic mastectomy. Annals of Surgery 254 (1):2-7
King et al (2011) Clinical management factors contributing to the decision for contralateral mastectomy. Journal of Clinical Oncology 29(16):2158-2164
Colaizzi (1978) Psychological research as the phenomenologist views it. In Valle R and King M (Eds) Existential phenomenological alternatives for psychology. New York: Oxford University Press
Introduction
To explore the experience, motivational factors and decision making strategies of women who choose contralateral prophylactic mastectomy (CPM) in the absence of a strong family history of breast cancer at the initial breast cancer diagnosis.
Method
The study used a qualitative phenomenological approach to elicit these experiences, from five women diagnosed with breast cancer who choose to have CPM at their initial breast cancer diagnosis. Data was collected using audio-recorded, semi structures interviews and analysed using Colaizzi'S (1978) framework for data analysis.
Findings
Three overarching themes emerged;
Theme 1: Factors contributing to constructing the decision
Theme 2:The process of the decision
Theme 3: No regret
Conclusion
There needs to be a balance between speed of treatment and making sure women have sufficient time to think about their decision. Service provision for these women needs to be considered as well as the quality and the way information is delivered and the nature of communication with health care professionals. A decision making support tool generated from this study could be used to facilitate with the decision making process to assist specialist nurses when counselling, this tool could be trialled in clinical practice.
References:
King et al (2011) Occult malignancy in patients undergoing contralateral prophylactic mastectomy. Annals of Surgery 254 (1):2-7
King et al (2011) Clinical management factors contributing to the decision for contralateral mastectomy. Journal of Clinical Oncology 29(16):2158-2164
Colaizzi (1978) Psychological research as the phenomenologist views it. In Valle R and King M (Eds) Existential phenomenological alternatives for psychology. New York: Oxford University Press
To explore the experience, motivational factors and decision making strategies of women who choose contralateral prophylactic mastectomy (CPM) in the absence of a strong family history of breast cancer at the initial breast cancer diagnosis.
Method
The study used a qualitative phenomenological approach to elicit these experiences, from five women diagnosed with breast cancer who choose to have CPM at their initial breast cancer diagnosis. Data was collected using audio-recorded, semi structures interviews and analysed using Colaizzi'S (1978) framework for data analysis.
Findings
Three overarching themes emerged;
Theme 1: Factors contributing to constructing the decision
Theme 2:The process of the decision
Theme 3: No regret
Conclusion
There needs to be a balance between speed of treatment and making sure women have sufficient time to think about their decision. Service provision for these women needs to be considered as well as the quality and the way information is delivered and the nature of communication with health care professionals. A decision making support tool generated from this study could be used to facilitate with the decision making process to assist specialist nurses when counselling, this tool could be trialled in clinical practice.
References:
King et al (2011) Occult malignancy in patients undergoing contralateral prophylactic mastectomy. Annals of Surgery 254 (1):2-7
King et al (2011) Clinical management factors contributing to the decision for contralateral mastectomy. Journal of Clinical Oncology 29(16):2158-2164
Colaizzi (1978) Psychological research as the phenomenologist views it. In Valle R and King M (Eds) Existential phenomenological alternatives for psychology. New York: Oxford University Press
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