University of Twente Student Theses
Factors related to women’s recurrence risk perceptions after treatment for invasive breast cancer and the influence of these recurrence risk perceptions on worries and self-examination behavior
Lansink Rotgerink, F.K. (2021) Factors related to women’s recurrence risk perceptions after treatment for invasive breast cancer and the influence of these recurrence risk perceptions on worries and self-examination behavior.
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| Abstract: | The burden of follow-up care after breast cancer is rising due to improved survival rates. There is a growing demand for personalized post-treatment surveillance, which could be guided by implementation of the INFLUENCE nomogram. This paper aims to get an insight in the specific factors underlying recurrence risk perception types and the influence of these perceptions on worries and self-examination behavior. A subset of data collected in the SHOUT-BC study was used. Regression models were developed to detect factors associated with the different recurrence risk perceptions and determine the influence of these perceptions on worries and self-examination behavior. Cure beliefs were associated with absolute and comparative recurrence risk estimates. Occupationally disabled women reported higher recurrence risk appraisals than women with a paid job. Higher perceived recurrence risk was related to higher levels of cancer worry, more worry about post-treatment diagnostic test results, and more frequent breast self-examination. Our study recommends using not only absolute risks but also the recurrence risk appraisal in risk communication. The findings of this study can be used to develop interventions aimed at effective recurrence risk communication so that patients better comprehend their recurrence risk and can make an informed shared decision regarding personalized post-treatment surveillance. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/88071 |
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