Women’s preferences for contralateral prophylactic mastectomy: An investigation using protection motivation theory

• Published in: Patient education and counseling Vol. 99; no. 5; pp. 814 - 822
• Main Authors: Tesson, Stephanie, Richards, Imogen, Porter, David, Phillips, Kelly-Anne, Rankin, Nicole, Musiello, Toni, Marven, Michelle, Butow, Phyllis
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01-05-2016
• Subjects: Adult; Australia; Breast cancer; Contralateral breast cancer; Contralateral prophylactic mastectomy; Cross-Sectional Studies; Decision Making; Female; Humans; Intention; Internal Medicine; Life Expectancy; Middle Aged; Motivation; Nursing; Patient Preference; Patient preferences; Prophylactic Mastectomy - psychology; Protection motivation theory; Psychological Theory; Risk Assessment; Self Efficacy; Surveys and Questionnaires; Unilateral Breast Neoplasms - diagnosis; Unilateral Breast Neoplasms - psychology; Unilateral Breast Neoplasms - surgery; Decision-making; Patient preferences; Breast cancer; Protection motivation theory; Contralateral breast cancer; Contralateral prophylactic mastectomy
• ISSN: 0738-3991; 1873-5134
• DOI: 10.1016/j.pec.2015.11.012

Highlights • Breast cancer survivors choose contralateral prophylactic mastectomy for numerous reasons. • Psychological, cosmetic and emotional motives influence decision-making. • Perceived survival benefit and overestimated life-threat are also influential. • Tailored patient counselling is needed to accurately convey risk. • Educational materials are warranted to communicate CPM’s benefits and risks.