Author(s): Sheppard VB, Adams IF, Lamdan R, Taylor KL
Objective: Recent reports suggest that Black breast cancer patients receive adjuvant therapies less often than their White counterparts; however, few studies have examined the self-reported experiences of Black breast cancer patients making treatment decisions. This study examined cultural beliefs and healthcare factors that impacted Black women's treatment decisions.
Methods: In-depth interviews were conducted with 49 Black women with early stage breast cancer (stages 0-III). Participants resided in Washington, DC (n = 13), and Philadelphia, Pennsylvania (n = 36). Women's ages ranged from 26 to 85 (m = 53.9). All interviews were transcribed verbatim and then entered into a qualitative software program. Three coders independently read and coded transcripts using this software.
Results: The data did not reveal common cultural themes that influenced women's treatment decisions. Spiritual beliefs were important to all participants and did seem to help them cope with and reframe their illness experiences. The patient-provider relationship was the most notable factor that influenced treatment decisions. While most women reported that they were satisfied with their provider relationships, their narratives revealed that many lacked knowledge about their diagnoses and treatment regimens. Those patients who demonstrated a better understanding of their disease and treatments also seemed to adhere to recommendations for adjuvant therapy.
Conclusions: Poor communication may impact treatment decision-making and, ultimately, outcomes. Important next steps will include quantifying Black women's patient-provider interactions and examining how these factors influence adherence behaviors. Ensuring that patients understand their diagnosis and treatment options will also be important for clinical practice.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/20941804
Author(s): National Cancer Institute
Author(s): American Cancer Society
Author(s): Mellon S, Northouse LL
Author(s): Mertens DM
Author(s): Schmidt JE, Andrykowski MA
Author(s): Buki LP, Garces DM, Hinestrosa MC, Kogan L, Carrillo IY,
Author(s): Galván N, Buki LP, Garcés DM
Author(s): Clark R, Anderson NB, Clark VR, Williams DR
Author(s): Cooper LA, Hill MN, Powe NR
Author(s): Kreps GL, Sparks L
Author(s): Hall IJ, Rim SH, Johnson-Turbes CA, Vanderpool R, Kamalu NN
Author(s): Joseph G, Kaplan C, Luce J, Lee R, Stewart S, et al.
Author(s): Banegas MP, Li CI
Author(s): Luckett T, Goldstein D, Butow PN, Gebski V, Aldridge LJ, et al.
Author(s): Mujahid MS, Janz NK, Hawley ST, Griggs JJ, Hamilton AS, et al.
Author(s): Janz NK, Hawley ST, Mujahid MS, Griggs JJ, Alderman A, et al.
Author(s): Mujahid MS, Janz NK, Hawley ST, Griggs JJ, Hamilton AS, et al.
Author(s): DeSantis C, Jemal A, Ward E
Author(s): Barry J, Breen N, Barrett M
Author(s): Fagundes CP, Bennett JM, Alfano CM, Glaser R, Povoski SP, et al.
Author(s): Berz JP, Johnston K, Backus B, Doros G, Rose AJ, et al.
Author(s): Burton LM, Bonilla-Silva E, Ray V, Buckelew R, Freeman EH
Author(s): Kuo TM, Mobley LR, Anselin L
Author(s): Kravdal H, Syse A
Author(s): Nayeri K, Pitaro G, Feldman JG
Author(s): Osborne C, Ostir GV, Du X, Peek MK, Goodwin JS
Author(s): Taira N, Shimozuma K, Shiroiwa T, Ohsumi S, Kuroi K, et al
Author(s): Wittenberg L, Yutsis M, Taylor S, Giese-Davis J, Bliss-Isberg C, et al.
Author(s): McColl MA, Skinner H
Author(s): Glanz K, Lewis FM, Rimer BK
Author(s): Jensen KP, Bäck-Pettersson S, Segesten K
Author(s): Trinkaus M, Burman D, Barmala N, Rodin G, Jones J, et al.
Author(s): Raveis VH, Pretter S
Author(s): Fobair P, Spiegel D
Author(s): Shelby RA, Crespin TR, Wells-Di Gregorio SM, Lamdan RM, Siegel JE, et al.
Author(s): Janz NK, Mujahid MS, Hawley ST, Griggs JJ, Alderman A, et al.
Author(s): Davey MP, Kissil K, Niño A, Tubbs CY
Author(s): Hamilton JB, Agarwal M, Carter JK, Crandell JL
Author(s): Hamilton JB, Sandelowski M
Author(s): Williams KP, Mullan PB, Todem D
Author(s): Ashing-Giwa KT, Ganz PA
Author(s): Ashing-Giwa KT, Padilla GV, Bohórquez DE, Tejero JS, Garcia M
Author(s): Wildes KA, Miller AR, de Majors SS, Ramirez AG
Author(s): Mullan F
Author(s): Yang HC, Schuler TA
Author(s): Fang CY, Manne SL, Pape SJ
Author(s): Vahdaninia M, Omidvari S, Montazeri A
Author(s): Karakoyun-Celik O1, Gorken I, Sahin S, Orcin E, Alanyali H, et al.
Author(s): Kneece J
Author(s): Dorval M, Maunsell E, Taylor-Brown J, Kilpatrick M
Author(s): Taylor-Brown J, Kilpatrick M, Maunsell E, Dorval M
Author(s): Antonucci TC, Birditt KS, Webster NJ
Author(s): Birditt K, Antonucci TC
Author(s): Kroenke CH, Michael Y, Tindle H, Gage E, Chlebowski R, et al.
Author(s): Talley A, Molix L, Schlegel RJ, Bettencourt A
Author(s): White JL, Boehmer U
Author(s): Boehmer U, Freund KM, Linde R
Author(s): Fergus KD, Gray RE
Author(s): Manne SL, Ostroff J, Winkel G, Grana G, Fox K
Author(s): Perz J, Ussher JM, Butow P, Wain G
Author(s): Ganz PA, Rowland JH, Desmond K, Meyerowitz BE, Wyatt GE
Author(s): Legg M, Occhipinti S, Ferguson M, Dunn J, Chambers SK
Author(s): Chou AF, Stewart SL, Wild RC, Bloom JR
Author(s): Park JH, Bae SH, Jung YS, Kim KS
Author(s): Bjorneklett HG, Lindemalm C, Rosenblad A, Ojutkangas M, Letocha H, et al.
Author(s): Matthews AK, Tejeda S, Johnson TP, Berbaum ML, Manfredi C
Author(s): Friedman LC, Barber CR, Chang J, Tham YL, Kalidas M, et al.
Author(s): Levine EG, Aviv C, Yoo G, Ewing C, Au A
Author(s): Janiszewska J, Buss T, de Walden-Gałuszko K, Majkowicz M, Lichodziejewska-Niemierko M, et al.
Author(s): Braun B, Marghi JR
Author(s): Lewis KG, Moon S
Author(s): Schreiber JA, Brockopp DY
Author(s): Dyson GJ, Thompson K, Palmer S, Thomas DM, Schofield P
Author(s): Elkins G, Fisher W, Johnson A
Author(s): Beatty LJ, Adams J, Sibbritt D, Wade TD
Author(s): Spadacio C, Barros NF
Author(s): Geue K, Goetze H, Buttstaedt M, Kleinert E, Richter D, et al.
Author(s): Bar-Sela G, Atid L, Danos S, Gabay N, Epelbaum R
Author(s): Puig A, Lee SM, Goodwin L, Sherrard PAD
Author(s): Lin K, Hu Y, Chang K, Lin H, Tsauo J
Author(s): Danhauer SC, Mihalko SL, Russell GB, Campbell CR, Felder L, et al.
Author(s): Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, et al.