Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema

Kerry A. Sherman, Christopher J. Kilby, Elisabeth Elder, Sheila H. Ridner

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives: Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) seeking behavior in women with heightened lymphedema risk. Methods: Women with increased lymphedema risk (N = 462) completed an online survey measuring cognitive and affective responses to lymphedema risk, including the Illness Perception Questionnaire (Revised), and adherence to seeking PHCA. Results: Overall, 62% of women reported seeking professional healthcare advice if symptoms arose. Logistic regression analysis indicated that adherence to seeking PHCA if lymphedema symptoms arise was associated with greater illness coherence, belief in the efficacy of seeking PHCA, and lymphedema risk-related emotional distress. Conclusion: Women were more likely to seek PHCA if symptoms arose if they held a coherent understanding of lymphedema and believed in the usefulness of seeking PHCA. For these women, psychological distress associated with lymphedema risk was associated with enhanced adherence to seeking PHCA. Practice implications: Health professionals should target lymphedema education to ensure at-risk women have a coherent understanding of lymphedema and that they believe in the effectiveness of seeking PHCA to help manage lymphedema symptoms.

LanguageEnglish
Pages445-451
Number of pages7
JournalPatient Education and Counseling
Volume101
Issue number3
DOIs
Publication statusPublished - Mar 2018

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Lymphedema
Delivery of Health Care
Breast Cancer Lymphedema
Logistic Models
Lymph Nodes
Regression Analysis
Breast Neoplasms
Psychology
Education

Keywords

  • lymphedema
  • adherence
  • cognitive and affective
  • professional healthcare advice
  • logistic regression

Cite this

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title = "Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema",
abstract = "Objectives: Approximately 6-20{\%} of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) seeking behavior in women with heightened lymphedema risk. Methods: Women with increased lymphedema risk (N = 462) completed an online survey measuring cognitive and affective responses to lymphedema risk, including the Illness Perception Questionnaire (Revised), and adherence to seeking PHCA. Results: Overall, 62{\%} of women reported seeking professional healthcare advice if symptoms arose. Logistic regression analysis indicated that adherence to seeking PHCA if lymphedema symptoms arise was associated with greater illness coherence, belief in the efficacy of seeking PHCA, and lymphedema risk-related emotional distress. Conclusion: Women were more likely to seek PHCA if symptoms arose if they held a coherent understanding of lymphedema and believed in the usefulness of seeking PHCA. For these women, psychological distress associated with lymphedema risk was associated with enhanced adherence to seeking PHCA. Practice implications: Health professionals should target lymphedema education to ensure at-risk women have a coherent understanding of lymphedema and that they believe in the effectiveness of seeking PHCA to help manage lymphedema symptoms.",
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Factors associated with professional healthcare advice seeking in women at risk for developing breast cancer-related lymphedema. / Sherman, Kerry A.; Kilby, Christopher J.; Elder, Elisabeth; Ridner, Sheila H.

In: Patient Education and Counseling, Vol. 101, No. 3, 03.2018, p. 445-451.

Research output: Contribution to journalArticleResearchpeer-review

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